What Causes Menstrual Irregularity?

A normal menstrual cycle is defined as 21-35 days (ideally 28 days) from the first day of menstrual bleeding to the first day of bleeding in the next month. The amount of pads used in a day should be 2-3, they should not contain clots and the bleeding time should not exceed 8 days. A slight pain is normal in the first 1-2 days of the start of menstruation. All bleeding other than these are considered menstrual irregularities.

Menstruations may be irregular during the first years of adolescence, when menstrual bleeding begins, and during the transition to menopause. There may be unrecognized pregnancy and related problems underlying bleeding that is thought to be irregular.

Causes of Irregular Bleeding Outside Pregnancy

Excessive weight gain or weight loss. While very low body weight often causes irregular bleeding or menstrual delays, obesity is also a cause of menstrual irregularities.

Eating disorders such as anorexia or bulimia.

Extreme exercise. Menstrual bleeding may be interrupted in athletes.

Emotional stress.

Systemic diseases such as Irritable Bowel Syndrome, diabetes, tuberculosis, liver diseases

Travels

Birth control drugs. The amount of bleeding decreases, irregular spotting may occur, menstrual periods may skip.

Hormonal problems: Polycystic ovarian syndrome, high prolactin, thyroid hormone disorders

Pelvic organ problems: Polyps, myomas, ovarian cysts, uterus. adhesions on the inner wall

Breastfeeding. Many breastfeeding women may have absent or irregular menstrual cycles while breastfeeding.

Numbing drugs

Early menopause. It is the cessation of menstruation before the age of 40. Early menopause in the family, ovarian surgeries, chemotherapy or radiation applied to the pelvic area can cause early menopause, but most of the time the cause is unknown.

Remember that you can get pregnant even if you do not menstruate, and if you do not want to get pregnant, use birth control methods. If your period is late, try to relax and fix the emotional and physical problems in your life. If there is no pregnancy, your menstrual period may return to normal in the next month.

Does menstrual regularity pose an obstacle for women to have children?

Ovulation delay in women who want children. but since their periods are irregular or ovulation is absent, menstrual irregularity can be a cause of infertility. In this case, the cause of the irregularity must be found or treated. Although pregnancy can often occur spontaneously when the lifestyle, weight and general health problems that cause menstrual irregularities are corrected, when planning pregnancy, a gynecologist should be consulted to determine whether there are other gynecological problems and, if so, they should be treated appropriately.

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