Irregular periods? A GP's guide to getting regular periods naturally 

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This blog is for educational purposes only and does not replace professional medical advice or diagnosis. If you have health concerns, consult an AHPRA-registered telehealth doctor or request a medical certificate online if clinically appropriate. Please note: Hola Health does not currently offer Mental Health Care Plans.

Overview

Occasional fluctuations in your menstrual cycle are normal and usually not a reason for alarm. However, consistently irregular periods might be caused by an underlying health problem such as hormonal imbalances, polycystic ovarian syndrome (PCOS), which is now called Polyendocrine Metabolic Ovarian Syndrome (PMOS), thyroid abnormalities, stress, severe weight changes, or certain lifestyle factors. While healthy behaviours may improve menstrual health, there is no definitive natural approach to manage periods, especially if an underlying medical disease exists. This guide explains the common causes of irregular periods, natural ways to support menstrual health, available medical management options, and when to seek medical advice. For most individuals, a menstrual period lasting 21 to 35 days is considered normal; however, cycle duration varies from person to person.

What are irregular periods?

A regular menstrual cycle usually occurs every 21 to 35 days and follows a relatively predictable pattern. Irregular periods refer to changes in the timing, flow, or frequency of menstrual bleeding that differ from your normal cycle. While minor differences are common, any persistent abnormalities should be evaluated by a doctor.

Irregular periods might include:

• Periods arrive earlier or later than planned
• Missed periods (absence of menstruation)
• Extremely severe menstrual bleeding
• Extremely light periods
• Bleeding or spotting between periods
• Menstrual cycles that vary greatly in duration each month

What causes irregular periods?

Many factors can affect hormone levels and disrupt the menstrual cycle. Some causes are temporary, while others require medical management.

Can you get regular periods naturally?

Healthy lifestyle practices may aid hormonal balance and menstrual health in certain individuals. However, their success depends on the underlying reason for irregular periods. If symptoms persist or develop without a clear explanation, a medical evaluation is required to discover any underlying conditions and establish the best course of action.

Maintain a healthy weight

• Being overweight or underweight might have an impact on hormone production and ovulation.
• Aim for progressive, long-term weight control rather than quick weight loss.
• Before starting a restricted diet, consult with a healthcare expert.

Eat a balanced diet

Good dietary habits promote overall reproductive health and hormonal function. It includes:

• Iron-rich foods such as lean meat, beans, and leafy green vegetables.
• Whole grains for sustained energy.
• An assortment of fruits and veggies
• Healthy fats are found in foods such as nuts, seeds, and oily seafood.
• Adequate protein from lean meats, dairy, eggs, or plant-based sources.

Exercise frequently (without overtraining)

• Aim for frequent moderate physical activity to improve your overall health.
• Exercise may help regulate hormones and maintain a healthy weight.
• Excessive or severe activity without appropriate nourishment might cause menstrual irregularities.
• Listen to your body and give it time to rest.

Manage stress

Stress can interfere with hormone signals that control ovulation and menstruation. There are several ways to handle stress, including:

• Practising mindfulness or meditation.
• Yoga or mild stretching.
• Relaxation and breathing techniques.
• Speaking with a counsellor or psychologist.
• Maintaining good sleep patterns.

Get enough sleep

Quality sleep is vital for hormone control and overall well-being.

• Aim to get 7-9 hours of sleep per night.
• Go to bed and get up at consistent times.
• Reduce your screen time before bedtime.
• Create a comfortable sleeping environment.

"This information is for educational purposes only. You should consult a medical practitioner before attempting new wellness programs or lifestyle changes to ensure they are safe for your specific condition."

Manage underlying medical conditions

Lifestyle adjustments may not be sufficient to manage periods caused by PCOS, thyroid illness, diabetes, or other hormonal diseases. Treating the underlying issue is often necessary to restore normal menstrual periods and limit the risk of complications. If you have been diagnosed with an underlying medical problem, you should see your doctor regularly.

Natural remedies: What does the natural approach say?

While many natural remedies are promoted for regulating periods, scientific evidence varies. Before using any supplements or herbal items, always consult a healthcare expert.

Medical management for irregular periods

The management depends on the underlying cause of your irregular periods. After reviewing your symptoms, medical history, and any investigation results, your doctor may suggest one or more treatment alternatives.

Hormonal contraception

• Combined oral contraceptive tablets can help regulate menstrual periods.
• Hormonal intrauterine devices (IUDs) can help reduce excessive menstrual bleeding.
• Other hormonal contraceptives may potentially help with irregular bleeding, depending on your specific needs.

PCOS Management

• Lifestyle adjustments, including weight control as needed, may enhance ovulation.
• Hormonal contraception can help control menstrual cycles.
• Some patients may benefit from insulin-sensitising medications.
• Fertility treatments may be recommended if pregnancy is desired.

Thyroid management

• Treatment for an underactive or hyperactive thyroid can typically help restore regular menstrual periods.
• Regular monitoring may be required to ensure thyroid hormone levels remain under control.

Managing for excessive menstrual bleeding

• Hormonal medications may alleviate excessive menstrual bleeding.
• Non-hormonal treatments may also be advised.
• Additional investigations may be necessary to determine the underlying cause of severe bleeding.

Fertility treatment (where applicable)

• If irregular periods are interfering with your fertility, your doctor may prescribe ovulation-stimulating medications.
• If further evaluation or treatment is necessary, a referral to a reproductive specialist or gynaecologist may be recommended.
• Early medical advice is recommended if you have been trying to conceive without success and have irregular menstrual cycles.

When should you see a doctor?

Occasional fluctuations in your menstrual cycle are often not a reason for worry. However, persistent or severe changes may suggest an underlying health problem that needs evaluation. A doctor can determine the reason and offer suitable treatment to help you maintain your reproductive health.

