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Overview

Irregular Periods - Symptom, Treatment And Causes

Irregular periods might be a problem and may exist if:

  • The duration between the periods starts changing.
  • There is decreased or increased loss of blood during a period.
  • The duration of a period is much longer than usual.

Here are the different kinds of irregularities in periods:

  • Irregular Menstrual-Bleeding: Bleeding that lasts over 20 days in an individual cycle and extends for more than a year.
  • Absent Menstrual-Bleeding: Absence of bleeding for over 90 days.
  • Heavy Menstrual-Bleeding: An excess of blood loss that can hamper a woman’s emotional, material, physical and social quality of living and can be independent or may occur along with other symptoms.
  • Prolonged and Heavy Menstrual-Bleeding: It is uncommon.
  • Light Menstrual-Bleeding- It is dependent on the patient’s complaint.

Irregular periods need to be looked into depending upon the desire of having children later on. Many diverse things can cause irregular periods. Changes in the hormonal levels of progesterone and estrogen might disrupt the usual period patterns. That is the reason young pubescent girls and older women nearing menopause usually are affected by irregular periods.

Some other reasons for having irregular periods are:

Treatment:

Generally, treatment isn’t required for menopause or puberty induced irregular periods, until the time they become bothersome or excessive. Periods also normally stop during pregnancy.

  • Correcting or treating underlying disease
  • Changing your type of birth control
  • Lifestyle changes, including weight loss
  • Hormone therapy
  • Surgery

Call your doctor if you have had regular, monthly periods and the pattern changes. Your doctor may perform a physical exam and order tests to rule out pregnancy or a health problem.

Treatable by medical professional Usually self diagnosable Lab test sometimes required Chronic: can last for years or be lifelong
Symptoms
Dysfunctional Uterine Bleeding Heavy, Prolonged, or Irregular Menstrual Periods. Obesity

Popular Health Tips

5 Things You Didn't Know About Your Menstrual Cycle!

MBBS, MD - Obstetrtics & Gynaecology, Diploma In Ultrasound, Fellowship In Laproscopy
Gynaecologist, Delhi
5 Things You Didn't Know About Your Menstrual Cycle!

Menstrual cycles are a part and parcel of a woman’s life. Every woman knows the reasons behind these cycles and what to do during this time. But there are many other facets that are unknown to most women. This article highlights five important aspects of your menstrual cycle which you were probably not aware of till now.

  1. Cycles do not protect women from pregnancy: For ages, it has been pointed out that a woman cannot get pregnant during the menstruation period. This is nothing, but a sheer myth. To be precise, these cycles occur only when an egg is released from the ovary. Thus, intercourse during this time would actually increase the chances of getting pregnant rather than reduce it. Male sperms can survive for up to three days in the female body and having intercourse when the female egg is released would allow for the fertilisation of the egg and the sperm, thereby making the woman pregnant.
  2. False periods: Many times, you take contraceptive pills in order to make sure that you do not get pregnant. The process of contraception works in a manner that prevents the body from releasing an egg. This means that the process of ovulation is prevented for the month. But the lining of the uterus, which is formed due to layers of blood, cannot be prevented by the contraceptives. Hence, even though no ovulation occurs, one still gets their cycles as the uterus lining discharges itself.
  3. Iron deficiency: Menstrual cycles cause loss of significant amount of blood from the body. This leads to the loss of iron from the body as blood is a rich source of iron. Especially, for women who suffer from any form of anaemia, it is in their best interest to take iron supplements.
  4. Insomia is of concern: Sleepless nights and insomnia is a matter of concern during your menstrual cycles. Sleep is brought about by progesterone. But lack of sleep would mean that the level of progesterone is low in the body. It is a sign that these levels need to be checked by a medical practitioner. Sleeplessness can trigger additional problems related to menstrual cycles, including heavy bleeding.
  5. Check oestrogen levels: High oestrogen levels could result to severe back pain and heavy bleeding during your cycles. This is an indication that the hormone level is high and needs to be controlled.

