Abnormal uterine bleeding (AUB) is any pattern of uterine bleeding that falls outside what is considered a normal menstrual cycle. This includes periods that are too heavy, too long, too frequent, too infrequent, or irregular — as well as bleeding that occurs between periods, after intercourse, or at any time outside the expected menstrual window. For women in Kolkata who are trying to conceive, AUB is not just a quality-of-life concern — it is often a clinical signal pointing toward an underlying condition that may be directly affecting fertility.
Abnormal uterine bleeding is one of the most common reasons women of reproductive age seek gynaecological care. It affects daily life in ways that are frequently normalised — period pain dismissed as ordinary, flooding accepted as “just the way it is,” irregular cycles attributed to stress and left uninvestigated. For many women, the connection between their bleeding pattern and their difficulty conceiving is never made explicit — because no one has yet looked at both together.
At Ankur Fertility Clinic, AUB is never assessed in isolation from fertility. Every evaluation of abnormal uterine bleeding treatment in Kolkata is conducted with the patient’s reproductive goals at the centre — because in women of reproductive age who are trying to conceive, the cause of the bleeding and the cause of the fertility challenge are often the same thing.
Understanding what constitutes AUB begins with understanding what is normal. A normal menstrual cycle in a woman of reproductive age has the following characteristics:
Any consistent deviation from these parameters — in volume, duration, frequency, regularity, or the occurrence of bleeding outside the normal cycle — meets the clinical definition of abnormal uterine bleeding and warrants evaluation as part of a comprehensive assessment for abnormal uterine bleeding treatment in Kolkata.
AUB presents in a variety of patterns, each of which carries its own set of likely underlying causes and fertility implications.
Pattern | Description | Common Underlying Causes |
Menorrhagia | Heavy or prolonged menstrual bleeding | Fibroids, adenomyosis, polyps, coagulopathy |
Metrorrhagia | Irregular bleeding between periods | Polyps, hormonal imbalance, cervical causes |
Oligomenorrhoea | Infrequent periods (cycles >35 days) | PCOS, thyroid disorders, hyperprolactinaemia |
Amenorrhoea | Absent periods for 3+ months | Ovulatory dysfunction, premature ovarian insufficiency, stress |
Intermenstrual Bleeding | Spotting between regular periods | Polyps, cervical pathology, hormonal causes |
Postcoital Bleeding | Bleeding after intercourse | Cervical polyp, cervicitis, cervical pathology |
It is important to note that these patterns are not mutually exclusive. Many women experience a combination — for example, heavy and irregular bleeding (menometrorrhagia) — and the specific combination of patterns is itself a clinical clue that helps direct the diagnostic workup for abnormal uterine bleeding treatment in Kolkata.
The internationally accepted clinical framework for classifying the causes of AUB is the PALM-COEIN system, developed by the International Federation of Gynecology and Obstetrics (FIGO). It distinguishes between structural causes (PALM) — those that can be seen on imaging — and non-structural causes (COEIN) — those that are hormonal, systemic, or as yet unclassified.
Category | Cause | Relevance to Fertility |
PALM — Structural Causes | ||
P | Polyp (endometrial or cervical) | Can prevent implantation; hysteroscopic removal improves IVF outcomes |
A | Adenomyosis | Associated with implantation failure and higher miscarriage risk |
L | Leiomyoma (Fibroids) | Submucosal fibroids significantly impair fertility; intramural may also impact |
M | Malignancy / Endometrial Hyperplasia | Requires prompt specialist evaluation; fertility-sparing options in selected cases |
COEIN — Non-Structural Causes | ||
C | Coagulopathy (bleeding disorders) | Managed medically; does not directly impair fertility |
O | Ovulatory dysfunction (PCOS, thyroid, hyperprolactinaemia) | Direct cause of irregular cycles and ovulation failure; highly treatable |
E | Endometrial causes (primary) | May affect receptivity for embryo implantation |
I | Iatrogenic (medications, IUD, anticoagulants) | Cause identified and managed; fertility impact depends on underlying reason |
N | Not yet classified | Requires further investigation to determine fertility implications |
For women who are trying to conceive, the fertility relevance of each PALM-COEIN category varies significantly — which is precisely why identifying the specific underlying cause of heavy periods and fertility challenges in Kolkata is so important before any treatment is planned. Treating the bleeding without identifying and addressing its cause is incomplete care.
