Changes in the menstrual cycle that can be worrying

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Many women can experience (unpleasant) changes in the menstrual cycle that can be worrying. Which of these changes are a sign of a problem?

The menstrual cycle is a natural and vital process in a woman’s reproductive system. 

It involves a complex interplay of hormones that prepare the body for potential pregnancy each month.

However, for many women, the menstrual cycle can change, causing discomfort and disrupting daily life.

While occasional variations in the menstrual cycle are considered normal, certain changes may require medical attention.

When is it time to see a doctor?

Irregular periods

If your periods have become irregular or stopped altogether (and you are not pregnant), this may be a sign of a problem.

A normal menstrual cycle lasts about 21 to 35 days and any significant deviation from this pattern should be investigated.

Your gynecologist can help determine the cause of irregular periods, which may be caused by hormonal imbalances, polycystic ovary syndrome, thyroid disorders, or other medical conditions.

Heavy or prolonged bleeding

Excessive or prolonged menstrual bleeding, known as menorrhagia, can lead to anemia and have a negative impact on everyday life.

If you find that the bleeding is heavier, there are large blood clots, or you have bleeding that lasts longer than a week, it is advisable to seek medical attention.

Several underlying conditions, such as uterine fibroids and endometriosis, can be responsible for this cycle change.

Very strong menstrual pains

Although some level of discomfort during menstruation is normal, severe and debilitating menstrual pain, known as dysmenorrhea, should not be ignored.

If over-the-counter pain relievers don’t provide relief, or if your pain is causing problems in your daily routine, it’s time to consult a doctor. 

Premenstrual syndrome that affects daily life

Most women experience mild premenstrual symptoms, such as mood swings, bloating or breast tenderness, in the days leading up to their period.

However, if these symptoms significantly affect your quality of life, it may be an indication of premenstrual dysphoric disorder.

It is a more severe form of PMS that can cause extreme mood swings, depression, anxiety and irritability. 

Sudden changes in the menstrual cycle

If you experience sudden and significant changes in your menstrual cycle, such as a sudden cessation, this may be cause for concern.

These sudden changes can be related to a variety of factors, including pregnancy, stress, or underlying medical conditions. 

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