Which department should I go to for menstrual irregularities?

The following situations may require urgent evaluation; if you experience any of these symptoms, go to the emergency room or contact emergency medical services immediately.

• Severe bleeding or fainting
• Sudden and severe abdominal pain
• Shortness of breath or chest pain
• Abnormal bleeding or severe pain associated with suspected pregnancy.

These signs may require immediate action; don't delay.

In most cases of menstrual irregularities, a gynecological evaluation is recommended first. The gynecologist will assess the patient's menstrual history, perform a gynecological examination, and, if necessary, use ultrasound or certain blood tests to determine the appropriate course of action.

• During the evaluation, questions are asked about menstrual frequency, bleeding amount, date of last menstruation, and birth control methods used.
• The gynecologist may order an ultrasound scan or hormone tests if necessary.
• If necessary, referrals to endocrinology or other specialties will be made after the examination.

The first step is usually a gynecologist; however, the process may vary from case to case.

If menstrual irregularities are thought to be related to thyroid problems, blood sugar/metabolic imbalances, or general hormonal imbalances, an endocrinology evaluation may be helpful. Usually, a gynecologist will refer the patient to an endocrinologist if deemed necessary.

• Long-term weight changes, hair loss, or excessive hair growth, along with other accompanying symptoms, may suggest a hormonal origin.
• Blood tests can examine thyroid hormones, prolactin, or metabolic markers.
• A multidisciplinary assessment (gynecologist + endocrinologist) is the most appropriate approach in some cases.

Most people go to a gynecologist first instead of consulting an endocrinologist directly; however, there may be different course of action depending on your situation.

Examination and evaluation vary from person to person, but generally involve the following steps:

• Obtaining a detailed menstrual history and general health history.
• Gynecological physical examination and pelvic ultrasound if necessary.
• Laboratory tests include examinations such as hormone profiling and pregnancy check-ups.
• Based on their assessment, your doctor may refer you to the relevant specialist.

The necessary examinations and referrals will be determined based on the physician's assessment.