Thus, these are some of the interesting facts that you need to know about your menstrual cycles. None of them are really threatening and can be controlled via medicines or supplements under medical supervision.
 

9 people found this helpful

Irregular Periods - When To See A Gynaecologist?

MBBS
Gynaecologist, Gurgaon
Irregular Periods - When To See A Gynaecologist?

Missing out on your periods or irregular periods once in a while is common. However, the problem arises when irregular periods become every month’s story. The irregularity can be an amalgamation of a host of factors. Ignoring the same for long will only complicate things further. For women of reproductive age, the problem can give rise to deleterious consequences, including difficulties in conceiving. In this article, we will discuss some of the common triggers that result in irregular periods and when to seek medical help.

What causes Irregular Periods?
The hormonal balance plays a significant role in the proper functioning of the vital organs of the body. More than often, irregular periods are found to be a manifestation of hormonal imbalance. Some of the conditions that trigger the hormonal imbalance include

  • PCO is a common medical condition that affects women of reproductive age. PCOS is characterized by the formation of cysts in the ovary (one or both) that affects the ovulation process. In PCOS, there is an increased production of Androgen, especially Testosterone that can cause irregular periods, hair fall, facial hair, weight gain etc.

  • Time and again doctors and health professionals emphasize the importance of leading a stress-free life. Research suggests stress and anxiety often interfere with the functioning of the Hypothalamus. As a result, the pituitary glands that control and regulate the activities of the ovaries, adrenal glands, and thyroid glands may be affected. These can also trigger a hormonal imbalance giving rise to menstrual problems such as Irregular periods. In case of extreme stress, there may be a short-term cessation of periods (Secondary Amenorrhea).

  • The hormonal imbalance and irregular periods can also be an outcome of other medical conditions such as endometriosis, a cancer affecting the reproductive organs, fibroids, obesity, diabetes, hyperprolactinemia (characterized by elevated level of prolactin) or even thyroid disorders.

  • Women who indulge in strict dieting can also suffer from irregular periods. Strict dieting (especially the ones that are without a proper nutritional guidance) can rob the body of the essential nutrients disrupting the hormonal balance.

  • Irregular periods are normal in women who are nearing their menopause.

When to seek medical assistance?
Irregular periods can be indicative of a severe health problem. Consult a gynecologist

  • If your regular cycles get delayed by more than 7 days.

  • There is spotting or bleeding in between the periods.

  • Your periods last for more than ten days or less than two days.

In case you have a concern or query you can always consult an expert & get answers to your questions!

  • There is excruciating pain during periods.

  • The gap between two successive menstrual cycles is more than 35 days or less than 21 days.

  • Your periods are heavy and unmanageable, affecting your daily routine.

4204 people found this helpful

Bleeding Problems - Know The Common Types!

MBBS, MD - Obstetrics & Gynaecology
IVF Specialist, Delhi
Bleeding Problems - Know The Common Types!

Vaginal bleeding is a common phenomenon in women. Sometimes it is due to cyclical changes in the cycle, while other times, it may be indicative of something unnatural and perhaps severe. Abnormal vaginal bleeding includes:

  1. Heavy periods: This is a very common phenomenon. Bleeding during periods cannot be measured with optimum accuracy but periods can be considered heavy if it lasts over 7 days, if you need double protection, or if you seem to pass too much clots. It is recommended to consult your doctor if it starts to affect your lifestyle and causes hindrance in your day to day activities. The cause of heavy bleeding during menses is often unclear, but it may be indicative of uterine fibroids or cysts.
  2. Post coital bleeding: Post coital bleeding happens when you bleed after sex. The most likely reason for this to happen is if there is inflammation in the neck of the cervical opening or it is sore. The common cause of this can probably be sexually transmitted diseases such as Chlamydia.
  3. Inter menstraul bleeding: Bleeding between your periods is also a possibility. There can be several causes for this. It can be broadly indicative of uterine polyps or infections. Polyps are fleshy masses of cells which are basically an abnormal growth in the uterus or cervix.
  4. Break through bleed: These bleeds happen very suddenly and spontaneously in the middle of the cycles or close to the menstrual cycles. These can happen when you start contraceptive pills and usually settle down in a matter of few months.
  5. Post menopausal bleeding: Bleeding or spotting post menopause can be indicative of something more serious. The common causes can be uterine or cervical cancer. Often, it may also happen that the uterus starts to degrade, and small fibrous bleeding or spotting may be visible. In case you have a concern or query you can always consult an expert & get answers to your questions!
1999 people found this helpful

