Irregular Periods – Causes, Concerns & When to See a Gynecologist

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Irregular periods are one of the most common reasons women visit a gynecologist. As a practicing gynecologist, I often meet women who ignore cycle irregularities for months, assuming it’s “normal stress” or lifestyle-related. While stress does affect menstruation, persistent irregular periods should never be ignored.

A normal menstrual cycle ranges between 21 to 35 days. If your cycle frequently changes, skips months, comes too early, or lasts unusually long, it is medically termed as an irregular period cycle.

Common Causes of Irregular Periods

Hormonal imbalance is the most frequent cause. Conditions like PCOS (Polycystic Ovary Syndrome) disrupt ovulation, leading to delayed or absent periods. Thyroid disorders, both hypo and hyperthyroidism, can also significantly affect menstrual regularity.

Sudden weight gain or loss, excessive exercise, emotional stress, sleep deprivation, and poor nutrition play a major role. In some cases, irregular periods may indicate early menopause, uterine fibroids, or endometrial issues.

When Should You See a Gynecologist?

You should consult a gynecologist if:

• Periods are absent for more than 2 months

• Bleeding is excessively heavy or prolonged

• Severe pain accompanies menstruation

• Cycles are consistently unpredictable

• You are trying to conceive and cycles are irregular

Ignoring these symptoms can delay diagnosis of underlying conditions that are easier to manage when detected early.

Diagnosis & Treatment

Evaluation usually includes hormonal blood tests, pelvic ultrasound, and a detailed lifestyle assessment. Treatment is not the same for every woman. It may involve hormonal regulation, lifestyle correction, dietary guidance, or treating the underlying medical condition.

Final Advice

Irregular periods are your body’s way of signaling imbalance. Timely gynecological consultation helps restore hormonal health, protects fertility, and improves overall well-being. Do not self-medicate or rely on internet remedies. Your cycle deserves medical attention.