Irregular Periods: Signs Your Menstruation May Be Coming - Obstetrics and Gynecology

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Menstrual issues


I have irregular menstrual cycles.
My last period was from June 27 to July 1, before that from May 17 to May 21, and from April 3 to April 7.
However, as of today (August 10), my period has not arrived.
I had a single instance of protected intercourse on August 7.
Yesterday (August 9), I noticed thick white discharge.
Does this mean my period is coming soon? Thank you, doctor.

Chen, 20~29 year old female. Ask Date: 2021/08/10

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you should not be pregnant.
Just monitor the situation.
Wishing you good health.

Reply Date: 2021/08/10

More Info


Understanding irregular menstrual cycles can be quite challenging, especially when there are variations in cycle length and unexpected changes in discharge. Based on your provided dates, it appears that your menstrual cycle has been inconsistent, with periods occurring approximately every 4 to 6 weeks. The last recorded period was from June 27 to July 1, and as of today, August 10, you have not yet had your period for this cycle.

Irregular periods can be influenced by a variety of factors, including stress, hormonal imbalances, changes in weight, exercise habits, and even certain medical conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders. Given that you had a sexual encounter on August 7, it is understandable to be concerned about the possibility of pregnancy, especially if your period is late.

The white, thick discharge you experienced on August 9 could be a sign of ovulation or a premenstrual symptom. Many women notice changes in their cervical mucus throughout their cycle; for instance, it can become thicker and more opaque as ovulation approaches or just before menstruation begins. However, this type of discharge can also occur due to other factors, such as hormonal fluctuations or infections.

Here are some signs that may indicate your period is approaching:
1. Breast Tenderness: Many women experience breast tenderness or swelling in the days leading up to their period due to hormonal changes.

2. Bloating: Hormonal fluctuations can lead to water retention, causing bloating and discomfort.

3. Mood Swings: Changes in mood, irritability, or increased emotional sensitivity can occur due to hormonal shifts.

4. Cramping: Some women experience mild cramping or discomfort in the lower abdomen as their period approaches.

5. Changes in Discharge: As you mentioned, changes in cervical mucus can indicate that your period may be on its way.

If your period does not arrive within a week or so, it may be wise to take a home pregnancy test, especially if you are concerned about the possibility of pregnancy. These tests are generally reliable and can provide clarity on your situation. If the test is negative and your period still does not come, or if you continue to experience irregular cycles, it would be advisable to consult with a healthcare provider. They can help assess your menstrual health, investigate any underlying issues, and provide guidance on managing irregular periods.

In summary, while the changes in discharge and the timing of your cycle may suggest that your period is approaching, it is essential to monitor your symptoms and consider taking a pregnancy test if your period does not arrive soon. Consulting with a healthcare professional can provide further insights and support tailored to your specific situation.

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