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I have trouble with my period
Decreased period bleed
Absent periods
Menstruation is very short
Menstrual delay
Lighter periods
Absent menstruation
Not seeing your symptoms? No worries!
A condition where menstruation does not occur regularly due to the failure of an egg to be released from the ovaries. This causes irregular menstruation with skipped months, and can be heavy in nature. The failure of ovulation (egg release) can be caused by hormonal imbalances, being overweight or extremely underweight, thyroid disorders and uncontrolled diabetes to name a few examples.
Your doctor may ask these questions to check for this disease:
Treatment depends on the cause, and frequent irregular menstruation should prompt a checkup with an OB/GYN. For many people, losing weight can be helpful.
Reviewed By:
Ravi P. Chokshi, MD (Obstetrics and Gynecology (OBGYN), Critical Care)
Current Maternal Fetal Medicine Fellow with Dual board certification in Obstetrics & Gynecology and Critical Care Medicine. | 5+ years experience managing a general Ob/Gyn practice and working in the Intensive Care Unit. | Previously Physician Lead of a large single specialty practice with 8 Physicians and 10+ Advanced practitioners. | Member of the Society of Maternal Fetal Medicine Patient education committee. | Frequent Medscape Consult contributor.
Seiji Kanazawa, MD, PHD (Obstetrics and Gynecology (OBGYN))
Dr. Kanazawa graduated from the Niigata University Faculty of Medicine and received his Ph.D. from the Tohoku University Graduate School of Medicine. He is working on the front line of the General Perinatal Center, including the Tokyo Tama General Medical Center and the National Center for Research in Fertility Medicine, where he provides maternal and fetal care and undertakes clinical research. At Ubie, Dr. Kanazawa has been designing the Ubie AI Symptom Checker and has taken on the role of general obstetrics and gynecology consultation at FMC Tokyo Clinic by providing fetal ultrasound and prenatal consultation.
Content updated on Mar 31, 2024
Following the Medical Content Editorial Policy
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This questionnaire is customized to your situation and symptoms, including the following personal information:
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Q.
Am I Ovulating? Why Your Body is Stalling & Medically Approved Next Steps
A.
There are several factors to consider: ovulation often shows up as egg white cervical mucus, a predictable 21 to 35 day cycle, a slight basal temperature rise, or a positive LH test, while stalling can look like irregular, very long or very short cycles, skipped periods, trouble conceiving, or absent fertile mucus, commonly due to PCOS, stress, thyroid or high prolactin issues, perimenopause, or low weight and overexercise. Medically approved next steps include tracking your cycle with BBT and OPKs, targeted blood tests for progesterone, FSH and LH, TSH, prolactin, and androgens, and a pelvic ultrasound, followed by lifestyle adjustments or medications like thyroid treatment, dopamine agonists, ovulation induction, or cycle regulation based on your goals. See below for the specific red flags and timelines for when to see a doctor, plus important details that can change which next step is right for you.
References:
* Hur KY, et al. Polycystic Ovary Syndrome: An Endocrine-Metabolic Perspective. Endocrinol Metab (Seoul). 2021 Jun;36(3):525-534. doi: 10.3803/EnM.2021.110. Epub 2021 Jun 25. PMID: 34182833; PMCID: PMC8284799.
* Gordon CM. Hypothalamic amenorrhea: current concepts and management. Fertil Steril. 2020 Jul;114(1):12-21. doi: 10.1016/j.fertnstert.2020.04.030. Epub 2020 Apr 23. PMID: 32336302.
* Huddleston S, et al. Ovulation Induction and Infertility: An Update. J Clin Med. 2023 Sep 20;12(18):6062. doi: 10.3390/jcm12186062. PMID: 37762693; PMCID: PMC10531773.
* Fauser BCJM, et al. Primary Ovarian Insufficiency: Current Concepts and Management. Front Endocrinol (Lausanne). 2021 Nov 29;12:764263. doi: 10.3389/fendo.2021.764263. PMID: 34916962; PMCID: PMC8668261.
* Ma J, et al. Management of anovulatory infertility: A systematic review and meta-analysis. J Obstet Gynaecol Res. 2022 Mar;48(3):562-571. doi: 10.1111/jog.15174. Epub 2022 Feb 10. PMID: 35147321.
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1ACOG Patient FAQ
https://www.acog.org/womens-health/faqs/abnormal-uterine-bleedingACOG Practice Bulletin
https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2012/07/diagnosis-of-abnormal-uterine-bleeding-in-reproductive-aged-womenMedscape
https://emedicine.medscape.com/article/253190-overview