Treatment of menstrual cycle disorders by obstetrician-gynecologist Irina Ivanovna Kulbach in the city of Dnipro

Patients often come with irregular or painful menstruation, cycle delays, or changes in discharge.

The doctor conducts a thorough clinical evaluation, analyzes complaints and medical history, and, if necessary, orders additional examinations for an accurate understanding of the situation.

As a result, the patient receives a clear and understandable action plan: what to do now, which tests to undergo, and how to monitor changes over time.

A key aspect of the physician’s approach is differential diagnosis of the causes of menstrual cycle disorders and ongoing patient monitoring for timely adjustment of therapy.

When to See a Doctor

Menstrual cycle disorders can manifest in various ways, and understanding the causes can be difficult without the help of a specialist. Even if symptoms seem minor or occasional, it is important to evaluate them together with a doctor. You should make an appointment with an obstetrician-gynecologist if you notice any of the following when experiencing menstrual cycle irregularities:

• Irregular periods, when the cycle becomes too short or too long
• Severe or prolonged lower abdominal pain during menstruation
• Occurrence of bleeding between periods or unusual discharge
• Absence of menstruation for several consecutive cycles without an obvious reason
• Increased or decreased frequency of menstruation causing discomfort
• Repeated menstrual delays not related to lifestyle changes or stress
• Worsening symptoms that interfere with work, rest, or daily activities
• No improvement after self-care measures or previously prescribed treatment
• When symptoms appear for the first time or intensify
• When cycle irregularities are accompanied by a general decline in well-being
• Need to adjust treatment in the presence of concomitant diseases
• If the condition worsens after stress, infections, or other factors

Even with mild changes in the menstrual cycle, it is wise to consult a doctor to rule out serious causes and choose the best steps for monitoring and managing the condition. It is advisable to see a specialist if you have any doubts, so as not to postpone seeking help when symptoms are recurring or worsening.

Emergency Conditions or When to Seek Immediate Medical Attention

• sudden and heavy bleeding from the genital area
• increasing lower abdominal pain that does not subside over time
• sudden worsening of overall condition accompanied by loss of consciousness or severe weakness
• combination of severe pain and fever that does not go down for a prolonged period
• sudden onset of significant swelling or sharp changes in the pelvic area

If you experience any of these symptoms, do not wait for a scheduled appointment and seek urgent medical care. At our clinic, if necessary, you can request a doctor to visit your home for a prompt examination and consultation.

Causes and Risk Factors of Menstrual Cycle Disorders

This section will help to understand where menstrual cycle disorders may originate and what factors influence their development. It is important to undergo an evaluation by a doctor and, if necessary, complete examinations to clarify the causes of the condition.

Main Causes / Mechanisms (Brief)

• Hormonal imbalance related to dysfunction of the ovaries or pituitary gland
• Stress and psychoemotional burdens affecting cycle regulation
• Inflammatory processes in the pelvic organs
• Metabolic disorders, including excessive or insufficient body weight
• Intake of certain medications that affect hormonal balance
• Chronic diseases that may impact the functioning of the reproductive system

Risk Factors

• Age-related changes in a woman’s reproductive system
• Frequent stress and emotional overload
• Excessive or very low body weight
• Disruptions in sleep and nutrition regimen
• Concomitant endocrine disorders
• Frequent infectious diseases of the reproductive organs
• Lifestyle changes, including physical activity
• Hereditary predisposition

Reversible Causes That Should Be Ruled Out

• Menstrual delays due to stress or temporary lifestyle changes
• Side effects of recently started or changed medications
• Infections causing inflammation of the pelvic organs
• Temporary hormonal disruptions related to the body’s adaptation

Menstrual cycle disorders can have various causes, and proper identification requires consultation and examination by a healthcare professional.

Diagnostics

Diagnostics for menstrual cycle disorders aim to identify possible causes and develop a further examination or treatment plan. The doctor carefully gathers information and uses several steps to assess the condition.

