Conditions affecting the muscle wall and lining of the uterus can often impact your comfort, menstrual health and fertility. They may cause symptoms such as heavy or painful periods, irregular bleeding or spotting, pelvic pressure, or pain during sex. If you are experiencing any of these symptoms, Dr Ritu can help investigate what may be happening and guide you through the most appropriate treatment options. If you are hoping to conceive, she can also support you on your journey to pregnancy.
Fibroids are non-cancerous growths that develop in the muscular wall of the uterus. They can vary in size, number, and position. Depending on where they sit, fibroids may cause heavy or prolonged bleeding, pelvic pressure, cramping, frequent urination, pain during sex, and sometimes difficulty conceiving.
Endometrial polyps are benign growths that form in the lining of the uterus. They may cause irregular bleeding, spotting between periods, heavier periods, or bleeding after menopause. In some cases, polyps can interfere with fertility or implantation.
Adenomyosis occurs when tissue similar to the endometrial lining grows into the muscular wall of the uterus. This can lead to heavy menstrual bleeding, painful periods, pelvic pain, bloating, and discomfort during sex. Symptoms can overlap with other conditions, which is why careful assessment is important.
Congenital uterine differences are structural variations in the shape of the uterus that are present from birth. Many people with these differences have no symptoms at all. In some cases, however, they may be linked to recurrent miscarriage, premature birth, or difficulty carrying a pregnancy to term.
Uterine conditions are usually diagnosed through a combination of symptom review, medical history, physical examination, and imaging. During your consultation, Dr Ritu will ask about your periods, pain, bleeding patterns, fertility concerns, and any history of miscarriage or pregnancy complications.
An ultrasound is often the first test used, as it can help identify fibroids, polyps, adenomyosis, or changes in the shape of the uterus. In some situations, further tests may be recommended. These can include saline ultrasound, MRI, or hysteroscopy to look more closely at the uterine cavity and confirm the diagnosis.
If you are trying to conceive, additional fertility-focused assessment may be suggested to understand whether a uterine condition is affecting conception or pregnancy outcomes. The exact tests used will depend on your symptoms, the suspected condition, and your treatment goals.
During your consultation, Dr Ritu will take a detailed history, review your symptoms, and perform the examinations and scans needed to build a clear picture of your uterine and pelvic health. Treatment is tailored to the type of condition, how severe your symptoms are, and whether you are planning a pregnancy.
Hormonal and non-hormonal therapies can help manage symptoms and, in some cases, reduce the impact of the condition. Hormonal treatment may be used to reduce heavy bleeding, regulate cycles, and relieve pain. Non-hormonal options can also help with symptoms such as pain and blood loss. The most suitable approach depends on the diagnosis and whether supporting fertility is important.
Surgery may be recommended if a condition is causing significant symptoms or affecting fertility. Hysteroscopic surgery is performed through the cervix and is often used to remove growths inside the uterus, such as polyps or certain fibroids. Laparoscopic surgery is a minimally invasive approach using small abdominal incisions, which may be used to remove fibroids, treat adenomyosis in selected cases, or correct uterine abnormalities.
If you are trying to conceive or planning to fall pregnant, fertility-focused care can support you in understanding and addressing how a uterine condition may be playing a role. This may include monitoring, treatment before pregnancy, or surgery to correct structural issues. Care is tailored to your symptoms, age, reproductive goals, and medical history.
