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Treatment for Irregular Menstrual Cycle

Changes in the menstrual cycle can involve irregular bleeding, spotting, failure to ovulate or a number of other problems. Irregular cycles are usually a symptom of another underlying condition or problem, and the possible causes are vast. Physical problems and illnesses, hormonal imbalances, stress and certain medications and supplements can cause irregular periods and changes in ovulation. Treatment options for irregular menstrual cycles vary depending on the underlying cause or causes of the condition.

  1. Evaluation

    • A doctor must determine the cause of irregular menstrual cycles before implementing an appropriate treatment plan. Document the start and end dates of any irregular periods. Keeping track of how many feminine products are used each day can help a doctor determine the approximate amount of menstrual blood passing with each abnormal period. Disclose any other physical and mental changes or symptoms to your physician. Changes in body weight, mood, discharge and stress levels can all contribute to irregular periods. Doctors will usually check blood pressure, the heart, lungs, thyroid and breasts. Blood tests and ultrasound studies of the ovaries may also be performed to find other contributing factors.

    Nonprescription Treatment

    • Many irregular menstrual cycle problems are caused by stress and lifestyle choices that can be changed to help eliminate the problem. Patients who experience irregular periods due to stress may find relief by implementing relaxation and stress-reduction techniques, either on their own or with the help of a therapist. Keep exercise regular, but moderate, and seek treatment for any eating disorders. For women whose irregular periods are caused by obesity, a low carbohydrate diet will help with losing weight and restoring normal menstrual periods. Supplements such as fish oil, magnesium, calcium and multivitamins can help regulate nutritional levels, which may help eliminate irregular periods.

    Prescription Treatment

    • Prescription treatments for irregular menstrual cycles are typically hormone-based. Oral contraceptives, or birth control pills, are the most common hormonal prescription medication used in the treatment of irregular periods. Oral contraceptives regulate the ovulation cycle to help regulate periods and breakthrough bleeding. In cases where there has been a long absence of menstrual periods, doctors usually prescribe progesterone for a short period. Most women will have a period within two to three weeks after completing the progesterone treatment. Women who experience irregular menstrual cycles as a symptom of polycystic ovary syndrome (PCOS) may be put on Metformin, a drug used to reduce insulin levels. Metformin was shown to be successful in regulating menses in about 90 percent of PCOS patients in a 1999 study conducted at the Jewish Hospital's Cholesterol Center in Cincinnati, Ohio.

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