Endometrial polyps are overgrowths of the uterine lining that project into the uterine cavity. They are one of the most common structural causes of irregular bleeding, intermenstrual spotting, and postcoital bleeding — and they have a well-documented negative impact on implantation and IVF success rates. Even small endometrial polyps can prevent an embryo from implanting by disrupting the normal endometrial environment. Hysteroscopic removal of polyps — a straightforward, minimally invasive procedure — is associated with meaningful improvements in conception rates, both natural and through IVF.
Adenomyosis occurs when endometrial glands and stroma (the supporting tissue of the uterine lining) are found within the muscular wall of the uterus. It is strongly associated with heavy, prolonged, and painful periods — and is increasingly recognised as a cause of implantation failure, recurrent miscarriage, and reduced IVF success. Adenomyosis is a condition that can be silent for years, its symptoms attributed to normal menstrual variation, only emerging as a fertility-relevant diagnosis when IVF cycles repeatedly fail. For women experiencing heavy periods and fertility challenges in Kolkata, adenomyosis warrants specific investigation.
Uterine fibroids — particularly submucosal fibroids that distort the uterine cavity — are a significant and well-established cause of heavy, prolonged menstrual bleeding and of fertility impairment. The relationship between fibroids, AUB, and fertility is detailed in the dedicated Fibroid Uterus page. Where fibroids are identified as the cause of abnormal uterine bleeding treatment in Kolkata, the management approach addresses both the bleeding and the fertility impact simultaneously.
Ovulatory dysfunction — the most common non-structural cause of AUB — encompasses a range of conditions in which ovulation is absent, irregular, or inadequate. Polycystic ovary syndrome (PCOS) is the most prevalent cause, producing irregular, infrequent, or absent periods through its effects on the hormonal axis that governs the menstrual cycle. Thyroid disorders — both hypothyroidism and hyperthyroidism — are a frequently under-recognised cause of irregular periods and fertility challenges. Hyperprolactinaemia (elevated prolactin) can suppress ovulation and cause irregular cycles. All of these conditions are highly treatable, and addressing the underlying hormonal cause typically restores regular ovulation and substantially improves fertility prospects.
Endometrial hyperplasia is an overgrowth of the uterine lining, typically caused by prolonged oestrogen stimulation without adequate progesterone. It can present as heavy or irregular bleeding and, in some forms, carries a risk of progression to endometrial cancer if untreated. For women of reproductive age, the management of endometrial hyperplasia must balance the need to treat the lining with the goal of preserving fertility — a nuanced clinical decision that requires specialist guidance as part of any evaluation for abnormal uterine bleeding treatment in Kolkata.
AUB encompasses a wide spectrum of symptoms. Women may experience one or several of the following:
Many women normalise these symptoms for years before seeking evaluation. Heavy, painful periods are often dismissed as “just the way it is” — particularly if similar patterns exist in the family. This normalisation delays diagnosis, allows underlying conditions to progress, and — for women who are trying to conceive — prolongs the time before a treatable cause of fertility impairment is identified. Seeking evaluation for abnormal uterine bleeding treatment in Kolkata is not overcautious. It is the right clinical step.
Once the cause of AUB is identified, a personalised treatment plan is developed that addresses the underlying cause — not just the symptom of bleeding. For women who are trying to conceive, this plan is built explicitly around the goal of improving the uterine environment for natural conception or fertility treatment, while managing the bleeding and any associated health impacts such as anaemia or pain.
The side effects of AUB treatment depend on the approach taken. Medical management using hormonal therapies may cause temporary hormonal side effects including mood changes, breast tenderness, or altered cycle patterns during the adjustment period. Surgical treatments such as hysteroscopic polypectomy are minimally invasive with a rapid recovery and few lasting side effects. More extensive surgical interventions carry the standard risks of any gynaecological procedure, all of which are carefully managed and discussed with patients in full before any procedure is undertaken at Ankur Fertility Clinic.
For women who are trying to conceive, every treatment decision for irregular periods and fertility concerns in Kolkata is made with clear attention to preserving and improving the uterine environment for pregnancy — not simply controlling bleeding at the expense of reproductive potential.