Diagnostic Approach

• detailed medical history collection, taking into account complaints, lifestyle, and concomitant diseases
• gynecological examination with evaluation of the pelvic organs
• conducting basic laboratory tests as indicated
• prescribing additional tests individually if further clarification of the cause is needed
• analyzing obtained data and developing a plan for further actions or treatment
• discussing results and recommendations for condition monitoring with the patient

Typical Indicated Tests

May include:

• complete blood count and biochemical blood tests
• hormonal studies to assess reproductive system function
• ultrasound examination of the pelvic organs
• microbiological and cytological analyses if inflammation is suspected
• additional imaging methods if necessary

What to Bring to the Appointment

• results of previous tests and examinations
• list of medications or dietary supplements being taken
• description of symptoms and their nature over the past few months
• information about the menstrual cycle (if a diary is kept)
• data on previous surgeries or serious illnesses

Diagnosing menstrual cycle disorders requires a comprehensive approach and individualized selection of examinations in each case.

Treatment

Treatment of menstrual cycle disorders is aimed at improving the condition and quality of life of the woman, taking into account her individual characteristics. The therapy plan is selected based on the causes and clinical presentation, as well as the patient’s needs.

Therapy Goals

• reduce the severity of symptoms and discomfort
• correct possible causes of menstrual cycle disorders
• improve reproductive function and overall health
• prevent complications and support a normal lifestyle

Main Treatment Approaches

• therapy is prescribed individually and may include medications as indicated
• non-pharmacological methods aimed at restoring balance and maintaining health
• if necessary, the doctor recommends additional procedures or interventions
• lifestyle changes and general health support as part of a comprehensive approach

What the Doctor Does

• evaluates effectiveness and adjusts the treatment plan based on results
• considers comorbidities and patient-specific factors
• monitors possible side effects of therapy
• explains criteria for assessing improvements and next steps
• coordinates care with other specialists if needed

What to Expect: Plan and Monitoring

• changes are assessed regularly, approximately according to an individual schedule
• therapy adjustments are possible if there is no effect or if side effects occur
• follow-up visits are important for monitoring and timely adaptation of the plan
• recommendations and timing are discussed with the doctor considering the personal situation

For detailed information about treatment options, you can consult with Dr. Irina Ivanovna Kulbach.

Prevention

Prevention plays an important role in menstrual cycle disorders and helps reduce the risk of its progression. The prevention plan is selected individually, taking into account the body’s characteristics and lifestyle.

Main Primary Prevention Measures

• maintaining a healthy weight and balanced nutrition
• reducing stress levels and properly organizing the daily routine
• quitting harmful habits that affect hormonal balance
• regular physical activity according to the doctor’s recommendations
• controlling chronic diseases and timely treatment

Screening and Secondary Prevention / Regular Monitoring

• regular gynecological examinations as indicated
• monitoring hormonal balance and analyzing the menstrual cycle when necessary
• screening for inflammatory processes and infections of the pelvic organs as recommended by the doctor
• monitoring the overall condition of the reproductive system in case of comorbid problems

Practical Tips

• keep a menstrual cycle diary to track changes
• discuss any new symptoms or changes in the cycle with your doctor
• pay attention to sleep quality and try to maintain a consistent rest schedule
• reduce stress factors using relaxation techniques and support
• consult timely regarding medication intake with comorbid conditions

Prevention of menstrual cycle disorders requires regular attention and monitoring in order to adjust the plan with the doctor promptly.

Important to Know

Menstrual cycle irregularities are a signal from the body that require attention and accurate assessment. Treatment is aimed not merely at relieving symptoms, but at identifying and addressing the possible causes. Early consultation helps to develop an effective plan and reduce the risk of complications. Often, proper assessment requires dynamic monitoring and therapy adjustments based on the results. Factors such as stress, workload, quality of sleep, and accompanying illnesses can influence the menstrual cycle, so it is important to consider the overall condition. Self-medication can distort the clinical picture, cause side effects, and delay a correct diagnosis.

• It is important to identify the cause of menstrual cycle irregularities, not just relieve symptoms
• Early evaluation helps to choose the right approach and reduce the risk of complications
• Dynamic monitoring is important for adjusting treatment as the condition changes
• Stress, physical exertion, and comorbidities can affect the menstrual cycle
• Taking medications without medical supervision can worsen the condition
• The patient management plan is based on a comprehensive assessment and consideration of individual characteristics

If you have any questions about your menstrual cycle, you should consult a specialist for a thorough examination. This will help detect factors affecting your health in a timely manner and choose the optimal treatment plan taking all details into account. More detailed information can be found on our main page on this topic.

