Best Gynaecologist in Lucknow

๐Ÿฉธ Understanding Menstrual Irregularities: Causes & Solutions

By Dr. Noopur Jaiswal in MD(Obs&Gynae)
Consultant Obstetrician&Gynaecolist
Specialist: High risk Pregnancy, Laparoscopy & Infertility

July 25 , 2025 | 4 min read

๐ŸŒธ What Are Menstrual Irregularities?

A normal menstrual cycle ranges from 21 to 35 days. You may have menstrual irregularities if your periods are too frequent, infrequent, heavy, long, or unpredictable.


โš ๏ธ Common Types of Irregular Periods:

  • Amenorrhea: No periods for 3 or more months
  • Oligomenorrhea: Infrequent cycles (greater than a 35-day break)
  • Menorrhagia: Excessive or prolonged bleeding
  • Polymenorrhea: Frequent cycles (less than 21 days apart)
  • Spotting: Bleeding from breakthrough bleeding outside of your cycles

๐Ÿงฌ Possible Causes:

  1. Hormonal imbalance (estrogen & progesterone)
  2. Polycystic ovary syndrome (PCOS)
  3. Thyroid disorder
  4. Stress or anxiety
  5. Weight loss or eating disorders
  6. Uterine fibroids or polyps
  7. Perimenopause or menopause
  8. Pregnancy or miscarriage
  9. Birth control changes
  10. Chronic conditions (i.e., diabetes or celiac disease)

๐Ÿ’กWhen Should You See a Doctor?:

  • You haven't had a period in 3 months or more
  • Heavy bleeding (soaking a pad hourly)
  • Spotting between cycles
  • Severe cramping, nausea, or fatigue
  • You have signs of pregnancy but are bleeding

โœ… Solutions & Treatments:

๐Ÿ”น Diagnosis First:

  • ๐Ÿฉบ Pelvic examination, hormone blood testing, ultrasound

๐Ÿ”น Lifestyle Modifications:

  • โœ”๏ธ Exercise & healthy eating
  • โœ”๏ธ Managing stress: (yoga, mindfulness/meditation)
  • โœ”๏ธ Managing weight

๐Ÿ”น Medical Treatments:

  • ๐Ÿ’Š Hormonal contraception
  • ๐Ÿ’Š Metformin for PCOS
  • ๐Ÿ’Š Thyroid medications
  • ๐Ÿฉบ Surgeries may be dignosis related and are very rare (fibroids, polyps)

โ€œListen to your body โ€“ menstrual irregularities are not just 'normal changes'. Early diagnosis means better care.โ€
โ€”

Dr. Nupoor Jaiswal