While most AUB presentations are not medical emergencies, certain situations warrant prompt evaluation — ideally within days, not weeks:
Abnormal uterine bleeding is not a standalone diagnosis — it is a symptom of an underlying condition. And in women of reproductive age who are trying to conceive, that underlying condition is very often the same one that is making conception difficult. Treating the bleeding without identifying and addressing its root cause is incomplete. Ignoring the bleeding in the hope that fertility treatment alone will succeed is frequently insufficient. At Ankur Fertility Clinic, abnormal uterine bleeding treatment in Kolkata is always approached through the lens of the patient’s reproductive goals — because the two cannot be meaningfully separated.
Endometrial polyps are among the most directly fertility-relevant causes of AUB. Even a small polyp projecting into the uterine cavity can disrupt the normal endometrial environment, preventing an embryo from implanting successfully. Studies consistently show that hysteroscopic removal of endometrial polyps improves pregnancy rates — both in natural conception and in IVF cycles. For women experiencing heavy periods and fertility challenges in Kolkata who have not had a hysteroscopic assessment of the uterine cavity, polyp removal is one of the highest-value, lowest-risk interventions available.
Adenomyosis affects the receptivity of the uterine lining to embryo implantation and is increasingly recognised as a contributor to recurrent implantation failure in IVF. It also increases the risk of miscarriage. For women with AUB and irregular periods who have experienced multiple failed IVF cycles or recurrent early pregnancy loss, adenomyosis warrants specific investigation as part of the diagnostic workup for abnormal uterine bleeding treatment in Kolkata.
Irregular, infrequent, or absent periods are among the most direct signals of ovulation dysfunction — and ovulation is, of course, a prerequisite for natural conception. PCOS-related anovulation, thyroid-driven cycle disruption, and hyperprolactinaemia all present with AUB patterns (typically oligomenorrhoea or amenorrhoea) and all directly reduce the chances of natural conception. The good news is that these are among the most successfully treated causes of both AUB and fertility challenges in Kolkata. Restoring regular ovulation — through targeted medical management — typically restores the menstrual pattern and creates the hormonal environment in which conception becomes possible.
Chronic heavy menstrual bleeding causes iron-deficiency anaemia in a significant number of affected women. Anaemia — through its effects on energy, endometrial health, and overall physiological reserves — can affect a woman’s readiness for fertility treatment and her body’s capacity to support an early pregnancy. Addressing heavy periods as part of abnormal uterine bleeding treatment in Kolkata is therefore also about restoring the broader physiological conditions that support a healthy fertility journey.
The abnormally thickened uterine lining associated with endometrial hyperplasia creates a suboptimal environment for embryo implantation. Management of endometrial hyperplasia restores normal lining architecture and hormonal balance, improving both menstrual regularity and uterine receptivity.
Abnormal uterine bleeding treatment in Kolkata is recommended as part of a fertility-focused evaluation for women who:
Preparation for abnormal uterine bleeding treatment in Kolkata begins with a comprehensive clinical history and targeted investigation — designed to identify the specific cause of the bleeding and its relationship to the patient’s fertility picture. Bringing a clear account of the bleeding pattern to the consultation — including cycle length, duration, volume (approximately), and any associated symptoms — is one of the most practically useful things a patient can do before her first appointment.
Clinical investigations typically include:
At Ankur Fertility Clinic, the investigations recommended for each patient are selected based on her specific presentation — not applied as a blanket panel. The goal is efficient, targeted diagnosis that identifies the cause of the AUB and its fertility implications as clearly and as quickly as possible, enabling a treatment plan to be put in place without unnecessary delay.
Understanding the diagnostic and treatment journey for AUB — particularly when it is being evaluated in the context of fertility — helps patients approach the process with clarity and confidence. At Ankur Fertility Clinic, every step of the abnormal uterine bleeding treatment in Kolkata pathway is explained, personalised, and oriented toward the patient’s reproductive goals.
The diagnostic process begins with a thorough clinical consultation. Effective diagnosis of AUB is grounded in the history — and a careful, unhurried conversation about the bleeding pattern, associated symptoms, menstrual history since menarche, contraceptive history, obstetric history, family history, and current medications provides a substantial proportion of the diagnostic picture before a single investigation is performed.