Self-Care Before the Appointment: What You Can and Cannot Do

Before seeing a doctor for menstrual cycle irregularities, you can take several safe steps to ease your condition and gather information. If symptoms worsen or dangerous signs appear, be sure to urgently contact Dr. Irina Ivanovna Kulbach.

What You Can Do Before the Appointment

• Record when the cycle changes began and what accompanies them.
• Keep a symptom diary, noting their intensity and possible triggers.
• Bring a list of all medications and supplements you are taking, if possible.
• Measure your body temperature and record the readings if you know how.
• Reduce physical activity and ensure you get rest before consulting the doctor.
• Drink water to avoid dehydration, especially if there is any bleeding.
• Note any changes in how you feel and any additional symptoms.
• Gather results from previous examinations and tests, if available.

What You Should Not Do Before the Appointment

• Do not stop or change medications without consulting your doctor.
• Do not start taking new drugs or remedies without medical advice.
• Do not use unverified folk remedies or “quick fixes.”
• Do not try to self-adjust your menstrual cycle with hormones without specialist supervision.
• Do not ignore increased pain, bleeding, or other alarming symptoms.
• Do not postpone the doctor’s visit if your condition worsens or new symptoms appear.
• Do not interpret test results or scans on your own without consultation.
• Do not increase physical activity if you experience severe discomfort.

If you notice signs of an emergency, immediately seek help from Dr. Irina Ivanovna Kulbach.

How I Can Help as a Doctor with Menstrual Cycle Disorders

During a consultation for menstrual cycle disorders, I will help you understand the causes of your symptoms and assess their impact on your health. Together, we will develop a plan for examination and treatment, taking into account all important aspects of your condition. At every stage, you will receive support and recommendations for monitoring your progress.

Here is how I can assist you during a consultation regarding menstrual cycle disorders:

• Analyze your symptoms and medical history to identify possible causes of the condition
• Assess the severity of symptoms and identify risk factors for proper management
• Review current prescriptions and medication tolerance, and adjust therapy if necessary
• Develop a step-by-step plan for further actions: examinations, treatment, and condition monitoring
• Consider comorbidities and medications for a comprehensive treatment approach
• Provide lifestyle and regimen recommendations tailored to your individual needs
• Discuss monitoring criteria and schedule follow-up visits to evaluate therapy effectiveness
• Perform initial diagnostics with differential evaluation of possible causes of cycle disturbances
• Adjust treatment if there is no effect or if side effects occur

Each stage of the consultation focuses on a thorough assessment of your condition and selecting the optimal strategy. The goal is not only to reduce symptom severity but also to prevent potential complications. Regular monitoring allows for timely adjustments and helps maintain your health.

What questions can you ask the doctor regarding menstrual cycle disorders

During your appointment about menstrual cycle disorders, you can discuss the following issues with Irina Ivanovna Kulbach:

• Irregular or overly frequent menstruation
• Painful and heavy periods
• Delays or absence of menstruation without an obvious cause
• Occurrence of bleeding between periods or unusual discharge
• Recurring symptoms that cause occasional concern
• Lack of effect from previous treatment or the need to adjust it
• Impact of concomitant illnesses on the menstrual cycle
• Evaluation of symptoms following stress or trauma affecting the cycle

In case of sudden heavy bleeding, sharp pain, or worsening condition, urgent medical assistance is needed—do not wait for a scheduled appointment.

Frequently asked questions during the consultation:

• What is happening to me and what could it be?
• Why has the menstrual cycle disorder started now?
• How can I understand if this is related to the menstrual cycle or another cause?
• What examinations are necessary specifically in my case?
• Which tests and investigations are mandatory, and which can be omitted?
• How should I properly prepare for examinations and the appointment?
• What treatment or management options are available and how do they differ?
• Is it possible to completely get rid of the problem, or is it a chronic condition?
• What should I do if the prescribed treatment does not help?
• Is it possible to manage without medications or surgery?
• How long does the treatment last and how often should I have follow-up check-ups?
• What signs indicate improvement or worsening of the condition?
• What should I do in case of sudden deterioration or symptom exacerbation?

