Clarity for Irregular Periods
Understand what is normal, when to check labs or imaging, and how to get cycles back on track.
Cycle length can vary, but frequent changes, skipped periods, or very heavy or prolonged bleeding deserve evaluation. We help identify the cause and tailor a plan to your goals, whether symptom control, cycle predictability, or fertility.
Fast Facts
A typical cycle ranges from 24 to 38 days
Variation over 7 to 9 days month to month may be normal
Persistent irregularity can relate to ovulation issues, thyroid changes, PCOS, stress, or perimenopause
Heavy or prolonged bleeding needs timely assessment
Common Patterns
- Cycles shorter than 24 days or longer than 38 days
- Missing periods for 3 months or more without pregnancy
- Very heavy bleeding, clots, or bleeding lasting more than 7 days
- Spotting between periods or after sex
- Unpredictable flow that disrupts activities
Why It Matters
Irregular periods can affect quality of life and may signal a hormone, thyroid, uterine, or perimenopausal change. Addressing the cause can improve energy, iron levels, mood, and fertility planning.
Diagnosis & Evaluation
Evaluation includes history, pregnancy testing when appropriate, and targeted labs based on symptoms. Thyroid and prolactin testing may be considered. Ultrasound can assess the uterus and ovaries if heavy bleeding, pain, or structural concerns are present.
Normal Variation vs. Irregular Cycles
Normal Variation
- Cycle length generally between 24 and 38 days
- Month-to-month shift within about a week
- Bleeding 3 to 7 days without significant clots
- Minimal impact on daily life
Irregular Cycles
- Frequent short or long cycles or skipped periods
- Heavy, prolonged, or intermenstrual bleeding
- Possible symptoms of thyroid change, PCOS, or perimenopause
- May affect fertility or cause anemia
Treatment Options
Plans are individualized. Options include cycle tracking, iron support if needed, anti-inflammatory medications for bleeding or cramps, and hormonal options to regulate or lighten periods (pills, patch, ring, IUD). If a specific cause such as thyroid disease, PCOS, fibroids, or perimenopause is identified, treatment is tailored accordingly.
What to Bring to Your Appointment
- ✓Cycle calendar with start dates and flow
- ✓List of symptoms (pain, mood, fatigue, clots) and severity
- ✓Current medications, supplements, and birth control
- ✓Any prior labs or ultrasound reports
- ✓Personal goals (predictable cycles, lighter flow, fertility)
Frequently Asked Questions
1When should I be concerned about irregular periods?
Seek evaluation if cycles are consistently under 24 days or over 38 days, if you miss periods for 3 months without pregnancy, or if bleeding is heavy, prolonged, or occurs between periods.
2Do I need labs or imaging?
Testing is based on your history and symptoms. Pregnancy testing is considered when relevant. Thyroid or other labs and ultrasound may be recommended to guide treatment.
3Can hormonal contraception regulate my cycle?
Yes. Pills, patch, ring, or an IUD can make bleeding lighter and more predictable. The best option depends on your preferences and health history.
4Will irregular cycles affect fertility?
Irregular ovulation can make timing conception harder, but many people conceive with support. Identifying the cause helps guide next steps.
Make Sense of Your Cycle
We will review your pattern, check what matters, and design a plan for predictable, comfortable periods.
Book an Appointment