Irregular menses a cause for concern

DEAR DR. GOTT: I just had my menstrual cycle on my birthday last month and now have it again. Can you please explain to me what’s wrong?

DEAR READER: I will attempt to respond to your question in a general manner because you do not provide enough information in your letter.

A menstrual cycle is not the same for every woman. Generally speaking, it occurs every 28 days and lasts between four to seven days. Variation in flow, regularity and more are extremely common in young women just starting their cycles, as well as in women approaching menopause. [Read more...]

Irregular periods require investigation

DEAR DR. GOTT: My daughter is 19 and has always had irregular periods (every other month or longer). Her last period was in February. She is not sexually active, and a gynecological exam was normal. The doctor prescribed Provera and wanted to start her on a regimen of birth-control pills. She has a history of migraines and is reluctant to try this treatment. What are her options? She had a lifestyle change living away at college last year but did not have a weight change. Many times, she will have PMS but won’t have her cycle. Should we get another exam that includes a thyroid check or anything other than a routine gynecological exam?
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