Menstruation is a cause for concern for many women, either when it does not come on time or when it appears well ahead of time. For those who have an irregular menstruation they can always be used to these comings and goings of the blessed friend of every month. But what about those who had a normal cycle and suddenly an irregular menstruation gave the air of grace?
What would be the ideal menstrual cycle?
An ideal menstrual cycle would be 28 to 30 days, but not all women are able to adapt to this period from an early age, even in the first year of menstruation. Many of them may have cycles alternating the arrival and departure date of the “monstrous” and suffering from unregulated menstruation.
Let’s say that cycles between 21 and 40 days are tolerable, those that border on total madness from 40 days on and can kill a woman with anxiety, even more if she is trying to get pregnant. Knowing when to seek help to detect the reason for irregular menstruation is critical. The causes can be the most diverse and the woman herself is not always able to detect it so it is very important to have a trusted professional to consult in case of doubt.
What Can Cause an Irregular Cycle?
Most of the sudden irregular cycles are caused by hormones. If one or more hormones are out of sync, with some significant change the cycle may be irregular. Most complaints of irregular menstrual cycles are menstruation that is too late or even two blood cycles in a single month. The lees are one of the most frequent complaints and can leave an air of questioning in the air: why do I menstruate so much?
The truth is that each cycle can change according to the time it takes a woman to become fertile, that is, what varies in a cycle is the follicular phase. The follicular phase can take a period of seven days in shorter cycles such as those of 21 days, for example, but it can take more than 20 days for long cycles, those of 40 days for example.
As previously taught about the female fertile period and also about menstrual mucus , the cycle can change from woman to woman so paying attention is essential to detect if your cycle is irregular which would cause an irregular menstruation.
Contraceptives and Other Medicines
Another factor that interferes with an irregular menstruation is medication intervention. Birth control pills or even morning-after pills (PDS) can leave the cycle modified if used improperly. The contraceptive is used to help regulate the cycle, if it is the correct one and taken regularly, but if taken on alternate days or even at very different times, they can cause an irregular menstruation. Stopping birth control also disrupts menstruation, too, until the body is able to regulate its hormone levels naturally.
Another factor that causes irregular menstruation is the presence of polycystic ovaries . Women who carry this syndrome have a very high tendency to have irregular cycles that are very long and in some rare cases very short, but equally harmful if she wants to get pregnant . Women who have irregular menstruation may not be able to detect ovulation and then the mission of generating a life is further complicated.
Other reasons can also be the reason for irregular menstruation, such as:
- Excess weight
- Hormonal changes
- Anorexia and bulimia
IMPORTANT: There are many reasons to stop menstruation, so each case must be carefully analyzed to point out the real reason and treat accordingly.
How to Detect the Cause?
Detecting irregular menstruation is relatively simple, it tends to change with each cycle. The frequency with which it comes and the dates become different each month. It can take more than 40 days to appear and sometimes up to a year. Such cases should be investigated by the doctor .
Some women also have a modification of the body such as weight change to more or less, hair growth and even irritability and lack of libido . All initial investigation must be done by the doctor with requests for hormonal tests which must include:
- T3 and T4
To complement the blood test, ultrasound will be necessary and with it visible problems in the uterus that may be disrupting the cycle making menstruation irregular will be detected and then the best treatment will be defined by the responsible professional.
How to Regulate Menstruation?
Treatment for irregular menstruation is theoretically simple. If the reason for all the changes is only hormonal, treatment with contraceptive drugs or regulators appropriate for that case may be the definitive solution.
Most treatments are really contraceptives , but for women who want to get pregnant, medications are indicated to regulate menstruation while not preventing ovulation from happening.
Medications such as cycloprimogyna or the progesterone base such as Ultrogestan or Evocanil for example, are good alternatives to control irregular menstruation but are only indicated after the ovulatory period to be detected according to the follicular phase and the woman’s fertile period. To learn to know your fertile period you can control the mucus and the temperature.
The important thing for those who have irregular cycles is to learn to identify when help should be provided, some women like me have messy cycles but it is important to have an organized mess. If menstruation goes totally crazy, it is better to seek help.
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Questions from Readers:
How to calculate fertile period with irregular menstruation?
The interval of the fertile period for irregular women must be measured by two factors, cycle days and observation of cervical mucus. To calculate just take the largest and smallest cycle. Through this make an average between the biggest and smallest cycle, for example, 32 days and 40 days. 32-14 = 18 day of the cycle 40-14 = 26 day of the cycle. then the woman must date between the 14th and the 26th day of the cycle to guarantee pregnancy.
How to make a table with irregular menstruation?
As it is very difficult to be sure of the fertile period in an irregular cycle, it is not recommended to follow the table method. The method is indicated and more reliable for women with regulated cycles.
Who has irregular menstruation can get pregnant?
Of course, it is not because menstruation is irregular that it does not ovulate, unless the irregularity is caused by other health problems that prevent fertility. But in general, irregular menstruation does nothing to prevent a woman from getting pregnant, it is only possible to catch the fertile day.
My name is Dr. Alexis Hart I am 38 years old, I am the mother of 3 beautiful children! Different ages, different phases 16 years, 12 years and 7 years. In love with motherhood since always, I found it difficult to make my dreams come true, and also some more after I was already a mother.
Since I imagined myself as a mother, in my thoughts everything seemed to be much easier and simpler than it really was, I expected to get pregnant as soon as I wished, but it wasn’t that simple. The first pregnancy was smooth, but my daughter’s birth was very troubled. Joana was born in 2002 with a weight of 2930kg and 45cm, from a very peaceful cesarean delivery but she had already been born with congenital pneumonia due to a broken bag not treated with antibiotics even before delivery.