Menstrual cycle disorders in Warsaw

A cycle that is late, irregular, heavy or painful has a cause, and finding it usually takes one visit with an ultrasound (450 zł) plus hormone tests. This site is in English, but appointments are not held in English — bring someone who can interpret, or tell me in advance and we will find a way.

Accurate diagnosis
Hormone tests
Ultrasound follow-up

What counts as a cycle disorder

The menstrual cycle is one of the clearest indicators of health. When it goes wrong it can point to a hormonal imbalance, a condition of the reproductive organs, an endocrine problem, or simply what is going on in your life.

A normal cycle runs 24–38 days (FIGO), with bleeding for up to 8. Anything outside that, along with severe pain or unusually heavy or scanty bleeding, is worth having looked at.

What normal looks like

  • Cycle length: 24–38 days
  • Bleeding: up to 8 days
  • Volume: up to about 80 ml of blood per period
  • Some discomfort in the first days
  • Regularity: cycle length varies by no more than about a week

The types of disorder

No periods

Amenorrhea

No periods for three months or more (six, if cycles were irregular before). Primary if they never started by 15, secondary if they stopped after a normal cycle.

Infrequent periods

Oligomenorrhea

Infrequent periods, more than 38 days apart. Often linked to polycystic ovary syndrome.

Frequent periods

Polymenorrhea

Periods less than 24 days apart. May point to disordered ovulation or a weak luteal phase.

Heavy periods

Menorrhagia

Heavy, prolonged bleeding — over eight days, or heavy enough to affect daily life. It can lead to anemia.

Very light periods

Hypomenorrhea

Very light bleeding — little more than spotting — or very short, one or two days. Often a sign of hormonal change.

Painful periods

Dysmenorrhea

Periods painful enough to get in the way of life. Primary when nothing else is wrong, secondary when endometriosis or fibroids are behind it.

What causes it

Hormonal imbalance

The ovaries, thyroid or pituitary not working as they should

PCOS

Polycystic ovary syndrome is one of the commonest causes

Stress

Sustained stress changes hormone production

Weight

Rapid weight loss and obesity both disturb the hormonal balance

Conditions of the uterus

Fibroids, polyps, endometriosis, endometrial hyperplasia

The thyroid

Both an underactive and an overactive thyroid affect the cycle

When to come in

Book a consultation if you notice:

A period more than seven days late, with pregnancy ruled out
A cycle shorter than 24 or longer than 38 days
Bleeding lasting more than seven days
Very heavy bleeding — changing protection every one to two hours
Pain severe enough to stop you working
Bleeding between periods
No period for more than three months
A sudden change in what your cycle is like

Seek help immediately

Heavy bleeding with clots, severe pain, dizziness or fainting need to be seen straight away.

How it is investigated

1

Consultation

Your history, and a look at your cycle diary

2

Examination + ultrasound

Assessing the uterus and ovaries

3

Hormones

FSH, LH, prolactin, TSH and others

4

A treatment plan

A regimen built for your case

How it is treated

Hormonal treatment

Combined pills, progesterone, ovulation induction — chosen from what the tests show.

Changes to daily life

Weight, sleep and stress, with practical advice on diet and exercise.

Treating the underlying condition

PCOS, endometriosis, fibroids or a thyroid problem each get treatment of their own.

Ongoing review

Regular checks, ultrasound monitoring, and adjustments where they are needed.

Where to be seen in Warsaw

Gynecological care in Warsaw — appointments at ul. Głębocka 9/U1, 03-287 — in the Targówek district, at the RS-MED center. The landmark is simple: the same street as the Targówek and Zielony Targówek shopping centres — if you know the way there, you know the way here.

The practice is easy to reach from Białołęka, Targówek, Bródno and Zielona-Grzybowa, and along Trasa Toruńska from Marki, Ząbki and Nieporęt. No referral or insurance is needed: you can book directly, including if you have just arrived in Poland.

  • Addressul. Głębocka 9/U1, 03-287 Warszawa, Targówek
  • By carexit from Trasa Toruńska, free parking at the shopping centre
  • Consulting hoursMon, Thu 8:00–19:00 · Tue, Wed, Fri 8:00–18:00 · Sat 8:00–17:00 · Sun closed
  • Languageappointments are not held in English
Anastasiia Sokhach — gynecological care in Warsaw

Anastasiia Sokhach

Doctor

Patient reviews on ZnanyLekarz

Doctor, in practice since 2015. Ultrasound, pregnancy care, infertility diagnosis.

Book an appointment

Book an appointment

Do not put it off — book now:

All prices for visits and ultrasound

A tip

Keep a cycle diary: the dates bleeding starts and stops, how heavy it is, what symptoms come with it. It shortens the road to a diagnosis considerably.

Prices

What testing and treatment cost

Consultations, tests, ultrasound

Gynecological consultation

Examination, history and a plan of tests

290 zł / visit

Pelvic ultrasound

Assessing the uterus, ovaries and endometrium

250 zł / scan

Hormone panel

FSH, LH, oestradiol, progesterone, prolactin

price on request

Thyroid hormones

TSH, T3, T4, antibodies

price on request

Follow-up visit

Seeing how things have moved and adjusting treatment

290 zł / visit

The cost of hormone tests depends on which are ordered. The exact figure is confirmed when you book.

Advantages

Why women come here

Accurate diagnosis

An expert-class scanner and the full range of laboratory tests

Individual approach

Treatment follows the cause and what you want from it

No referral needed

Book directly — no referral and no insurance required

Checking the result

Progress is tracked and treatment adjusted as needed

FAQ

Common questions about cycle disorders

Three to five days either way is normal. Up to a week late, with pregnancy ruled out, is usually nothing — stress, travel or illness will do it. If it happens repeatedly, or the delay passes two weeks, have it looked at.

Hormonal shifts, contraception, changes in the lining such as hyperplasia or polyps, fibroids, or the thyroid. A sudden change is worth investigating: an examination, an ultrasound, and hormone tests if needed.

Mild discomfort in the first days is normal. Pain that makes you miss work, or that has you taking painkiller after painkiller, is not — and it needs treating. Severe period pain can be a sign of endometriosis or adenomyosis, which should be diagnosed rather than endured.

The usual set: a pelvic ultrasound and hormones — FSH, LH, oestradiol, progesterone, prolactin, testosterone — plus thyroid function. Timing matters: FSH, LH and oestradiol on days 2–5, progesterone on days 21–23. Further tests are added if the picture calls for them.

It depends on the cause. When stress, low weight or heavy training are behind it, changing those often restores the cycle by itself. With PCOS, high prolactin or a thyroid disorder, medication is usually needed. The plan is always specific to you.

Book an appointment

Fill in the form and I will contact you within 15 minutes during working hours to confirm a time.

+48 881 081 001