Experiencing heavy periods, irregular bleeding, bleeding between periods, bleeding after sex, or bleeding after menopause can be worrying and disruptive to everyday life. While these symptoms are common, they should always be assessed by a healthcare professional to identify the cause and ensure the right treatment.

Abnormal uterine bleeding can occur for several reasons. Common causes include hormonal changes, fibroids, polyps, infections, endometrial changes, or conditions affecting the lining of the womb. In some cases, bleeding patterns may also change during perimenopause or as a result of contraception or other underlying health conditions.
The NHS provides helpful guidance on possible causes and when to seek medical advice:
If symptoms persist or worsen, a specialist assessment can help provide reassurance and clarity.
At Enigma Healthcare in Tarporley, patients can be seen by our Women’s Health GPs or Consultant Gynaecologist, Professor Mohamed Otify, depending on the level of investigation or treatment required.
Professor Mohamed Otify is a highly experienced Consultant Gynaecologist and Oncology Surgeon at Liverpool Women’s Hospital and an Honorary Clinical Lecturer at the University of Liverpool. At Enigma Healthcare, he provides specialist assessment and management of a range of women’s health concerns, including abnormal bleeding, heavy periods and other gynaecological symptoms.
Your consultation will involve a detailed discussion about your:
Symptoms and menstrual cycle
Medical and family history
Current medications
Lifestyle factors that may influence hormonal health
Depending on your symptoms, your clinician may recommend further investigations to help determine the cause.
These may include:
Pelvic ultrasound scans to assess the uterus and ovaries
Blood tests to evaluate hormone levels and other health markers
Specialist procedures, such as hysteroscopy, to examine the lining of the womb if clinically appropriate
These investigations help your clinician understand what may be causing the bleeding and guide the most appropriate treatment plan.
Many causes of abnormal bleeding are very treatable once properly diagnosed. Treatment options will depend on the underlying cause and your individual circumstances.
Treatment may include:
Hormonal treatments or medication
Monitoring and lifestyle support
Minimally invasive procedures
Specialist gynaecological care where required
At Enigma Healthcare, we understand that discussing gynaecological symptoms can feel sensitive. Our experienced and supportive team provide discreet care in a calm private clinic setting, ensuring you feel comfortable and fully informed throughout your care.
As a small and dedicated team, we take the time to listen to your concerns and involve you fully in decisions about your care — ensuring you receive treatment that is right for you.
Enigma Healthcare provides private women’s health appointments from our clinic in Tarporley, Cheshire, supporting patients across Chester, Nantwich, Northwich, Winsford, Malpas and Crewe.
Our specialist Women’s Health GPs and Consultant Gynaecologist, Professor Mohamed Otify, offer prompt assessment for heavy periods, irregular bleeding and other gynaecological concerns, helping patients access specialist care without long waiting lists.
You should consider seeking medical advice if you experience:
Periods that are much heavier than usual
Bleeding between periods
Bleeding after sex
Bleeding after menopause
Periods lasting longer than usual (where is this abnormal for you)
Symptoms that are affecting your daily life
Early assessment can help identify the cause and ensure appropriate treatment.
If you are experiencing heavy periods, irregular bleeding, or unexpected bleeding, our team at Enigma Healthcare are here to help.
Appointments are available with our Women’s Health GPs and Consultant Gynaecologist, Professor Mohamed Otify, offering expert assessment and personalised care.
Book a consultation today or contact us for more information via:
Telephone: 01829 863331
Email: [email protected]
Online: Book a Women’s Health Appointment
Our clinic is based in Tarporley, Cheshire, with patients travelling from Chester, Nantwich, Northwich, Crewe and surrounding areas for specialist private women’s health care.
If you have a question about one of our services or would like to speak to one of the team, please do get in touch
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