Irregular Periods

Menstrual periods typically last four to seven days and occur roughly every 28 days. Examples of irregular periods include periods that occur fewer than 21 days or more than 35 days apart, missing three or more periods in row, and menstrual flow that’s much heavier or lighter than usual.

What are irregular periods?

Most women and people assigned female at birth (AFAB) have menstrual periods that last four to seven days. Your period usually occurs every 28 days, but normal menstrual cycles can range from 21 days to 35 days. In fact, the average cycle length is 29 days. Many things cause irregular periods (or irregular menstruation) such as changes in hormone levels, stress, certain health conditions, medications and more.

What are examples of irregular periods?

Your period is still considered “regular” even if it varies slightly from cycle to cycle. Examples of irregular menstruation include:

• Periods that occur fewer than 21 days or more than 35 days apart.
• Missing three or more periods in a row.
• Menstrual flow (bleeding) that’s much heavier or lighter than usual.
• Periods that last longer than seven days.
• Length of time between cycles varies by more than nine days. For example, one cycle is 28 days, the next is 37 days and the next is 29 days.
• Periods that are accompanied by severe pain, cramping, nausea or vomiting.
• Bleeding or spotting that happens between periods, after menopause or after sexual intercourse.
• Soaking through one or more tampons or sanitary pads in an hour.

How are irregular periods diagnosed?

If you sense changes in your menstrual cycle, begin keeping records of when your periods begin and end. Note symptoms, the amount of flow or if you experience cramping, bleeding between periods or passing large clots. These are all helpful to share with your healthcare provider.

Treatment

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