Irregular Periods – Why Is My Period Irregular?

Generally, women experience their period every month. However, some women experience irregularities or menstrual disorders. 

Fret not, you’re not alone! About 14% to 25% of women have irregular menstrual cycles. Irregular periods could mean anything from excessive stress to underlying conditions like polycystic ovarian syndrome (PCOS). The key is to get to the root cause of your irregular period and seek help to effectively manage your condition.

What is an irregular period?

Usually, menstrual cycles range from 21-35 days, with menstrual bleeding lasting about 2-7 days. An irregular period deviates significantly from this norm, such as: 

• Missed three or more periods in a row

• Excessively heavy or light bleeding

• Cycles shorter than 21 days or longer than 35 days

• Periods that vary significantly in length during each month

• Spotting between periods

Why is my period irregular?

Irregular periods may signal underlying health issues but are manageable with the right medical guidance. If you experience persistent irregularities, don't hesitate to seek medical advice.

1. Stress

   • Physical or emotional stress can impact the hypothalamus, a part of the brain that controls the hormones regulating your menstrual cycle. High stress can lead to delayed or missed periods.

2. Hormonal imbalance

   • Conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders can disrupt hormonal balance, affecting the menstrual cycle.

3. Weight fluctuations

   • Significant enough weight gain or loss can alter hormonal levels and affect menstruation.

4. Exercise

   • Excessive physicality may bring on irregular periods due to low body fat or hormonal changes.

5. Medications

   • Certain medications, including birth control pills and treatments for other conditions, can influence the regularity of periods.

6. Chronic conditions

   • Diseases such as diabetes or celiac disease can also impact menstrual regularity.

7. Reproductive issues

   • Conditions like endometriosis or uterine fibroids can cause irregular bleeding.

When to seek medical advice?

While occasional menstrual cycle irregularities can be normal, persistent irregular periods require a consultation with your doctor/gynaecologist. You should seek medical advice if:

• Your periods stop for more than three months without pregnancy.

• Menstrual bleeding lasts more than seven days.

• Severe pain during periods. 

• You experience symptoms of PCOS, such as excessive hair growth or acne.

• Heavy menstrual bleeding or passing large blood clots.

• Your period is accompanied by other unusual symptoms, such as fever, vision changes, headaches or weight changes.

• An absence of menstruation (amenorrhea) for 3 months or more

Understanding the potential causes and maintaining open communication with your gynaecologist can help ensure overall reproductive health and well-being.

FAQ

Can lifestyle and diet impact menstrual regularity?

Absolutely. Keeping a healthy weight with a balanced diet rich in vitamins and minerals, and regular physical activity (without too much excess) can significantly impact menstrual regularity. Avoiding excessive caffeine and alcohol and not smoking are just as beneficial.

Can birth control pills help regulate my period?

Yes, birth control pills can help regulate menstrual cycles by controlling hormone levels, but it is crucial to discuss this with a doctor to understand the benefits and any side effects.

Is it normal for teenagers to have irregular periods?

Yes, it is common for teenagers to experience irregular periods during the first few years after menarche (the first menstrual period) as their bodies adjust to hormonal changes.

Can irregular periods affect fertility?

Yes, irregular periods can be indicative of any existing ovulation issues, which may affect fertility. If you are trying to conceive and have irregular cycles, consult a gynaecologist or fertility specialist.

Are there natural remedies to regulate periods?

Several natural approaches may help regulate menstrual cycles:

• Maintain a balanced diet rich in whole foods, fruits, and vegetables
• Practice stress-relief techniques like yoga or meditation
• Consider herbal supplements such as chasteberry
• Exercise regularly to promote hormonal balance
• Ensure adequate sleep and rest

Additionally, Traditional Chinese Medicine (TCM) offers holistic approaches to menstrual health. TCM treatments may include herbal formulas, acupuncture, and dietary recommendations tailored to your specific needs.

For more information on how TCM can support reproductive health, check out these articles:

• Foods to Boost Fertility According to TCM
• TCM Treatments for Fertility
• TCM Natural Fertility

Always consult your doctor/gynaecologist before starting any new treatment regimen.

Should I be concerned about spotting between periods?

Occasional spotting can be normal, but if frequent or heavy, it could indicate underlying issues like hormonal imbalances or an infection. Seek medical advice to rule out serious conditions.

How do thyroid disorders affect menstruation?

Thyroid disorders, such as hypothyroidism or hyperthyroidism, can lead to irregular periods by disrupting the balance of reproductive hormones. Treatment of the thyroid condition often helps regulate the menstrual cycle.

What tests can diagnose the cause of my irregular periods?

Blood tests to check hormone levels, pelvic exams, ultrasounds, or other imaging studies and sometimes biopsy of the uterine lining to diagnose the cause of irregular periods.