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Are Delayed or Irregular Periods a Sign of Infertility?

February 05, 2024
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Irregular or delayed periods can be concerning for many women, especially those hoping to get pregnant. Additionally, irregular menstruation necessarily does not mean something abnormal, at least for some people. However, it should not be kept aside. About 30-40% of infertility cases result from irregular or abnormal ovulation. According to an IVF specialist in Delhi, irregular menstruation, absent period, and abnormal bleeding could be an indication that you have never ovulated, which is clinically called Anovulation. Therefore, understanding the link between periods and fertility is key.

In this guide, you will learn everything about irregular periods and identify whether it is a sign of infertility in females.

What are Irregular Periods?

A woman’s menstrual cycle is considered irregular if it is longer than 35 days or if the duration frequently changes. Irregular ovulation most often occurs due to an abnormal or reduced response from the pituitary gland, one of the major endocrine organs of the body. The pituitary gland secretes Gonadotropins, including FSH and LH.

While some irregularities of the menstrual cycle are physiologic, women with abnormal periods should seek medical attention. According to the IVF Doctor in Delhi, a woman should identify what causes it, especially when she cannot become pregnant.

What are Common Symptoms of Irregular Periods? 

Even though menstruation varies slightly from cycle to cycle, it is still considered “normal”, examples of irregular periods include:

  • Either less than 21 days or more than 35 days the menstruation occurs. 
  • There are no more than three periods in a row. Menstruation (bleeding) that is heavier or lighter than normal. 
  • A period lasting more than seven days. 
  • The period between cycles varying from 9 days or more. For example, a cycle lasts 28 days, then 37 days, then 29 days. 
  • Periods of severe pain, cramps, nausea or vomiting.
  • Bleeding or spotting that occurs after menopause or after intercourse. 

Causes of Irregular Periods 

Any disruption or change in your daily routine or failed IVF cycle can affect your menstrual cycle. Some root causes of irregular periods include:

  • Puberty, when menstruation begins
  • Hormonal imbalance 
  • Conditions like polycystic ovarian syndrome (PCOS) or thyroid disorders
  • Onset of menopause (usually between 45 and 55)
  • Missing your period as an early sign of pregnancy
  • Hormonal methods of birth control, such as progestogen-only pills, contraceptive injections, or intrauterine devices (IUS)
  • Weight loss or excess weight gain
  • Stress and anxiety
  • Eating disorders 
  • Too much exercise
  • Virus or other disease

When Irregular Periods Signal Fertility Problems

Irregular menstruation may signal fertility issues. If the cause is unknown, the risk of pregnancy complications may not be high, but you should discuss any potential risk with your doctor. Pregnant women with PCOS pose a higher risk of:

  • Abortion or increased risk of miscarriage 
  • Gestational diabetes mellitus 
  • Preeclampsia, a condition in which blood pressure rises suddenly after the 20th week of pregnancy
  • Premature birth

The other possible effects that result in fertility problems are thyroid imbalances, pelvic inflammation, endometriosis, and diminished ovarian reserve.

Diagnosis and Possible Treatment 

If you notice changes in your menstrual cycle, try to track when your period starts and ends. Pay close attention to irregular period symptoms and amount of bleeding.

To diagnose irregular periods, your doctor will ask you questions about your menstrual cycle and medical history. There will be a physical examination, which will include a pelvic exam. After diagnosis, a patient can choose any treatment option, including smart IVF, especially for the treatment of PCOS.

When to Seek Help

Irregular periods are normal but should never be overlooked. You must visit your physician if:

  • Bleeding occurs continuously, and it is difficult to identify the source.
  • Medical or health conditions resulting in irregular periods.
  • Other symptoms that occur alongside irregular periods are pelvic pain. 

If you are trying to have a baby and your menstruation is irregular, it may be more complicated to conceive since you do not ovulate regularly. In case you cannot conceive, it is necessary to take medicine that contains hormones or go for an  IVF treatment in Delhi.

Final Words

Nowadays, it is common to have irregular periods and random changes in menstrual cycle length. But if you often get periods that are too short or long, there is probably something affecting your regularity. Those who suffer from irregular menstrual periods and are looking to get pregnant may find useful information on ovulation tracking or consult a fertility specialist at the best IVF in Delhi

With the expertise in addressing fertility issues, our team at the Nandi IVF center in Delhi has already assisted many families to achieve parenthood. Why not go for it when your help is just one click away? Make an online booking to see a respectable gynecologist of Nandi IVF and talk about the treatment options for fertility.

Sr. IVF Specialist & Medical Director at NANDI IVF
Dr. Payal Bajaj is an experienced Obstetrician & Gynecologist with over 20 years of experience in the discipline. She is a Reproductive Endocrinologist & Infertility Specialist. She has Done MBBS From the Renowned Lady Hardinge Medical College. DGO from the prestigious VMMC & Safdarjang Hospital, DMAS From World Laparoscopy Hospital.

She has Completed Her esteemed ASPIRE -ISAR Fellowship in the field of Reproductive Medicine from AFGC, Delhi And St' Mother's Hospital Japan.She has also been trained from the University of KEIL Germany. She has won various academic awards all through her academic career.
Dr. Payal Bajaj
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