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Dr. Gurpreet Kaur Virk

Senior Consultant - Obstetrics & Gynecology

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Dr. Gurpreet Kaur Virk

Senior Consultant - Obstetrics & Gynecology

Manipal Hospitals, Patiala

Common Causes of Abnormal Periods(Irregular Periods): What You Should Know

Posted On: Feb 19, 2025
blogs read 5 Min Read
Common Causes of Abnormal Periods (Irregular Periods)

A regular menstrual cycle is a sign of good reproductive health, but many women experience irregular periods at some point in their lives. If your cycle is unpredictable—too long, too short, or skips months—you’re not alone.

Understanding the reason for causes of abnormal periods can help you find solutions. This guide covers:

  • The top causes of irregular periods

  • How lifestyle affects your cycle

  • When to seek medical advice

  • Abnormal menstruation treatment options

 

Hormonal Imbalances: The Root Cause?

Hormones regulate ovulation and menstruation. Even minor hormonal imbalances can disrupt your cycle.

Estrogen & Progesterone: The Main Players These two hormones control ovulation. When their balance is off, your period may become irregular.

Polycystic Ovary Syndrome (PCOS) One of the leading causes of abnormal periods, PCOS can cause:

  • Missed or late periods

  • Excessive bleeding during periods

  • Acne, weight gain, and unwanted hair growth

Thyroid Disorders

  • Hypothyroidism (underactive thyroid) can lead to heavy or infrequent periods

  • Hyperthyroidism (overactive thyroid) may result in lighter or more frequent periods

  • Stress & Cortisol: The Silent Cycle Disruptor High stress increases cortisol levels, affecting ovulation and leading to skipped or delayed periods.

Lifestyle Triggers: Are You Unknowingly Causing It?

Daily habits significantly impact menstrual health.

Over-Exercising vs. Under-Exercising

  • Excessive workouts (e.g., marathon training) can lead to missed periods

  • Sedentary lifestyle may cause weight gain, leading to hormonal imbalances

Diet & Nutrition: What You Eat Matters

  • Crash diets & fasting can stop ovulation

  • Iron deficiency can lead to excessive bleeding period

Sleep & Menstrual Health Poor sleep can disrupt hormone production, leading to cycle irregularities.

Quick Tips to Regulate Your Period Naturally

Do’s

Don’ts

Eat a balanced diet (protein, fiber, healthy fats)

Skip meals or crash diet

Exercise in moderation

Over-exercise excessively

Get 7–9 hours of sleep

Sleep late & disrupt circadian rhythm

Manage stress through yoga or meditation

Overwork & ignore self-care

Birth Control & Medications: Friend or Foe?

Some medications alter menstrual cycles, leading to causes of irregular periods.

Birth Control Pills & Irregular Periods

  • Combination pills (estrogen + progesterone) may lighten periods

  • Progestin-only pills can cause spotting or missed periods

Emergency Contraception & Period Delay The morning-after pill can delay your period due to a sudden hormone surge.

Medications That Can Affect Your Cycle

  • Antidepressants & anti-anxiety meds can cause hormonal shifts

  • Steroids may disrupt estrogen balance

  • Chemotherapy drugs can stop periods temporarily

Causes of abnormal period cycle

Hidden Health Conditions You Shouldn’t Ignore Sometimes, causes of abnormal period cycle can signal a deeper medical issue.

Endometriosis & Fibroids: Do They Cause Heavy Bleeding?

  • Endometriosis can lead to severe cramping & excessive bleeding period

  • Fibroids may cause heavy & prolonged menstrual flow

Diabetes & Insulin Resistance High insulin levels interfere with ovulation, leading to irregular cycles.

Autoimmune Disorders Conditions like lupus & celiac disease can cause inflammation & cycle disruptions.

Stress & Mental Health: Can Your Mind Delay Your Period?

Your brain and reproductive system are closely connected.

The Brain-Ovary Connection Chronic stress suppresses ovulation, leading to missed periods.

Anxiety, Depression & Menstrual Irregularities

  • Mental health conditions can cause cycle disruptions

  • Emotional trauma may lead to period irregularities for months or years

Early Signs of Perimenopause (Even in Your 30s!)

Many women experience early perimenopause in their mid-30s or 40s.

Common Symptoms

  • Irregular cycles (longer/shorter than usual)

  • Night sweats, mood swings & insomnia

Is It Perimenopause or Just an Irregular Cycle? If you have irregular periods + other menopause-like symptoms, consult a doctor.

Period Myths vs. Facts: What You Should Really Believe

Myth

Fact

You can reset your cycle with diet

Diet helps, but it won’t instantly reset your cycle

Irregular periods = Infertility

Many women with irregular periods can still conceive.

Period syncing is real

No scientific proof—just a coincidence

Final Thoughts: When to See a Doctor

While occasional causes of abnormal period bleeding are normal, seek medical help if:

  • Cycles are longer than 45 days or shorter than 21 days

  • You miss 3 or more periods in a row

  • You experience excessive bleeding during periods

Conclusion

Understanding your cycle helps you stay in control of your health. If something feels off, listen to your body and consult a doctor.

Need Expert Medical Advice? If you’re experiencing irregular or heavy periods, consult the gynecologists specialists at Manipal Hospital Patiala. Our team of expert gynecologists offers comprehensive care for menstrual health, PCOS, endometriosis, and more.

Book an Appointment Now!

 

FAQ's

Hormonal imbalance due to stress, PCOS, thyroid issues, or lifestyle factors is the most common cause.

  • Lifestyle changes: Balanced diet, stress management, and regular exercise

  • Medication: Birth control pills or hormonal therapy

  • Medical procedures: If caused by fibroids or endometriosis

  • Hormonal imbalances (PCOS, thyroid disorders)

  • Stress & lifestyle factors

  • Medical conditions like diabetes or fibroids

Possible causes of abnormal bleeding between periods include fibroids, endometriosis, or hormonal imbalance. Seek medical help if bleeding lasts more than 7 days or soaks through pads/tampons quickly.

If you:

  • Change pads/tampons every hour or less

  • Have blood clots larger than a quarter

  • Experience dizziness, fatigue, or breathlessness It’s time to visit a gynecologist.

Yes, high cortisol levels can suppress ovulation, leading to delayed or missed periods.

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