When are periods considered irregular?
An average menstrual period lasts 4-7 days and occurs about every 28 days. However, menstrual cycles that fall in the range of 21-35 days are considered normal. Examples of irregular periods include:
- Periods that occur fewer than 21 days apart
- Periods that occur more than 35 days apart
- Missing three or more periods in a row
- Periods that last longer than seven days
- Menstrual flow that is noticeably heavier or lighter than usual
- Vaginal bleeding or spotting between periods, after sex, or post-menopause
Additionally, periods that occur along with symptoms like nausea, vomiting, or severe pelvic pain and cramping is abnormal. Schedule an appointment with Dr. Niznikiewicz if you experience any of these signs or symptoms.
What causes irregular periods?
Many factors can disrupt your menstrual cycle, ranging from lifestyle changes to gynecological problems. Common causes of irregular periods include:
- Stress
- Travel
- Gaining or losing weight
- Changes in diet or exercise routines
- Hormonal birth control
- Uterine fibroids or polyps
- Endometriosis
- Pregnancy complications
- Polycystic ovary syndrome
- Pelvic inflammatory disease
Less often, irregular periods may be a sign of uterine or cervical cancer. Dr. Niznikiewicz accurately diagnoses the cause of your irregular periods and recommends the most effective treatment.
How are irregular periods diagnosed and treated?
First, Dr. Niznikiewicz performs a physical exam and carefully reviews your symptoms and medical history. It’s helpful to keep track of your periods, including any symptoms like spotting or pain, in a notebook or app on your phone so you can share this information with Dr. Niznikiewicz.
He may perform various tests to diagnose the cause of your irregular periods, including:
- Pelvic exam
- Pap test
- Blood test
- Ultrasound
- Colposcopy
Then, Dr. Niznikiewicz discusses the best treatment options for your specific condition. Depending on the underlying cause of your irregular periods, treatment may include:
- Hormonal medications to regulate your menstrual cycle
- An intrauterine device (IUD) like Mirena®
- Lifestyle changes like diet and exercise
Gynecological conditions like endometriosis or uterine fibroids may require advanced procedures, including surgery, if your irregular periods continue after attempts at nonsurgical treatment.
If you have missed, frequent, or heavy periods, call the office of Stanley Niznikiewicz, MD, FACOG, or book an appointment online today.
