Irregular menstrual cycles can be part of the natural course of a woman’s reproductive years. They are common in adolescence and the premenopausal years. However when a woman is trying to conceive it is important to assess if her cycles are ovulatory ie does she routinely ovulate each month.
I have advanced training in reproductive endocrinology and infertility As your gynaecologist I can assess the cause of irregular periods and treat them with the goal of assisting women to conceive naturally. Often there are reversible causes for irregular periods. In other cases pregnancy can be achieved by non invasive treatments such as ovulation induction.
Polycystic ovary syndrome
Polycystic ovary syndrome (PCOS) is a hormonal condition that can affect 15% of women of reproductive age. Symptoms of PCOS can include irregular periods, emotional problems (anxiety and depression), excess hair growth on the face, stomach, back, acne and pimples, weight gain and delayed time to conceive.
Not all women with PCOS will have all of these symptoms as PCOS can vary in severity and between women and changes with age.
Not all women with PCOS will have trouble getting pregnant. The best way to increase your chances of getting pregnant is to plan your family earlier in life if possible, as your fertility decreases after the age of 35. It also helps to be as physically active as possible, and maintain a healthy body mass index (BMI).
For women with PCOS who have irregular periods and are trying to conceive, Dr Kalra can assist with ovulation induction treatment. Her goal is to minimise time to pregnancy, use the least invasive method possible to achieve this and to have one healthy pregnancy at a time!
Fibroids are benign tumours that form within the wall of the uterus and sometimes the cervix. They are extremely common in women of reproductive age. Symptoms include abnormal bleeding, pain, pelvic pressure but some women have no symptoms at all.
Fibroids are found in 5-10% of infertile women but most women with fibroids will not be infertile. As a fertility specialist Dr Kalra can help determine if fibroids are hampering your attempts to conceive and treat them accordingly.
Endometriosis is a condition in which tissue resembling the lining of the inside of a woman’s uterus is found elsewhere in the body (usually in the pelvis).
Upto 10% of all women may have endometriosis. Many women who have endometriosis experience few or no symptoms. Some women have severe menstrual cramps, chronic pelvic pain or painful intercourse. In others infertility may be the only symptom of endometriosis.
Dr Kalra can assess if you have signs or symptoms of endometriosis and treat accordingly. Her aim is to adopt a minimally invasive approach to treat pain but also optimise fertility.
Dr Kalra has completed training in minimally invasive surgery to treat gynaecological conditions that might be affecting fertility. She is able to offer her patients private care at Warringal Private Hospital, Heidelberg. She also has a regular operating list at the Royal Women’s Hospital, Melbourne and Eastern Health.