You should visit a doctor if:

• Your periods stopped abruptly, and pregnancy was not the cause.
• Your menstrual periods are typically less than 21 days or more than 35 days.
• You experience extremely heavy menstrual bleeding or periods that persist for longer than usual.
• You suffer from bleeding or spotting between periods.
• You experience significant pelvic or abdominal discomfort.
• Your periods are erratic for several months.
• You are trying to conceive but are unsuccessful.

When is it an emergency?

Seek urgent medical attention immediately if you have:

• Heavy bleeding that requires one or more pads or tampons per hour for several hours.
• Severe stomach or pelvic pain
• Fainting, weakness, or dizziness associated with significant bleeding
• Symptoms of a possible ectopic pregnancy like significant one-sided pelvic discomfort or pain, shoulder pain, and fainting.
• Heavy bleeding or severe pain during pregnancy

Emergency: If you experience severe, worsening, or life-threatening symptoms, call 000 immediately or attend your nearest Emergency Department (ED). This includes heavy bleeding (soaking through pads/tampons every hour), severe abdominal pain, or signs of an ectopic pregnancy.

Can telehealth help with irregular periods?

Telehealth can be a useful first step in discussing menstruation difficulties, especially if the symptoms are moderate or persistent. While certain investigations need to be done in person, a telehealth consultation can help determine the next steps in your care.

A telehealth consultation might help with:

• Discussing irregular or missed periods
• Initial evaluation of menstrual symptoms
• Lifestyle and menstrual health advice
• Reviewing current medications that might disrupt your cycle
• Ordering pathology or imaging referrals when clinically indicated
• Referrals to a gynaecologist when additional evaluation is required

An in-person examination may be recommended if you have severe pain, heavy bleeding, abnormal pelvic findings, or require a physical examination or ultrasound.

How Hola Health can help

If you're experiencing irregular periods, Hola Health provides convenient access to qualified doctors through secure telehealth consultations.

• Online doctor consultations: Consult an AHPRA-registered doctor regarding irregular periods, missed periods, excessive bleeding, or other menstrual issues from the comfort of your home.
• Evaluation of irregular periods: A doctor can assess your symptoms, medical history, and menstrual cycle, explain potential reasons, and offer appropriate tests or treatments.
• Women's health advice: Get personalised information on menstrual health, lifestyle modifications, contraception, and managing common diseases that might disrupt your menstrual cycle.
• Online prescriptions: Doctors can prescribe medications to address underlying diseases or menstrual symptoms based on clinical assessment.
• Pathology and imaging referrals: If necessary, your doctor might recommend blood tests or imaging referrals, such as a pelvic ultrasound, to determine the cause of irregular periods.
• Gynaecology referrals: If a specialised assessment is required, your doctor may refer you to a gynaecologist for additional evaluation or treatment.
• Medical certificates: If menstrual symptoms interfere with your ability to work or study, eligible individuals may be issued a medical certificate after a clinical assessment.

Tips for a healthy menstrual cycle

• Maintain a balanced and healthy diet.
• Maintain a healthy bodyweight.
• Maintain frequent, moderate physical exercise.
• Avoid excessive exertion without proper nourishment.
• Develop appropriate stress management methods.
• Aim for 7-9 hours of good sleep every night.
• Track your menstrual cycle using a calendar or app.
• Attend regular medical check-ups and discuss any persistent changes with your doctor.

Conclusion

Irregular periods can occur for many reasons, including temporary lifestyle changes and underlying medical issues like PCOS or thyroid abnormalities. Healthy behaviours may benefit menstrual health, but they may not address all menstrual abnormalities. If your periods continue to be irregular, become heavy, or are accompanied by other troubling symptoms, consulting a doctor can help you discover the reason and obtain the best treatment possible.

FAQs

What causes irregular periods?

Stress, severe weight changes, heavy exercise, PCOS, thyroid issues, pregnancy, menopause, certain drugs, and other hormonal or medical factors can all contribute to irregular periods.

Can stress cause irregular periods?

Yes. Ongoing physical or mental stress can disrupt hormone levels that control ovulation, resulting in delayed, skipped, or irregular periods.

Can irregular periods become regular naturally?

They can if the reason is lifestyle-related, such as stress, weight fluctuations, or excessive physical activity. However, periods caused by underlying medical conditions often require medical attention.

What foods may help support menstrual health?

A well-balanced diet that includes iron-rich foods, whole grains, fruits and vegetables, healthy fats, and appropriate protein promotes general reproductive health. Yet, no single food can ensure regular periods.

Does exercise affect menstrual cycles?

Yes. Regular moderate exercise can benefit hormonal health; excessive physical activity with inadequate calorie intake may disrupt ovulation, leading to irregular or missed periods.

When should I worry about irregular periods?

You should seek medical attention if your periods cease abruptly, become irregular, are very heavy, occur between cycles, or are accompanied by significant discomfort, or trouble becoming pregnant.

Can telehealth help with irregular periods in Australia?

Yes. Telehealth can help with an initial assessment, lifestyle advice, medications review, referrals for blood tests or imaging as clinically indicated, and referrals to a gynaecologist as needed.

Can a telehealth doctor order blood tests for irregular periods?

Yes. Where clinically appropriate, a telehealth doctor may arrange pathology referrals or imaging requests to evaluate the reasons for irregular periods.

Can irregular periods affect fertility?

Yes. Irregular periods may indicate irregular ovulation, which can make it more difficult to conceive. Identifying and treating the underlying cause can improve fertility outcomes.

Is it normal to occasionally miss a period?

Yes. An occasional missed period can happen due to stress, illness, travel, or hormonal changes. However, if missed periods occur repeatedly and pregnancy has been ruled out, you should see a doctor for further assessment.