Should You See a Doctor for Irregular Menstrual Periods? - Obstetrics and Gynecology

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Should irregular menstrual periods be evaluated by a doctor?


Hello, Doctor.
About six years ago, I sought medical attention due to irregular menstrual periods.
At that time, the doctor mentioned it was just a matter of my constitution and not to worry too much.
However, I have been experiencing the same issue over the years, and in the past year or two, I have noticed that during certain months, I only have dark discharge without fresh blood, or the menstrual blood is very light in color.
I would like to ask Dr.
Wu if this is normal and if I need to undergo further examination.
Thank you, Doctor.

santiago, 20~29 year old female. Ask Date: 2020/06/27

Dr. Wu Xianghui reply Obstetrics and Gynecology


Abnormal bleeding and irregular menstrual cycles can have various underlying causes.
It is recommended to consult a specialist in obstetrics and gynecology for evaluation.

Reply Date: 2020/06/27

More Info


Irregular menstrual periods can be a common concern among women, and while some variations can be normal, persistent irregularities or changes in menstrual flow should not be overlooked. Given your history of irregular cycles and the recent symptoms you've described—such as the presence of only dark discharge without fresh blood, or very light menstrual flow—it's advisable to consult a healthcare provider for further evaluation.

Menstrual irregularities can arise from various factors, including hormonal imbalances, stress, significant weight changes, excessive exercise, or underlying medical conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, or even more serious issues like uterine fibroids or endometriosis. The fact that you've experienced these symptoms over the past year or two suggests that it may be time to seek medical advice again.

When you visit a healthcare provider, they will likely conduct a thorough assessment, which may include:
1. Medical History Review: Discussing your menstrual history, any changes in your lifestyle, stress levels, and overall health can provide valuable insights.

2. Physical Examination: A physical exam may help identify any visible issues that could be affecting your menstrual cycle.

3. Laboratory Tests: Blood tests can check hormone levels, thyroid function, and other relevant markers that could explain your symptoms.

4. Imaging Studies: In some cases, an ultrasound may be recommended to visualize the reproductive organs and check for abnormalities such as cysts or fibroids.

5. Pelvic Examination: This may be performed to assess the health of your reproductive organs.

It's important to note that while some women may have naturally irregular cycles, any significant changes in your menstrual pattern—especially if accompanied by other symptoms like pain, unusual discharge, or changes in weight—should be taken seriously. The presence of dark discharge can sometimes indicate old blood, which may not be a cause for concern, but it can also signify other issues that warrant investigation.

In summary, while your previous doctor may have suggested that your irregular periods were simply a matter of your body’s natural rhythm, the persistence and change in your symptoms over the years indicate that a follow-up is warranted. Seeking a second opinion or returning to a healthcare provider for a comprehensive evaluation can help ensure that any underlying issues are identified and managed appropriately. Early intervention can often lead to better outcomes, so don’t hesitate to reach out to a healthcare professional for guidance.

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