Women In Menopause - Prominent Changes One Goes Through!

MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Women In Menopause - Prominent Changes One Goes Through!

Menopause can be a turnaround for many women in respect to their health and body functioning. It can be disturbing and disruptive. When menstruation ends in women, various changes ranging from physical to emotional occurs which are discussed below.

  1. Perimenopause: The age of 40-45 years in women is the time when their hormones, progesterone, and estrogen start falling, as the production of these hormones from the ovaries decreases. The onset of menopause, however, begins from mid thirty’s. You can experience significant cramps while having your periods as well as heavy and irregular periods.
  2. Anxiety and Mood Swings: Mood swings are common during the days of your menstruation, but it becomes severe when you are going through the pre-menopausal and post-menopausal phase. This is a time when most of the women become more teary and emotional without much reason. They become irritated easily as well, and the best way to tackle them is to care and be kind and not flattery or insensible. The woman must understand the phase she is going through and must try to find ways to control her temper and mood swings.
  3. Night Sweats and Hot Flashes: Hot flashes and night sweats are common symptoms that you experience during menopause. Due to the fall in the levels of estrogen, the body gets heated up, and thus hot flashes are common during these days. The brain needs time to adjust to the changes estrogen level, and then this problem gets solved.
  4. Reduced Sex Drive: Due to the fall in the hormones, the sex drive or the libido in a woman falls right after having menopause.
  5. Aging: Menopause acts like the red mark on the age calendar of yours which pin point that now you are becoming old. This increases the agitation and the irritation of getting old. But talking about it in the open and being calm can reduce the irritation and also keeps you youthful all the day.
  6. Affecting Your Thoughts: Perimenopause can also be symbolized by a reduction in the thought process and the memory of the women. Most of the women complain of having less energy at work and forgetting basic things. This is because of the drop in the estrogen as it helps in keeping you active as well as alert.
  7. Calcium Deficiency or Bone Loss: With the falling estrogen level, the loss of calcium from the body and thus affecting the mass of the bones is inevitable, and this thing can get serious that it can turn into osteoporosis. You need to have calcium along with Vitamin D from the natural food as much as possible so that the bone mass doesn’t get affected.

Dealing with menopause is more a challenge to a woman. However, being aware of the changes happening in her body and accepting them is aging gracefully, indeed.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2848 people found this helpful

Irregular Menses - Reasons Behind It!

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
Irregular Menses - Reasons Behind It!

For young girls who have attained their puberty and have started with their menstruation cycle, it is not uncommon to see irregularity in the patterns of their cycles. Irregularities might be of various kinds like missing the cycle suddenly and resuming from the month after, less discharge of blood than normal, heavy discharge than normal and the likes. There are several causes of these irregularities that are faced by women. Some of the causes of irregular menstrual cycles are explained below. 

