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Diagnosis

If one has irregular menstrual cycles, their doctor may most likely begin by doing a pelvic exam. They'll inquire about one’s medical history and make a list of all the patient’s drugs and supplements.

Depending on individual symptoms, diagnostic testing may include the following-

  • PAP test: This test examines the cervix for infections or cancer cells.
  • Blood test: Anaemia, blood clotting issues, and thyroid function are all detected by blood testing.
  • Pelvic ultrasonography: This creates pictures of the uterus, ovaries, and pelvis using sound waves.
  • Endometrial biopsy: The doctor may prescribe an endometrial biopsy to assess any potential abnormalities with the uterus. A sample of uterine tissue was removed during this surgery to be evaluated. A diagnostic hysteroscopy can also be used to examine the interior of the uterus. For a hysteroscopy, your doctor will use an improved tube to check the uterus and remove the polyp.
  • Sonohysterogram: It is an ultrasound in which fluid is injected into the uterus to help get an image of the uterine cavity. The doctor can then examine the patient for polyps or fibroids.
  • Pregnancy Test: The doctor may also ask for a pregnancy test.

Treatment

One does not need treatment for irregular periods unless they bother to a severe extent.

  • Changing birth control method – A doctor may offer another kind of birth control if one has irregular periods after three months on hormonal birth control. When taking Nexplanon, Depo-Provera, or an IUD, some women experience irregular periods.
  • Changes in lifestyle – In some cases, periods are disrupted as a result of excessive activity. Such individuals may need to reduce the intensity of the work out or exercise less frequently. If stress is the issue, knowing how to handle it — as well as speaking with a counsellor if necessary — may be beneficial.
  • Hormone therapy – A lack of or imbalance in specific hormones in the body might cause an irregular menstrual cycle. To assist regulate irregular periods, doctors frequently prescribe birth control tablets (oral contraceptives) containing the hormones oestrogen and progesterone. Progestin, a hormone prescription, can also assist females who don't have periods acquire them. A doctor may prescribe different hormone therapy if they have irregular periods and are attempting to conceive.
  • Surgery – Irregular periods can be caused by scarring or structural abnormalities in the uterus (womb) or fallopian tubes. If one wants to have children, doctors may propose surgery to fix any structural abnormalities or birth defects. For irregular periods arising from polycystic ovary syndrome (PCOS) and hypothyroidism in general, the goal of treatment is to restore the balance of hormones in the body.

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