Up to 25% of women experience irregular periods, and many put off seeing a healthcare provider because they assume their periods are normal. Although irregular periods may be typical for you, it’s crucial to distinguish between what’s considered normal when it comes to menstrual bleeding and when your period may be signaling a deeper issue.
The women’s health team at Ideal Gynecology is dedicated to providing exceptional care to women in the greater Atlanta, Georgia area. For patients with irregular bleeding, our team can help you get answers and discuss treatment options.
Irregular bleeding is menstrual bleeding that occurs outside of your normal menstrual pattern. Though an occasional change in your cycle is rarely a cause for concern, you should get checked out if a change lasts at least three cycles or is significant.
Here are signs to pay attention to:
For most women, a normal menstrual cycle occurs every 21-35 days and lasts between two and seven days. It’s easier to notice when something changes if you already know what’s normal for your body.
Because the menstrual cycle is closely connected to hormones and reproductive health, changes in bleeding patterns can provide valuable insight. The following are some of the most common culprits behind irregular periods.
Some of the hormonal imbalances that may affect your cycle include:
Several common gynecologic conditions can lead to abnormal bleeding, including:
These conditions may cause spotting, unusually heavy, or prolonged periods. Certain infections, including sexually transmitted infections (STIs), vaginitis, and pelvic inflammatory disease (PID), can also cause abnormal bleeding.
If your period lasts longer than seven days, requires changing a pad or tampon every two hours or less, or you notice blood clots the size of a quarter or larger, it's time to schedule an evaluation.
Ongoing heavy bleeding can also contribute to iron deficiency anemia and may be a sign of conditions such as fibroids, adenomyosis, endometriosis, hormonal imbalances, or thyroid disease.
Depending on your individual needs, additional testing may include:
These diagnostic tools help identify the underlying cause so our team can personalize treatment to your needs.
Treatment for irregular bleeding depends on the underlying cause. For some women, hormonal birth control or a progesterone-releasing IUD can regulate menstrual cycles and reduce abnormal bleeding. Prescription medications may also help manage heavy menstrual flow.
When structural conditions such as polyps are responsible, procedures like a polypectomy may be recommended. Women who have completed childbearing and experience persistent heavy or painful periods may benefit from advanced treatment options such as Cerene® cryoablation.
This in-office endometrial ablation procedure is designed to reduce heavy bleeding while improving quality of life.
The team at Ideal Gynecology provides comprehensive evaluations to identify the cause of irregular bleeding and help you find lasting relief. We're committed to protecting your health.
Our team strives to deliver the best gynecological care and support. Contact us today to request an appointment.