During your appointment, you will receive explanations on all your questions, as well as recommendations on further steps and monitoring. If necessary, the doctor will refer you for additional tests or to related specialists. It is important to remember: in the presence of critical symptoms, seek urgent medical care.

How the Consultation Proceeds

A consultation for menstrual cycle disorders involves a careful review of your complaints, an assessment of your current condition, and the development of a plan for further action. The scope of necessary examinations is determined individually, depending on the clinical situation and indications. It is important to understand that a definitive diagnosis cannot always be made in a single visit — most often, this is the beginning of a comprehensive process.

1. Clarification of complaints and visit goals: the doctor will ask in detail about what exactly is bothering you, how long the symptoms have been present, what influences them, and what your expectations are.
2. Collection of medical history and risk factors, including menstrual cycle characteristics, presence of stress, comorbidities, and lifestyle.
3. Review of previous treatment and tests performed: be sure to bring your test results and a list of medications you are taking.
4. Examination and, if necessary, additional simple tests — all conducted carefully, based on indications, and considering patient safety.
5. Preliminary conclusions: the doctor will discuss possible causes of the symptoms and important factors that need to be ruled out without making a final diagnosis at this stage.
6. Examination plan, which may include: ultrasound of the pelvic organs, hormonal tests, complete blood count and biochemical blood analysis, as well as other procedures as needed.
7. Development of an overall treatment and monitoring strategy, taking into account your individual characteristics and complaints.
8. Discussion of follow-up timelines and further visits, as well as criteria to evaluate the progress of your condition and the need for plan adjustments.

If this is your first visit, the main focus is on analyzing symptoms and searching for possible causes. In cases where previous treatment has not led to improvement, the doctor will thoroughly review your prior experience and adjust the approach to achieve more effective results.

Preparation for the Appointment

To ensure an effective consultation with the obstetrician-gynecologist regarding menstrual cycle disorders, it is important to prepare properly. This will help to quickly understand the core issue and to prescribe the optimal examination and treatment plan.

• Bring a list of all current medications (names, dosages, how you take them).
• Take any previous examination results, test reports, and imaging if available.
• Write down your main complaints: when they started, what worsens or relieves the symptoms.
• If you have a menstrual cycle diary, bring it with you.
• Do not stop taking prescribed medications without consulting your doctor.
• If possible, come on an empty stomach: do not eat or drink for 8–12 hours before the appointment unless otherwise instructed; check when making the appointment.
• Avoid using cosmetics and creams in the pelvic area before the examination.
• Prepare questions you want to discuss during the appointment.
• Bring information about any past surgeries or chronic illnesses if applicable.

If you have any doubts about preparation, it is better to clarify them in advance when booking the appointment. Do not change your medication regimen without consulting your doctor.

About the Doctor

Irina Ivanovna Kulbach is a top-level obstetrician-gynecologist with over 40 years of experience. She assists patients with menstrual cycle disorders during initial visits, recurring symptoms, and complications following previous treatments.

In her practice, the doctor focuses on differential diagnosis and dynamic monitoring, which allows her to consider all aspects of the patient's condition.

During the appointment, you will receive a detailed analysis of your situation and recommendations for further examination and treatment.

Why Patients Choose Dr. Irina Ivanovna Kulbach

When consulting with Dr. Irina Ivanovna Kulbach, patients receive a comprehensive approach to addressing menstrual cycle disorders. The doctor pays attention not only to the symptoms but also to the underlying causes and the specifics of any accompanying conditions. Her work is based on understanding individual needs and following a consistent algorithm for examination and treatment.

• A clear action plan: what to do now, how to evaluate results, and when to schedule a follow-up visit
• Examinations only when indicated—no unnecessary tests to avoid excessive procedures
• Consideration of accompanying diseases and current medications to ensure safe and effective treatment
• Monitoring the progress of the condition and timely adjustment of therapy if there’s no improvement
• Review of previous prescriptions and side effects to optimize treatment strategies
• Explanation of treatment goals and potential risks in simple and accessible language
• Emphasis on continuous patient monitoring to prevent exacerbations and complications
• Experience in managing complex and combined cases, taking individual characteristics into account

Thanks to this structured approach, patients receive a transparent and organized treatment process. This allows them to comfortably progress toward improved well-being and reduces uncertainty in challenging situations.