The main and commonest reason for irregular menses is the “immaturity of the hormonal pattern”. At puberty, certain new hormones start circulating in your body which cause changes in your reproductive organs namely the ovary and uterus. As these hormones are being set into a routine pattern, irregular cycles are common, and these are predominantly seen just after puberty uptll 21 years and in women nearing menopause, ie. After 40 years of age. In some, the irregularity also remains all throughout life. This is Normal too. The ONLY worry of irregular cycles is about excessive bleeding, or very irregular cycles which could be due to some local physical problems in ovary ( cysts ), uterus (excess lining development, polyps, uterine fibroids etc.) or hormones (thyroid deficiency, high prolactin, etc.) But the most common causes of irregular cycles are as below: 

  1. High-Stress Level: Stress has a direct effect on your body when it comes to experiencing your cycles. Excessive stress levels in your body lead to the release of certain hormones in brain and body which interfere in the functioning of normal hormones and this cause an abnormal menstrual cycle. Hence, it is often said that stress, anger and anxiety should be reduced in order to lead a healthy life as well as to experience normal menstrual cycles. 
  2. Diet: Consumption of food must be taken care of when you enter your puberty. Diet has an effect on your body. You must not either indulge into excessive fatty or oily foods on one hand, or you must not enter into a crash diet or start starving yourself, on the other. Both these extreme cases affect the normal flow of your menstrual cycle, by creating a hormonal imbalance
  3. Weight Loss: Your weight must be maintained in synchronization with your height. Overweight and underweight are both harmful in their own accord. If you are trying to reduce weight, then the procedures should be a mixture of balanced diet and proper exercise. In fact, it is best to take help of a dietician for such purposes. Self-practiced weight loss, extreme starvation diets at times can go out of hand and this might cause an irregularity in your menstrual cycle. 
  4. Exercise: Exercise is a daily requirement for maintaining proper health. But exercise should also be undertaken under a trainer or proper guidance. Excessive exercise would lead to a release of stress hormones in the body which would start interfering with not only your menstrual cycles but also other health conditions. Hence, exercise is required but not too much of it which would spoil the balance of the body. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

3097 people found this helpful

Popular Questions & Answers

My period circle some time irregular. Me and my bf many more time attached physically. When we attached each other I ll tk unwanted 72 pill.* Now its any create prob my future? Tell me all plz.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Yes dear. Regular and recurrent use of unwanted 72 can cause serious and long term side effects. This is an emergency contraceptive pill and not advisable to take regularly.
1 person found this helpful

Im 14 weeks 2 days pregnant Done NT scan on 14 weeks starting day They did not conduct double marker test coz already date crossed I am 34 years old. Will turn 35 in 8 days Is NT Scan results were accurate or not in 14 weeks My periods are irregular so not able to calculate weeks properly Until now my Dr. conducted 3 ultra scan Every time I got different fetus age and due date Please let me know what to do next.

DNB - Obs & GYnae, MBBS, D.G.O - Obs & Gynae, Fellowship in Reproductive Medicine
Gynaecologist, Ghaziabad
Nt nb scan should be done at 11-13 wks earlier the better if late then go for triple marker test. And the first scan of crl will help you fined accurate gestational age.
1 person found this helpful

Since last month I am getting continuous period. I am bleeding since last month daily. I was not pregnant as I am single. But I smoke daily. Does smoking leads this problem or what should I do as I am suffering a lot.

MBBS, MD - Obstetrtics & Gynaecology, Fellowship in Laparoscopy, DNB (Obstetrics and Gynecology)
Gynaecologist, Chandigarh
At times because of hormonal disturbance or stress, leads to irregular bleeding. You sshould go for ultrasound pelvis. Hope your thyroid is under control. And then medicine can be given after seeing reports.
3 people found this helpful

I am not married. My cycle is 38 days. I am waiting for my period till 45 days. Now I am getting light brown color discharge only. I lose my hope gonna take ovral. Kindly suggest me is this ok or need to wait some more time.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Most of medical challanges need doctor to listen to detailed medical history in form of questions and answers, examination of patient and sometimes reports so meet concerned doctor.- Gynecologist.
2 people found this helpful

Table of Content

Irregular periods might be a problem and may exist if:
Here are the different kinds of irregularities in periods:
Some other reasons for having irregular periods are:
Treatment:
Play video
PCOS (Polycystic Ovarian Syndrome)
Hello, everyone. I am glad that you are watching this video. I am consultant gynecologist at Max Superspeciality Hospital, Shalimar Bagh, Max Hospital in Pitampura and at my own clinic in Pitampura. Today I would like to talk about PCOS or Polycystic Ovarian Syndrome.