For women who are trying to conceive, this consultation also covers the fertility history in full — how long conception has been attempted, what investigations or treatments have already been undertaken, and what the couple’s broader fertility picture looks like. This integration of the AUB and fertility histories from the first consultation is what distinguishes care at Ankur Fertility Clinic from a standalone gynaecological assessment.
Based on the clinical history and examination, targeted investigations are ordered to identify the specific cause of the AUB. Transvaginal ultrasound is almost always the first imaging investigation, providing detailed information about the uterus, endometrium, and ovaries. Where the ultrasound raises the possibility of an intrauterine lesion such as a polyp or submucous fibroid, sonohysterography provides more detailed visualisation of the uterine cavity.
Hormonal testing is selected based on the bleeding pattern and clinical context — a woman with oligomenorrhoea and suspected PCOS requires a different panel than a woman with menorrhagia and suspected thyroid dysfunction. Endometrial biopsy is performed where the clinical picture or imaging raises the possibility of endometrial hyperplasia or other endometrial pathology.
The result of this step is not simply a list of test results — it is a clear clinical diagnosis of the cause of the AUB and an understanding of how that cause relates to the patient’s fertility. This diagnosis is the foundation on which all subsequent treatment decisions are built.
For many women with AUB who are planning pregnancy or IVF, hysteroscopy — a direct visual examination of the inside of the uterine cavity — is one of the most valuable investigations available. It is simultaneously diagnostic and therapeutic: polyps, small submucous fibroids, and adhesions (intrauterine scar tissue) can be identified and removed during the same procedure.
Diagnostic hysteroscopy is performed under mild sedation and typically takes 15–30 minutes, with most patients returning home the same day. Operative hysteroscopy — where a polyp or fibroid is removed during the procedure — may take slightly longer depending on the number and size of lesions. Recovery is rapid, and the uterine cavity returns to normal within one to two menstrual cycles.
For women who have experienced recurrent implantation failure in IVF, a hysteroscopy that identifies and removes an otherwise undetected polyp or area of adhesion can be a clinically meaningful and fertility-transforming step. It is a core component of the diagnostic pathway for heavy periods and fertility challenges in Kolkata at Ankur Fertility Clinic for any patient planning IVF who has not previously had a cavity assessment.
Once the cause of the AUB is identified, a personalised treatment plan is developed in full consultation with the patient. This plan addresses the underlying cause — not just the symptom — and is explicitly built around the patient’s fertility goals.
Where AUB has been identified and addressed as part of a fertility-focused evaluation, the next stage involves proceeding with fertility treatment — now in a uterine environment that has been optimised for conception and implantation.
Depending on the overall fertility assessment, this may include:
The transition from AUB treatment to fertility treatment at Ankur Fertility Clinic is seamless — because the two are never managed as separate clinical episodes. The treatment plan that addresses the cause of the irregular periods and fertility challenges in Kolkata is the same plan that maps the path toward pregnancy.
The effectiveness of abnormal uterine bleeding treatment in Kolkata in improving fertility outcomes depends on identifying and addressing the specific underlying cause. For endometrial polyps, hysteroscopic removal is associated with significant improvements in both natural conception rates and IVF success rates. For ovulatory dysfunction — PCOS, thyroid disorders, hyperprolactinaemia — medical management that restores regular ovulation typically produces substantial improvements in fertility prospects. For adenomyosis, the evidence is more complex, and realistic expectations are discussed individually with every patient. For endometrial hyperplasia, treating the lining pathology restores normal endometrial receptivity and removes a recognised barrier to implantation.
What unites all of these pathways is the principle that treating the cause — not just controlling the symptom — is the approach that meaningfully improves fertility. At Ankur Fertility Clinic, this is the standard applied in every case.
There is a particular kind of exhaustion that comes with years of heavy, painful, or unpredictable periods. The anaemia that quietly drains energy month after month. The planning around cycles that are never reliable. The grief of watching a third IVF cycle fail without anyone ever asking whether the uterine cavity had been properly assessed. The frustration of being told, again and again, that this is normal — when nothing about your experience of it feels normal at all.
