Menstrual Disorder Specialist

Dr. Gregory Shifrin, OB/GYN PC

OB/GYNs located in Midwood, Brooklyn, NY & Upper East Side, New York, NY

Women who suffer from a menstrual disorder can experience a variety of physical and psychological symptoms, including severe pain, heavy bleeding, mood swings, and depression. If symptoms like these disrupt your life, the experienced team at Dr. Gregory Shifrin, OB/GYN PC in New York can help. The practice has offices in the Midwood neighborhood of Brooklyn and the Upper East Side of Manhattan in New York City. Call the location nearest you or use online booking to schedule a consultation today.

Menstrual Disorder Q & A

What is a menstrual disorder?

A menstrual disorder is a condition that disrupts or affects any part of your menstrual cycle.

A typical menstrual cycle lasts 28-35 days. Day one is the first day of your period, with a new cycle beginning on day one of your next period. During your period, your body discards the lining of your uterus (the endometrium). This results in vaginal bleeding that lasts around 5-6 days.

If you have a menstrual disorder, it could affect the regularity of your periods, how heavily you bleed, how you feel during your cycle, and how much pain you experience.

What types of menstrual disorders are there?

There are several types of menstrual disorders. These include:


It's not unusual to feel some discomfort during your period due to menstrual cramps. Dysmenorrhea describes a condition where you experience severe, persistent cramping that can have a serious impact on your quality of life.

Cramping and pain happen when substances called prostaglandins cause contractions in your uterus. High levels of prostaglandins can cause excruciating cramps, similar to the contractions you feel at the start of labor.

Premenstrual syndrome (PMS)

PMS is a collection of symptoms that arise because of changes in hormone levels during your monthly cycle. There are around 150 possible PMS symptoms, but the most common ones include:

  • Bloating
  • Painful breasts
  • Fatigue
  • Constipation
  • Headaches
  • Clumsiness
  • Mood swings
  • Anger
  • Anxiety
  • Depression
  • Tearfulness
  • Inability to concentrate

These symptoms typically reach a peak in the week before your period, with relief coming when your period begins.

While many women experience mild changes from the effects of fluctuating hormones, some suffer symptoms that cause significant disruption to their lives. Some women develop a severe form of PMS called premenstrual dysphoric disorder (PMDD).

Other types of menstrual disorders include abnormal uterine bleeding, heavy periods, and irregular periods.

How are menstrual disorders treated?

Your provider at Dr. Gregory Shifrin, OB/GYN PC first needs to diagnose the cause of your menstrual disorder before creating an appropriate treatment plan. The practice has state-of-the-art ultrasound and lab testing facilities onsite for convenient patient access and fast results.

Depending on your diagnosis, your treatment could include medications like:

  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Progestins
  • Estrogen hormone therapy
  • Hormonal intrauterine device (IUD)
  • Mefenamic acid
  • Tranexamic acid
  • Antidepressants
  • GnRH agonists

There are also surgical options. Endometrial ablation, endometrial resection (LEEP), and dilation and curettage (D&C) all remove the endometrium lining your uterus. Myomectomy is a procedure for removing uterine fibroids, while hysterectomy is the removal of your uterus and possibly your ovaries, fallopian tubes, and cervix.

Surgical treatments can cause problems with fertility, but your provider at Dr. Gregory Shifrin, OB/GYN PC can help you understand the risks and benefits of each treatment option.

For help with any type of menstrual disorder, call Dr. Gregory Shifrin, OB/GYN PC or book an appointment online today.