When to talk to a doctor about your cycle

Article Img
Published 21 May 2025 | Written by Dr Eva R. Dixon

A healthy menstrual cycle typically lasts between 21 to 35 days, with menstrual bleeding lasting 2 to 7 days. Your cycle might not be perfectly regular—and that’s okay. However, understanding your normal can help you recognize when something feels off.

If you're tracking your cycle and notice consistent patterns, great! But if unexpected changes occur, it may be time to check in with a healthcare professional.


Signs It’s Time to Talk to a Doctor

1. Missed Periods (Amenorrhea)
Skipping a period occasionally can be due to stress, weight changes, or exercise—but if you’ve missed more than three periods in a row and you’re not pregnant, it’s time to consult a doctor. Missing periods may indicate hormonal imbalances, thyroid issues, or conditions like PCOS (Polycystic Ovary Syndrome).

2. Extremely Heavy Bleeding (Menorrhagia)
Do you need to change your pad or tampon every 1-2 hours? Are your periods lasting longer than a week? This could be a sign of menorrhagia, which may be caused by fibroids, polyps, or bleeding disorders.

3. Severe Pain (Dysmenorrhea)
Cramping is common, but if you’re experiencing debilitating pain that interferes with daily life or isn’t relieved by over-the-counter medication, it’s worth investigating. Endometriosis and fibroids can cause unusually painful periods.

4. Irregular Periods
If your cycle is consistently unpredictable—too short, too long, or varies wildly from month to month—it could be a sign of hormonal issues or underlying health conditions.

5. Spotting Between Periods
A little spotting may happen with hormonal birth control, but regular or unexplained bleeding between periods should always be checked out. It can signal hormonal imbalance, infections, or, rarely, something more serious.

6. Unusual Discharge or Odor
Changes in the color, consistency, or smell of vaginal discharge during your cycle might be a sign of an infection or imbalance. If discharge is accompanied by itching, burning, or a strong odor, don’t ignore it.

7. Symptoms of Anemia
Heavy periods can cause iron-deficiency anemia. If you’re frequently tired, short of breath, dizzy, or pale, especially during or after your period, you may need a blood test and treatment.

8. Mood Changes or Severe PMS
While it’s normal to feel moody before your period, intense mood swings, anxiety, or depression that interfere with your life could be signs of PMDD (Premenstrual Dysphoric Disorder). A doctor can help with diagnosis and treatment options.


Why It Matters

Your menstrual cycle is more than just a monthly event—it’s a vital sign of your overall health. Ignoring cycle issues can lead to complications over time, especially if they’re related to hormone levels, fertility, or chronic conditions like endometriosis.


How Tracking Helps

Using a cycle tracking app or journal allows you to identify patterns and irregularities. This information is incredibly helpful for your doctor—it gives them a timeline and helps in diagnosing any problems more accurately.


When in Doubt, Speak Up

Don’t feel embarrassed to talk to a healthcare provider about your period. Whether it’s heavy bleeding, skipped cycles, or intense cramps, your concerns are valid. Early intervention often leads to easier treatment and better outcomes.


Final Thoughts
Your period is personal, but it shouldn’t be a mystery. Understanding your cycle—and knowing when something isn’t quite right—is empowering. If your body is sending warning signs, listen to them. Your menstrual health matters. Don’t hesitate to reach out for support.