It is a very common in female endocrine disorder which is increasing tremendously. The prevalence of it now is 2.2 to 26% which itself is very high. NOw, what is it about? So, this problem is about women's hormones, they get out of balance. Then it makes the problems in periods, difficult for the women to conceive or to get pregnant. If left untreated, it can lead to long term problems such as Diabetes Mellitus, Heart disease, and endocrinal cancer.

What happens in PCOS?

In PCOS, the sex hormones get out of balance. So, the male hormones increase more than a normal range. Now, what do they do?

They stop Ovulation, they cause acne, increase the facial and the body hair.

The second factor it involves is Insulin.THe Insulin resistance is caused because of PCOS. The insulin resistance causes obesity, weight gain and then later it may cause Diabetes Mellitus. The causes of PCOS is clearly not known but they run in the family. The girls which are affected from PCOS, they get it either from the mother's family or the father's family.

So, the symptoms of PCOS are;

Hirsutism
Extra facial and the body hair
Thinning of hair from the scalp
Infertility problems
Irregular periods
Depression
Now, coming to the diagnosis,

There are a lot of studies which are done for PCOS. PCOD is defined as any two of these three features, those are;

The periods that come after more than 45 days or periods which comes less than 8 times in a year.
Hyperandrogenism, Menstrual problems.
Ultrasound features suggested of PCOS.
So, the polycystic shows up multiple cysts, that is 10 in number, 2-8 mm in size and bulky ovaries each.

This is how we diagnose. Now coming to the treatment.

There are 3 key treatments for PCOS;

Regular exercise- Walking is a very good exercise that most people can do. Then depending on your choice, you can swim, dance, play etc.
Healthy diet- In diet, you should take green leafy vegetables, fruits, whole grains, nuts, beans, milk etc. You should avoid the intake of saturated fats like meat, cheese, fried food items, sugary food. Starchy food such as potatoes, cakes, sweet potato, maida, sooji, besan etc. You have to quit smoking if you are indulged in that too.
Weight control- In weight control, most women benefit even with 5% of weight loss that would help them regulate their hormones better.
The women's hormones come into balance, the periods come on time, it gets easier for the patient to get pregnant. All these favourable changes take place when the patient follows all these three steps.

Now there are pills that we can give to the patients to help her regulate her own hormones. Now, there are two types of pill;

One is birth control pills o0r oral contraceptive pills. These pills help to balance sex hormones.
Metformin pills are the insulin sensitizers. They tackle the INsulin resistance in the PCOS patients.
Now, all these help in balancing the hormones of PCOS patients. If a patient is suffering from depression because of PCOS, then he would advise her to do some exercises that help to elevate the mood or to consult a counsellor or a gynaecologist.

So, if you want to contact me, you can do so through Lybrate or you can come to my clinic directlywhich is in Pitampura.

Thanks for the patient hearing.



Play video
PCOS (Polycystic Ovarian Syndrome)
Hello everyone, I'm Dr. Pulkit Nandwani. I'm a gynecologist and a laparoscopic surgeon practicing in Rohini Delhi. Today I want to share some information with you about Polycystic Ovary Syndrome.

What is polycystic ovaries?

These days polycystic ovary syndrome is becoming extremely common. It is increasing in incidence. Nowadays every 2 in 10 women will be having this syndrome. Polycystic ovaries are nothing but ovaries slightly larger in size than the normal looking ovaries. The small cysts form in these ovaries which cause some hormonal disturbances. So having a diagnosis of polycystic ovaries on ultrasound does not mean that you have polycystic ovary in ovarian syndrome. Polycystic ovarian syndrome occurs only when a patient is experiencing symptoms along with an ultrasound diagnosis of polycystic ovaries.

