Irregular periods can be caused by a variety of factors, ranging from lifestyle changes to underlying medical conditions. While occasional irregularities are common, frequent or severe disruptions in the menstrual cycle may indicate a need for medical evaluation.
Common Causes of Irregular Periods
- Hormonal Imbalances
- Polycystic Ovary Syndrome (PCOS): A common condition where the body produces excess androgens, leading to irregular ovulation and missed periods.
- Thyroid Disorders: Both hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid) can affect hormone levels, disrupting the menstrual cycle.
- Perimenopause: As women approach menopause (usually in their 40s or 50s), hormonal fluctuations can cause irregular periods.
- Stress and Lifestyle Factors
- High Stress Levels: Stress affects the hypothalamus, which regulates the menstrual cycle, potentially causing skipped or delayed periods.
- Excessive Exercise: Intense physical activity, particularly in athletes, can lead to hormonal changes that suppress ovulation.
- Diet and Nutrition: Sudden weight loss, eating disorders, or poor nutrition can lead to irregular cycles due to inadequate energy availability.
- Birth Control and Medications
- Hormonal Contraceptives: Birth control pills, patches, and IUDs can alter menstrual patterns, sometimes causing lighter, heavier, or absent periods.
- Emergency Contraception (Morning-After Pill): Can temporarily disrupt the cycle.
- Medications: Certain drugs, such as antidepressants, steroids, and blood thinners, can influence menstrual regularity.
- Reproductive Health Conditions
- Endometriosis: A condition where tissue similar to the uterine lining grows outside the uterus, often causing painful and irregular cycles.
- Uterine Fibroids or Polyps: Noncancerous growths in the uterus can lead to heavy, prolonged, or irregular bleeding.
- Pregnancy or Breastfeeding
- Pregnancy: A missed period is often the first sign of pregnancy, even if other symptoms are not yet present.
- Breastfeeding: Prolactin, the hormone responsible for milk production, can suppress ovulation and lead to irregular or absent periods.
When Should You See a Doctor?
While occasional irregularities are normal, medical attention is recommended if you experience:
- Periods that are consistently shorter than 21 days or longer than 35 days apart
- Missing periods for three or more consecutive months (excluding pregnancy or menopause)
- Excessively heavy bleeding (soaking through pads or tampons every hour for several hours)
- Severe menstrual pain that interferes with daily life
- Unusual spotting between periods or after menopause
- Symptoms like excessive hair growth, acne, or sudden weight changes (which may indicate PCOS or a hormonal disorder)
Finding the Right Specialist
If you’re concerned about your irregular periods, consulting a gynecologist can help identify the underlying cause and find appropriate treatment options. If you’re in Korea, Second Spring Women is an excellent clinic specializing in women’s health. Dr. Seon-Hwa Jeong (Profile) is highly experienced in treating hormonal imbalances, menstrual irregularities, and reproductive health concerns.
Would you like recommendations for specific tests or treatments based on your symptoms?