Irregular periods and heavy bleeding: which doctor should I see?
Your cycle can change now and then — with stress, travel or a change in weight. When it stays irregular for a long time, the bleeding is heavy or there is bleeding between periods, it is good to see a gynaecologist. Here you will learn what may be behind it, when it is urgent and which specialist to see.
Book a specialistWhen it is urgent
- The bleeding is so heavy that you change a pad every hour, or you feel dizzy and weak.
- Severe abdominal pain, especially if you might be pregnant.
- Bleeding during pregnancy.
- Bleeding with pain in the tip of the shoulder, if you might be pregnant — even with a negative test.
- A high fever with pain in the lower abdomen.
With these signs, seek emergency help — call 112 or go to the nearest emergency department.
Call 112What it may mean
- Hormonal changes — with stress, a sudden change in weight, in puberty or before the menopause.
- Uterine fibroids — heavy and long bleeding, sometimes with heaviness in the abdomen.
- Polycystic ovary syndrome — irregular or missing periods, acne and more body hair.
- Thyroid problems.
- Pregnancy — including an ectopic one, which is why the doctor may order a test when a period is late.
- Polyps or endometriosis — bleeding between periods or severe pain.
Which specialist
How to prepare for the visit
Write down the dates of your last periods, how many days the bleeding lasts and how heavy it is — in an app or a calendar. Bring earlier test results and ultrasounds, and a list of the medicines you take, contraceptives included.
Frequently asked questions
Is it normal for a period to be late?
Sometimes, yes — with stress or a change in weight. If it is often late or you might be pregnant, have it checked. Book a visit without delay if you might be pregnant and have pain low in the abdomen on one side, bleeding or a brown discharge — even with a negative test. Bleeding after the menopause or after sex is also a reason for a check, even if it is light and happened only once.
Can I have the examination during my period?
Ask when you book. With heavy bleeding the doctor may want to see you just then.
Which tests will I have?
Usually a gynaecological examination and an ultrasound, and with heavy bleeding a blood count. Sometimes a hormone test too.
This information does not replace a visit to a doctor.