Heavy, Painful and Irregular Periods: Causes and Treatment
Heavy bleeding, period pain and irregular cycles — the causes, what we try first, when the hormonal coil is offered, and when to seek help.
Read the guidePeriods & menopause
Answers for every stage.
Heavy or painful periods, bleeding that isn’t normal for you, menopause symptoms and screening — clear guidance and consultant-led care at Sugabi Clinic Ragama.
Period problems
Heavy, painful or irregular periods
Period problems are common — and almost always treatable once the cause is found.
Endometrial Hyperplasia: Diagnosis, Treatment, and Protecting Your Health
Endometrial hyperplasia is a thickened womb lining that can lead to cancer if untreated. Learn the types, symptoms, treatment options and follow-up.
Read the guideThe Hormonal Coil (LNG-IUS): Contraception and Treatment for Heavy Periods
The hormonal coil gives excellent contraception and is a leading treatment for heavy periods. Advised for 5 years in Sri Lanka; the latest evidence…
Read the guideThe change
Menopause
Symptoms, HRT and the one rule that never changes: bleeding after menopause always needs a check.
Menopause and HRT: A Practical Guide for Women in Sri Lanka
What happens at menopause, which symptoms respond to HRT, what the risks really are, and the non-hormonal options available in Sri Lanka.
Read the guideBleeding After Menopause: Why It Always Needs a Check-Up
Any bleeding after menopause should be checked. Learn the common causes, why it must be investigated, and what tests to expect at the clinic.
Read the guidePrevention
Screening and early detection
Simple checks that catch problems before they become serious.
Cervical Screening (Pap Smear): Your Shield Against Cervical Cancer
How cervical screening prevents cancer, when to have a Pap smear in Sri Lanka (ages 35 & 45), HPV testing, results explained, and the HPV vaccine.
Read the guideOvarian Cancer: Spotting the “Silent Killer” Early — and Finding the Right Treatment
Ovarian cancer can be hard to spot early. Learn the key symptoms to watch for, who is at higher risk, how it is diagnosed, and treatment options.
Read the guideCommon questions
Frequently asked questions
How heavy is too heavy for a period?
Soaking through a pad or tampon every hour, passing large clots, bleeding longer than 7 days, or bleeding that limits your daily life — any of these warrants assessment.
Is HRT safe?
For most healthy women with troublesome menopause symptoms, the benefits of HRT outweigh the risks, especially when started before 60. It is an individual decision made with your doctor.
I had bleeding after menopause — is it urgent?
Any bleeding after menopause needs prompt medical assessment. Most causes are benign, but it is the classic early warning sign of endometrial problems and must be checked.
How often do I need a Pap smear?
Screening is generally advised every 3–5 years for women aged 21–65, depending on the test used and previous results. If you have never been screened, start now.
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Book a consultation with Dr Chaminda Mathota.
Daily sessions at Sugabi Clinic Ragama with minimal wait times. Book online, call or send us a WhatsApp message.
Medical notice: Information on this page is general and does not replace individual medical advice, diagnosis or treatment. If you are seriously unwell or experiencing an emergency, seek immediate assistance from the nearest hospital emergency department.