At Ankur Fertility Clinic, these experiences are not minimised. They are taken seriously as the clinical and human context in which AUB treatment in Kolkata takes place. The fertility specialist does not begin with a test list. She begins with a conversation — about what has been happening, for how long, what has been tried, and what the patient is trying to achieve.
This conversation shapes everything that follows. Because the right investigation for heavy periods and a failed IVF cycle is different from the right investigation for irregular periods and a first attempt at natural conception. And the right treatment for a woman whose life is being significantly disrupted by flooding and clots is different from the right treatment for a woman whose only symptom is cycle irregularity. At Ankur, the difference matters — and it is reflected in every aspect of how care is delivered.
In the clinical experience at Ankur Fertility Clinic, there are certain causes of AUB that are consistently under-investigated in women who have been trying to conceive — causes that, once identified and addressed, can transform the fertility picture:
These are not exotic diagnoses. They are common findings — in women who have been to multiple clinics, undergone multiple fertility treatments, and never had the connection between their bleeding pattern and their fertility challenge explicitly investigated and explained. At Ankur Fertility Clinic, this connection is made from the first consultation — because it is the connection that opens the door to genuinely effective treatment.
Managing AUB effectively in women who are trying to conceive requires a specialist who approaches the bleeding pattern as a fertility clue — not as a gynaecological problem to be managed separately from the reproductive picture. Ankur Fertility Clinic is led by Dr. Suparna Banerjee, a highly experienced gynaecologist and infertility specialist with more than two decades of dedicated expertise in reproductive medicine.
Over 21 years, Dr. Banerjee has worked with women for whom the connection between their bleeding pattern and their fertility challenges was the missing piece of the diagnostic picture — helping them understand the link, address the underlying cause, and move forward on a clearer, more targeted path toward pregnancy. Her clinical approach to irregular periods and fertility treatment in Kolkata is built on the conviction that AUB is never just a gynaecological symptom — it is information about the uterine and hormonal environment in which a pregnancy needs to occur.
One of the most important clinical capabilities for women with AUB who are trying to conceive is access to high-quality hysteroscopy — the direct visualisation and treatment of the uterine cavity that identifies and removes polyps, adhesions, and other intrauterine factors that standard ultrasound can miss. At Ankur Fertility Clinic, diagnostic and operative hysteroscopy is available in-house as part of the comprehensive evaluation for abnormal uterine bleeding treatment in Kolkata.
This means that a woman who comes to Ankur with recurrent IVF failures and a history of irregular bleeding does not need to be referred to an external surgical facility before the cavity can be assessed and treated. The diagnostic pathway is complete and integrated — shortening the time from investigation to treatment and keeping every step of the clinical journey under one roof.
At Ankur Fertility Clinic, every AUB treatment plan is explicitly built around the patient’s fertility goals — not around controlling bleeding as an isolated clinical endpoint. This means that treatment options are selected with clear attention to their compatibility with conception: medical treatments are chosen that do not suppress fertility while managing symptoms; surgical interventions are timed to optimise the uterine environment for fertility treatment; and fertility treatment is planned to follow AUB management in the most efficient, well-sequenced way.
Some patients will need hormonal treatment to restore regular ovulation before fertility treatment can begin. Others will need a hysteroscopy to assess and treat the uterine cavity before the next IVF cycle. Still others will have their AUB managed medically in parallel with fertility treatment, with both the bleeding and the fertility picture actively monitored. The right plan is always the one that is right for the individual patient — and at Ankur Fertility Clinic, there is only ever one kind of treatment plan: an individual one.
For many women who come to Ankur Fertility Clinic with AUB, one of the most valuable things the consultation provides is a clear, plain-language explanation of what is actually happening — and why it matters for fertility. The connection between heavy periods and implantation failure, between cycle irregularity and anovulation, between a thyroid result at the edge of normal range and the disrupted ovulation that is preventing conception — these are connections that are frequently not made explicit in a general clinical setting.
At Ankur Fertility Clinic, they are made from the first appointment. Patients leave their consultation knowing what the bleeding pattern means, what the investigation plan is, what the likely findings are, and how treatment will be sequenced to give them the best possible chance of achieving the pregnancy they are working toward.