Now what can be the symptoms that occur in polycystic ovarian syndrome?

The symptoms are usually due to the hormonal changes, means that you can either have irregular periods, heavy bleeding or their can be on period at all, then may be increase in body hair increase in facial hair specially and loss of hair on the head. Then their can be weight gain. Patient can become overweight. It can affect the fertility difficulty in conceiving as well as oily skin acne under and also because the polycystic ovarian syndrome. Then their can also be some psychological disturbances. Your patient can experience mood swings and depression. All because of the hormonal changes or polycystic ovaries.

What are the causes of polycystic ovary syndrome?

Cause of polycystic ovarian syndrome is as such not yet known. It is just seen to run in a hereditary fashion. If your mother or elder sister experience problems of this kind you are also likely to have polycystic ovarian syndrome. Now other than these syndrome discussed earlier, you can also experience a lot of long-term consequences on health because of polycystic ovarian syndrome. These patients are more likely for having heart diseases later on in life, very high chances diabetes and blood pressure is there and even higher chances of uterine cancers, developing cancer of the lining of the uterus.

Now how can we reduce the effects of polycystic ovarian syndrome. As such there is no cure for the polycystic ovarian syndrome. We have medical treatment but better than that is to have a healthy lifestyle. Polycystic ovaries respond a lot to just having a healthy lifestyle which includes losing weight. If a patient is overweight, the first advice that we give to the patient is to lose a weight even a minimum weight loss of 3 to 5 kgs makes a drastic decrease in the even appearance of polycystic ovaries and betterment of hormones. So having a healthy lifestyle means eating lots of fruits and vegetables, cutting down on junk food. Losing weight in the form of activity having exercised makes a difference in the treatment itself. Along with that any other medical requirement is that then we have some hormonal tablets which can be started to cure the bleeding problems as well as we start them to help the patient to try to conceive. For the long term effects, just having a healthy lifestyle and having a control on weight having regular checkups with a general practitioner. Having the regular checkups of sugar to rule out diabetes or blood pressure and then annual screening for cancer can reduce the effects of polycystic ovarian syndrome.

Thank you I hope the information was useful for you.

If you have any queries regarding that you can always contact me on lybrate.
Play video
Irregular Menstrual Bleeding
Hello, I am Dr. Pooja Sharma Dimri. I'm a gynecologist occupation and an infertility specialist. I also specialized in minimally invasive surgery, gynecology including operative laparoscopy and histroscophy copy. Now I'm going to talk about a very common complaint with women present with us, which is irregular menstrual bleeding. Irregular menstrual bleeding may be in the form of delayed or irregular periods or heavy menstrual bleeding or frequent menstrual cycles. Most of the common cause of this irregular menstrual bleeding is hormonal issues like polycystic ovarian disease or hyperthyroidism.

In other cases, the cause of heavy or irregular menstrual bleeding maybe some pathology in the uterus like fibroids, polyps, abnormalities in the uterine lining or the endometrium to diagnose the cause of the regular or the heavy menstrual bleeding.

Before we go on to treatment we may need to do certain investigations like the hormonal profile to her on hormonal issues, sonography of the uterus and the pelvis to see for any nutrient pathology but sometimes all pathology may not be detected by the imaging studies and the blood investigation and we may require a hysteroscopy or a minimally invasive surgery to diagnose and treat these pathologies. Now hysteroscopy is a minimally invasive technique in which a specialized scope or telescope is put inside the uterine cavity in which we can directly visualize any pathology like a small uterine polyp or thickened endometrium at the same thing. That pathology can be removed and the endometrial lining can be sent for a biopsy.

In cases of older patients and specially in the ferryman age group, it is very important to rule out chances of cancers of the uterus. So in case of in irregular menstrual bleeding it is better to consult your gynecologist to rule out abnormal pathology.

For more details you can contact me on Lybrate.com.

Having issues? Consult a doctor for medical advice