Is Irregular Menstruation Always a Sign of a Problem?
So, when are changes in the menstrual cycle considered normal, and when should you consult a specialist?
What Is Menstrual Irregularity?
A normal menstrual cycle usually ranges from 21 to 35 days and typically lasts 3–7 days.Menstrual irregularity refers to situations such as menstruation starting too early, being delayed, heavy bleeding, or very light bleeding.Additionally, severe cramps during the period or unexpected intermenstrual bleeding should also be taken into account.
When Is Menstrual Irregularity Considered Normal?
During adolescence: Due to hormonal adjustments, menstrual irregularities are considered normal in the first few years.
Postpartum period: Especially in breastfeeding mothers, the menstrual cycle can be irregular for some time.
Perimenopausal period: Natural hormonal changes can cause variability in cycle intervals.
Stress, intense exercise, or sudden weight changes: Such lifestyle factors can also cause temporary menstrual irregularities.
In these cases, the body may regulate itself over time, and the menstrual cycle often returns to normal.
When Should Menstrual Irregularity Be Taken Seriously?
If menstrual irregularity persists for a long time or if the following conditions are observed, it’s essential to consult a gynecologist:
Not having menstruation for 3 months or more (amenorrhea)
Excessive or very painful menstrual bleeding
Constantly changing cycle intervals
Intermenstrual bleeding or bleeding after sexual intercourse
Sudden onset of severe menstrual irregularities
These symptoms may indicate underlying health problems such as polycystic ovary syndrome (PCOS), thyroid disorders, uterine polyps, fibroids, or hormonal imbalances.
Frequently Asked Questions
When is menstrual irregularity considered normal?Short-term irregularities during adolescence, postpartum, or perimenopausal periods are usually normal.
Can stress cause menstrual irregularity?Yes, intense stress can disrupt hormonal balance and affect the menstrual cycle.
Can menstrual irregularity lead to infertility?Depending on the underlying cause (such as PCOS), untreated menstrual irregularity can increase the risk of infertility.
What tests are done for menstrual irregularity?Hormone tests, ultrasound, thyroid function tests, and, in some cases, advanced diagnostics may be needed.
Is medication always required for menstrual irregularity?Not always. Depending on the cause, lifestyle changes, hormone-regulating treatments, or other approaches may be recommended.
To understand the cause of menstrual irregularities and start appropriate treatment, it is essential to seek expert advice. Dr. Yeliz Akçelik Clinic offers comprehensive diagnostic and treatment services for menstrual irregularities. Don’t neglect your health—take timely steps for a balanced life. For more information and appointments, please contact us.