Ankur Fertility Clinic offers patients access to the full continuum of reproductive care — from the initial evaluation of abnormal uterine bleeding treatment in Kolkata through targeted medical and surgical management, to follicular monitoring, ovulation induction, IUI, and IVF. Services relevant to AUB management and fertility treatment include:
Ankur Fertility Clinic consistently receives strong patient reviews and high ratings (~4.7), reflecting the quality of clinical care, the standard of communication, and the genuine compassion with which complex presentations — including women whose fertility challenges are directly linked to undiagnosed or under-managed AUB — are approached. For women who have spent years with irregular periods and fertility challenges that have not been fully explained or effectively treated, the experience of finally having the clinical picture put together and addressed is, in the words of many patients, transformative.
Located in New Alipore, Kolkata, Ankur Fertility Clinic is easily accessible to patients from across the city and surrounding areas of West Bengal. For women attending for AUB evaluation, follow-up consultations, hysteroscopy, and fertility treatment planning, the clinic’s well-connected location ensures that the practical logistics of care are as manageable as possible — allowing patients to give their full attention to their health and their fertility journey.
Answers from the specialists at Ankur Fertility Clinic
A. Abnormal uterine bleeding (AUB) is any pattern of uterine bleeding that falls outside the normal parameters for a menstrual cycle — including periods that are too heavy, too prolonged, too frequent, too infrequent, unpredictable, or occurring outside the expected menstrual window. AUB is not a diagnosis in itself — it is a symptom that requires investigation to identify its underlying cause. In women of reproductive age who are trying to conceive, that underlying cause is frequently the same one that is making conception difficult, which is why abnormal uterine bleeding treatment in Kolkata is a central part of the fertility evaluation at Ankur Fertility Clinic.
A. Yes — but the fertility impact depends on what is causing the heavy periods. Heavy menstrual bleeding caused by endometrial polyps, submucosal fibroids, or adenomyosis can directly affect the uterine environment for implantation and is associated with reduced conception rates and higher miscarriage risk. Heavy bleeding caused by ovulatory dysfunction may indicate irregular or absent ovulation — a direct barrier to natural conception. Chronic heavy bleeding that causes anaemia affects the physiological conditions that support a healthy pregnancy. Identifying and addressing the cause of heavy periods and fertility challenges in Kolkata is therefore one of the most clinically important steps in a fertility-focused evaluation.
A. PALM-COEIN is the internationally accepted framework for classifying the causes of abnormal uterine bleeding, developed by the International Federation of Gynecology and Obstetrics (FIGO). PALM refers to structural causes — Polyp, Adenomyosis, Leiomyoma (fibroids), and Malignancy/hyperplasia. COEIN refers to non-structural causes — Coagulopathy, Ovulatory dysfunction, Endometrial causes, Iatrogenic causes, and Not yet classified. Using this framework helps ensure that all potential causes of AUB are systematically evaluated — including those most directly relevant to irregular periods and fertility treatment in Kolkata.
A. Endometrial polyps are typically identified on transvaginal ultrasound, though small polyps may not be visible on standard ultrasound and require sonohysterography (saline infusion sonography) or hysteroscopy for reliable identification. Hysteroscopic polypectomy — surgical removal of the polyp under direct vision — is the standard treatment. Multiple clinical studies demonstrate that hysteroscopic polypectomy significantly improves pregnancy rates in women planning IVF, particularly where the polyp is distorting or projecting into the uterine cavity. It is one of the most targeted and effective fertility-enhancing interventions available as part of abnormal uterine bleeding treatment in Kolkata.
A. Adenomyosis is a condition in which endometrial glands and supporting tissue are found within the muscular wall of the uterus. It typically causes heavy, prolonged, and painful periods and is associated with an enlarged, tender uterus on examination and characteristic features on ultrasound or MRI. Adenomyosis is increasingly recognised as a cause of implantation failure and early miscarriage, and is particularly relevant in women who have experienced recurrent IVF failures with heavy periods and fertility challenges in Kolkata. Management in women who wish to conceive is nuanced and requires specialist guidance.
A. Yes — and PCOS-related ovulatory dysfunction is among the most successfully treated causes of both irregular periods and fertility challenges in Kolkata. Targeted medical management — including ovulation induction with letrozole or clomiphene, lifestyle optimisation, and management of associated hormonal imbalances — restores regular ovulation in the majority of women with PCOS. Once regular ovulation is re-established, the chances of natural conception improve significantly, and where fertility treatment is still needed, IUI and IVF can be planned on the foundation of a restored ovulatory pattern.
