painful periods and heavy bleeding

Uterine Fibroids: Non-cancerous growths in the uterus that can significantly increase menstrual bleeding and cause severe cramping or pelvic pressure. Endometriosis: Tissue similar to the lining of the womb grows outside the uterus, causing severe pelvic pain, painful periods, and heavy bleeding. Adenomyosis: The inner lining of the uterus grows into the muscular wall of the uterus, leading to painful, heavy, and prolonged periods. Pelvic Inflammatory Disease (PID): An infection of the female reproductive organs that can cause pelvic pain, abnormal bleeding, and painful menstruation.

GP consultation — A GP consultation is the essential first step for pelvic examination, symptom assessment, and arranging pelvic ultrasound imaging. Iron & ferritin — Heavy menstrual bleeding is a leading cause of iron-deficiency anaemia, which can cause fatigue and weakness. Women's health check — Provides a comprehensive assessment of hormonal balance, thyroid function, and iron levels to rule out systemic causes of menorrhagia.

Sudden, severe pelvic pain that does not respond to over-the-counter pain relief Bleeding so heavy that you soak through one or more pads or tampons every hour for several consecutive hours Passing blood clots larger than the size of a 50-fils coin Fever, chills, or foul-smelling vaginal discharge suggesting an infection Dizziness, lightheadedness, shortness of breath, or fainting due to heavy blood loss

No. It's a triage tool that suggests possible causes and the tests that would help narrow them down. Every real diagnosis and prescription at Aafiyah is made by a British-trained GP after a proper consultation.

Yes. Your symptom text is used to fetch triage information and stored anonymously as a shareable page. No personal or medical details (name, ID, contact) are attached.

If you describe red-flag symptoms — chest pain, stroke signs, severe breathing difficulty, heavy bleeding, anaphylaxis or suicidal thoughts — the result page shows an urgent-care banner. Call 999 or go to the nearest emergency department immediately.

It's trained on public clinical patterns and is useful for common symptom clusters. It is not perfect and it does not replace a doctor — treat it as a well-read friend, not a physician.

Yes — every result page has a WhatsApp button pre-filled with your symptom summary and the suggested tests, so our reception can book you in with the right prep in place.