What irregular periods mean

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Published 21 May 2025 | Written by Dr David Miller

For many menstruating individuals, the menstrual cycle becomes a reliable monthly event. However, for others, the timing, flow, and symptoms can vary — sometimes drastically. If your period doesn’t follow a predictable pattern, you may be experiencing irregular periods.

But what exactly does that mean, and should you be concerned? Let’s break it down.


🌸 What is an Irregular Period?

An irregular period is when the length of your menstrual cycle (the time from the first day of your period to the first day of the next) keeps changing. A typical cycle is around 28 days, but anywhere between 21 to 35 days is considered normal for adults. For teens, cycles may range from 21 to 45 days.

If your periods:

  • Come earlier or later than expected

  • Skip months altogether

  • Have varying flow (too heavy or too light)

  • Last longer or shorter than usual

…then they’re considered irregular.


🔍 What Causes Irregular Periods?

There are several reasons why your cycle might be irregular. Some are completely natural, while others may need medical attention:

1. Hormonal Imbalances

  • The most common cause.

  • Conditions like Polycystic Ovary Syndrome (PCOS) or thyroid disorders can affect hormone levels, disrupting your cycle.

2. Stress and Lifestyle Factors

  • High stress, excessive exercise, poor sleep, or drastic weight changes can confuse your body’s internal clock.

3. Age and Puberty

  • In the first few years after menstruation begins (and during perimenopause), it’s normal for periods to be irregular.

4. Medications or Birth Control

  • Certain contraceptives, especially hormonal IUDs or implants, can cause changes in your cycle.

5. Chronic Conditions or Illness

  • Conditions like diabetes, eating disorders, or even intense infections can throw off your menstrual rhythm.


🧠 Why Understanding Your Cycle Matters

Your menstrual cycle is a reflection of your body’s overall health. Tracking your cycle can help you:

  • Detect underlying health issues early

  • Better plan for pregnancy or contraception

  • Prepare for period-related symptoms like mood swings or cramps

  • Recognize perimenopause or hormonal shifts


📊 How to Track an Irregular Cycle

Even if your period isn’t consistent, tracking it can offer powerful insights. Here’s how:

  • Use a period tracker app or calendar

  • Note the start and end dates

  • Record flow intensity and symptoms

  • Keep track of any spotting between periods

Patterns often emerge over time, making it easier to discuss concerns with your healthcare provider.


⚠️ When to See a Doctor

Irregular periods aren’t always a cause for alarm. But you should speak with a healthcare provider if:

  • You haven’t had a period for over 3 months (and you’re not pregnant)

  • Periods come more frequently than every 21 days

  • You bleed heavily for more than 7 days

  • You experience severe pain or unusual discharge

These could signal underlying issues that need medical attention.


💡 Final Thoughts

Irregular periods can be frustrating and confusing, but they’re often your body’s way of communicating that something is off — whether temporarily or long term. The key is to listen, track, and seek help when needed.

Understanding your menstrual cycle is the first step to owning your reproductive health. So don’t be afraid to ask questions, track your symptoms, and take control of your cycle — irregular or not.