Irregular Menstruation (PCOS) Q & A

 

What is irregular menstruation?

The average menstrual cycle lasts 28 days, although your cycle can be normal if it lasts 24-38 days. If you go more than 38 days without a period or have more than one period per month, your cycle is irregular and could be a sign of an underlying health issue. 

Additionally, if your cycle varies from month to month, you could have a hormonal imbalance or another health problem. 

 

What causes irregular menstruation?

Your hormones regulate the release of egg cells and your periods. A variety of factors can interfere with this process and disrupt your menstrual cycle. 

Polycystic ovary syndrome (PCOS) is a condition that affects approximately 10% of women and can emerge at any time after puberty. PCOS causes multiple fluid-filled cysts to form on your ovaries, hormonal imbalances, and irregular periods. 

 Other conditions that can interfere with your menstrual cycle include:

• Thyroid disorders

• Diabetes

• High levels of prolactin

• Stress

• Primary ovarian insufficiency

 Obesity, certain medications, and eating disorders can also disrupt your menstrual cycle. 

 

How are PCOS and other menstrual disorders diagnosed?

Dr. Wood and our team at MI PEDS provide thorough exams and testing to identify the cause of irregular periods. For example, we often orders blood tests to check your hormone levels. You might need to have bloodwork at different times during the month as some hormones fluctuate with your menstrual cycle. 

Additionally, our team may order an ultrasound to examine your ovaries. An ultrasound is a safe and painless procedure that uses sound waves to create images of your internal organs. Our team can use ultrasound to check for signs of multiple cysts on your ovaries. 

 

How is PCOS treated?

While there’s no cure for PCOS, our team can prescribe medicines like hormonal birth control, anti-androgen drugs, and metformin to regulate your hormones. You can also adjust your diet and exercise habits to maintain healthy body weight and activity levels. Obesity and sedentary lifestyles are factors in many hormonal and health issues. 

It can take up to two years for a young woman’s menstrual cycle to become regular, but if you’re concerned about your daughter’s health, call our practice at 734-469-4775 to schedule an appointment