A. Both hypothyroidism (underactive thyroid) and hyperthyroidism (overactive thyroid) can disrupt the hormonal axis that governs the menstrual cycle — causing irregular, heavy, or absent periods, and impairing ovulation. Thyroid disorders are one of the most commonly under-recognised causes of irregular periods and fertility challenges in Kolkata, as the thyroid function tests used in general screening sometimes miss the range of thyroid dysfunction relevant to reproductive health. At Ankur Fertility Clinic, thyroid evaluation as part of AUB investigation uses the specific reference ranges applicable to fertility medicine — ensuring that subclinical dysfunction is not missed.
A. Hysteroscopy is a procedure in which a thin telescope-like instrument is passed through the cervix into the uterus, allowing direct visualisation of the uterine cavity. It is both diagnostic and therapeutic — polyps, small submucous fibroids, and intrauterine adhesions can be identified and removed in the same procedure. For women with AUB who are planning IVF, hysteroscopy is recommended before starting treatment if the uterine cavity has not previously been assessed — as undetected intrauterine pathology is a common and treatable cause of IVF failure. Hysteroscopy is performed in-house at Ankur Fertility Clinic as part of the comprehensive abnormal uterine bleeding treatment in Kolkata pathway.
A. Yes — many causes of abnormal uterine bleeding are effectively managed medically, without surgery. Ovulatory dysfunction caused by PCOS, thyroid disorders, or hyperprolactinaemia is typically managed with targeted hormonal or medical therapy. Menorrhagia without a structural cause can be treated medically with tranexamic acid, NSAIDs, or progesterone therapy. However, structural causes such as polyps, submucous fibroids, or adhesions typically require hysteroscopic surgical management for reliable resolution — particularly where fertility is a goal and the structural cause is directly affecting the uterine environment for implantation.
A. AUB can be associated with recurrent early pregnancy loss in several ways. Endometrial polyps and adenomyosis are both associated with increased miscarriage risk. Ovulatory dysfunction producing progesterone insufficiency in the luteal phase may affect early pregnancy support. Endometrial hyperplasia affects uterine receptivity. For women experiencing recurrent miscarriage alongside an irregular or heavy bleeding pattern, a comprehensive evaluation of abnormal uterine bleeding treatment in Kolkata that includes uterine cavity assessment and hormonal investigation is a clinically important step in understanding and addressing the cause of the losses.
A. This is a more common clinical scenario than is widely acknowledged. Studies estimate that intrauterine pathology — primarily polyps, submucous fibroids, and adhesions — is present in a significant proportion of women who have experienced recurrent IVF implantation failure. Many of these findings are not visible on standard pre-IVF ultrasound and require sonohysterography or hysteroscopy for reliable detection. For women who have experienced repeated IVF failures and have a history of heavy periods or AUB, a hysteroscopic assessment of the uterine cavity is one of the first investigative steps recommended at Ankur Fertility Clinic — because identifying and treating a structural cause before the next cycle is one of the highest-value interventions available.
The cost of abnormal uterine bleeding treatment in Kolkata depends on the specific investigations and treatment approach recommended based on the individual diagnosis. Investigation costs cover ultrasound, blood tests, and where indicated, sonohysterography or hysteroscopy. Treatment costs vary between medical management and surgical intervention. At Ankur Fertility Clinic, all expected costs are communicated clearly and transparently as part of the treatment planning consultation — so patients can plan their care without financial uncertainty at any stage of the process.
A. You should seek specialist advice about abnormal uterine bleeding treatment in Kolkata if you have periods that are consistently heavy, prolonged, or associated with large clots; cycles that are irregular, infrequent, or absent; spotting between periods or after intercourse; have been trying to conceive for six months or more with an irregular or heavy menstrual pattern; have experienced recurrent IVF implantation failures and have not had a hysteroscopic assessment; or have symptoms of anaemia associated with heavy bleeding. At Ankur Fertility Clinic, a specialist consultation will give you a clear, honest assessment of what your bleeding pattern means for your fertility — and what can be done about it.