Case Studies

Initial Consultation for Irregular Menstrual Cycle

A middle-aged patient presented with complaints of irregular menstruation and prolonged delays. It was important to rule out hormonal disorders and serious contraindications. The doctor conducted a comprehensive medical history review, examination, and prescribed necessary tests to clarify the cause. As a result, cycle stabilization and a reduction of unpleasant symptoms were observed within a few weeks. Further management included regular monitoring and adjustment of therapy as needed.

Treatment Adjustment Due to Lack of Effect

A middle-aged woman with a long-standing menstrual cycle disorder reported that previously prescribed therapy had not led to improvement. The physician analyzed prior treatments and assessed treatment tolerance, identifying the need to adjust the approach. After modifying the therapy, there was a decrease in symptom severity and an improvement in the patient’s overall condition at follow-up. The patient is currently under observation with periodic therapy adaptation.

Chronic Course with Comorbid Conditions

A patient with a chronic menstrual cycle disorder and accompanying endocrine problems came for comprehensive management. All diseases and drug interactions were taken into account when developing the treatment and monitoring plan. The doctor organized continuous follow-up, which helped improve quality of life and reduce complications by timely therapy adjustments. The plan includes long-term monitoring of the patient’s condition.

Symptom Exacerbation and Prevention Plan

A woman complained of increased pain and cycle irregularity following stress. The physician paid special attention to excluding acute conditions and dangerous complications. After assessing the condition and prescribing supportive measures, a decrease in symptom intensity was noted over the course of a month. An individualized follow-up plan with regular visits and lifestyle recommendations was developed to prevent further exacerbations.

Recurrent Symptoms and Second Opinion

A patient presented with complaints of recurrent menstrual irregularities, having not received a satisfactory explanation at another clinic. The doctor conducted a thorough review of the medical history and previously performed tests, which helped clarify possible causes and determine further management strategy. Improvement in condition and a decrease in frequency of cycle disturbances were observed over time. The plan includes continued monitoring and regular therapy evaluation.

How long does a consultation last?

A consultation usually lasts from 30 to 60 minutes; please confirm the exact duration when booking.

How should I prepare for the appointment?

It is recommended to write down your main complaints and bring a list of current medications and results of previous examinations.

What should I bring to the appointment?

Bring your test results, scans, discharge summaries, and a list of all current medications.

Do I need to come on an empty stomach?

Usually no, unless otherwise specified when booking.

How many visits are usually required?

The number of visits depends on the specific situation and complexity of the problem, typically several appointments are needed for monitoring and adjustments.

When can I expect the first results of the treatment?

This is individual and depends on the cause, stage, and chosen therapy.

What should I do if my condition worsens before the appointment?

If your condition worsens, seek urgent medical care and do not delay seeing a doctor.

Can I combine the treatment with my current medications?

This will be discussed during the appointment; do not stop or add medications on your own.

Is it possible to have an online consultation?

Yes, online consultations are available with prior booking and preparation.

Can I come with tests already done?

Yes, please bring all relevant and up-to-date test results for review.

Do I need to come for follow-up visits and how often?

Follow-up visits are scheduled as needed to monitor the effectiveness of the therapy.

Can I get a second opinion?

Yes, the doctor is willing to review previous examinations and provide an additional assessment.

What should I do if symptoms return after improvement?

It is recommended to consult the doctor to adjust the treatment plan and conduct additional examinations.

What examinations might be necessary?

They are prescribed individually depending on your complaints and overall condition.

Can I seek help for irregular symptoms?

Yes, even recurring or mild symptoms require specialist evaluation.

How do I know when urgent care is needed?

Seek immediate help if you experience severe pain, sudden bleeding, or a sharp worsening of your condition.

Can I come with children or elderly relatives?

This is discussed during the booking; the appointment considerations and necessary accompaniment are taken into account.

How does the treatment plan change with comorbidities?

The doctor considers all existing conditions and selects safe treatment methods accordingly.