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Six Common Causes for Irregular Periods

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For many women, the regularity of their menstrual cycle is not just a matter of convenience but an essential aspect of their overall health. Irregular periods can be more than just an inconvenience; they can signal underlying health issues that need attention. Below, we explore six common causes of irregular periods, shedding light on why your menstrual cycle might behave unpredictably.

Hormones play a crucial role in regulating the menstrual cycle. Any imbalance in hormones such as estrogen and progesterone can disrupt the normal functioning of the reproductive system, leading to irregular periods. Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder that often causes irregular periods due to elevated levels of androgens (male hormones) in women.

In our fast-paced world, stress has become an almost constant companion. Chronic stress can impact the hypothalamus, a region of the brain responsible for regulating hormones, leading to irregular periods. Additionally, extreme changes in lifestyle, such as excessive exercise or sudden weight loss, can also disrupt the delicate balance of hormones, affecting the regularity of menstrual cycles.

The thyroid, a small gland located in the neck, plays a crucial role in regulating metabolism and hormone production. Disorders such as hypothyroidism (underactive thyroid) or hyperthyroidism (overactive thyroid) can cause irregular periods. The thyroid gland's influence on hormone levels can affect the menstrual cycle, leading to variations in the duration and intensity of periods.

Uterine polyps and fibroids are noncancerous growths that can develop in the uterus. While often benign, these growths can interfere with the normal functioning of the uterus, causing irregular periods. Polyps and fibroids can disrupt the lining of the uterus, leading to heavier or prolonged menstrual bleeding, as well as irregular cycles.

Certain medications, such as hormonal contraceptives or anticoagulants, can impact menstrual regularity. Birth control pills, for example, can sometimes cause breakthrough bleeding or irregular periods, especially when starting or stopping the use of the contraceptive. It is essential to communicate any changes in your menstrual cycle with your healthcare provider to determine if adjustments to your medication are necessary.

As women approach menopause, typically in their late 40s or early 50s, the body undergoes hormonal fluctuations. This transitional phase, known as perimenopause, can lead to irregular periods as the ovaries gradually produce less estrogen. These hormonal shifts can result in skipped periods, shorter or longer cycles, and other changes in menstrual patterns.

What To Do If You Are Experiencing an Irregular Period?

While occasional variations in menstrual cycles are normal, persistent irregularities should not be ignored. Understanding the common causes of irregular periods can empower women to take charge of their reproductive health. If you are experiencing irregular periods or other menstrual abnormalities, it is crucial to consult with a healthcare professional. 

We especially encourage you to reach out to a reproductive endocrinologist if you are experiencing irregular periods and you are trying to conceive. Our team at OC Fertility is well-versed in working with patients to determine the cause for their irregular periods and how that could potentially impact their fertility. 

Author
Nidhee Sachdev, MD, FAOCG Dr. Nidhee Sachdev Nidhee Sachdev, MD has trained among the most prestigious and diverse medical programs in the country, including fellowship training in reproductive endocrinology and infertility at the prestigious New York University (NYU) Langone Fertility Center in New York City where she conducted research on preimplantation genetic screening (PGS) and the University of Chicago Medical Center, where she earned the academic distinction of chief resident in obstetrics and gynecology, and trained under a top recurrent pregnancy loss expert. Dr. Sachdev is passionate about providing individualized, collaborative patient care. She started her medical career right here in Orange County, earning her Doctor of Medicine at the University of California, Irvine, School of Medicine.

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