Intermittent or Irregular Menstruation (Oligomenorrhea)

Facts About Irregular Periods

  • Oligomenorrhea is a condition in which there are more than 35 days, but less than 3 months between periods
  • By oligomenorrhoea are periods are not regular
  • Approximately 30% of women under 35 years, over a year or more menstrual cycles, which lasts more than 35 days
  • Common causes are diet, strenuous exercise, stress, bulimia, anorexia, PCOS, IUS, menopause and pregnancy
  • Rare causes are low or high metabolism
  • Treatment directed to cause or infertility fertility treatment

What are irregular menstrual periods?

  • Oligomenorrhoea is a condition where there is a long time between menstrual bleeding. The range is more than 35 days but less than 3 months. When the state has been there since puberty, called the primary oligomenorrhoea. If women have previously had normal menstruation intervals, called the secondary oligomenorrhoea
  • By oligomenorrhoea are periods are not regular
  • Approximately 30% of women under 35 years, over a year or more menstrual cycles, which lasts more than 35 days

What can be the reason?

Common causes

  • Weight loss and / or hard training
    • By strict dieting or very hard physical training stress on the body, and cause endocrine disruption, which means that it takes a long time between periods or menstruation ceases altogether at a time
    • There may also be anorexia and or bulimia
  • Psychological and social stresses
    • During periods of much stress or problems (eg, by moving away from home, studying for exams) may cause temporary endocrine disruption and longer stays between periods
  • Polycystic ovary (PCOS)
    • Is a state of endocrine disruption and ovaries with many immature follicles (cysts)
    • Many are overweight and have a tendency to male hair growth and acne (acne)
    • Ultrasound will show cystic ovaries and can be combined with blood tests confirm the diagnosis
  • hormone Spiral
    • Reduces the amount of bleeding
  • mini Player or p-syringe
    • Can also provide scanty and rare menstruation
  • menopause
    • In the run-up to menstruation ceases completely, it may take a long time between periods
  • Pregnancy?

Rare causes

  • Hypothyroidism
    • Typical symptoms are lack of initiative, cold intolerance, muscle pain, increased need for sleep, weight gain (usually moderate), constipation, scanty and rare menstruation, dizziness, tingling and numbness in the hands, hair loss, unclear voice
    • There may be cool and dry skin, dry and split hair, brittle and thin nails, swelling around the eyes, slow pulse, slow tendon reflexes, psychomotor sluggishness
  • High metabolism
    • Symptoms are heart palpitations, fatigue, nervousness, irritability, weight loss despite good appetite, sweating, heat intolerance
    • Typical findings may be bulging eyes, restlessness, moist warm skin and hands, tremors, rapid pulse (over 90 beats per minute), irregular heart beat, lively tendon reflexes
  • Explains a lot of weight because of extreme dieting or strenuous exercise, you should slow slightly. Menstruationsforstyrrelserne is a sign that you run your body a little too hard
  • Explains stress, you should assess whether you can dampen the stress level
  • If you have a good and natural explanation of your condition, you do not seek medical
  • Are you contrast unsure of the cause, you should book an appointment with the doctor
  • If in addition to the suspensive menstruation are other symptoms that cause discomfort

What does the doctor?

Medical history

  • The doctor will work with you to try to find a possible cause.

Questions the doctor may ask you:

  • Are you on a diet?
  • Have you lost much?
  • Are you training hard? – how many times a week?
  • Are you exposed to stress or mental strain?
  • Have you taken on? Have you got more acne or more hairs on it last?
  • Are you cold easily?
  • Are you restless, hyperactive, sweat easily, feel constant hot?
  • Can you be pregnant?
  • Do you use birth control? What type?

Medical examination

  • There will be a gynecological examination, but it will in most cases be normal
  • Polycystic ovary syndrome can be detected sometimes, but often there is a need for an ultrasound scan

Other studies

  • Ultrasound examination, along with a blood test to confirm whether it is about PCOS
  • It may also be necessary to take blood tests of metabolic hormones and sex hormones

Referral to a specialist or hospital

  • On the rare periods and infertility recommended reference to the fertility clinic

How is the condition?

  • The studies try to identify possible causes of the rare periods of then finding the right treatment
  • Treatment is not necessary if there can not be a reason, and there is a current desire for pregnancy
  • When a pregnancy desire most can be helped with medication that will trigger ovulation, and the chance of achieving pregnancy is then good
  • If the time between periods is longer than 3 months, you can give gestagentilskud to regulate bleeding. Progestins (progesterone) are female sex hormones. By the application of gestagens maturing uterine lining and there will be a bleed, when the medication is interrupted. The progestin is therefore given in continuous periods,
  • Another option is to provide the pill, which will ensure that there are regular bleeding and also ensures that the body has enough estrogen. The pill will also reduce the amount of male hormones by conditions such as PCOS
Scroll to top