8 min readLast updated: February 2026

Irregular Periods During Perimenopause

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Irregular Periods

Symptom Overview

Menstrual periods typically last four to seven days and occur roughly every 28 days. Irregular periods, also known as abnormal menstruation, are characterized by variations outside of this typical range. Normal menstrual cycles can range from 21 to 35 days. Irregularities can include periods that occur fewer than 21 days or more than 35 days apart, missing three or more periods in a row, or menstrual flow that is much heavier or lighter than usual. Other examples include periods lasting longer than seven days, cycle length varying by more than nine days, severe pain, cramping, nausea or vomiting during periods, bleeding or spotting between periods, after menopause, or after sexual intercourse, and soaking through one or more tampons or sanitary pads in an hour.

Causes

Medical Conditions

  • Endometriosis
  • Pelvic Inflammatory Disease (PID)
  • Polycystic Ovary Syndrome (PCOS)
  • Primary Ovarian Insufficiency
  • Thyroid or Pituitary Gland Disorders
  • Bleeding Disorders
  • Uterine or Ovarian Cancer

Lifestyle Factors

  • Stress
  • Weight Changes
  • Extreme Exercise
  • Illnesses

Other Causes

  • Medications
  • Pregnancy Complications
  • Breastfeeding
  • Surgery, Scarring, or Blockages

Natural Remedies

Yoga

Regular practice can help lower hormone levels related to irregular menstruation and reduce stress.

Maintain a Healthy Weight

Maintaining a healthy weight through balanced diet and exercise is beneficial.

Ginger

Known to reduce menstrual pain and promote regularity. Can be consumed as ginger tea.

Lifestyle Tips

  • Consume a balanced and nutritious diet rich in fruits, vegetables, and whole grains.
  • Engage in regular, moderate physical activity. Avoid excessive or intense exercise.
  • Ensure you get sufficient sleep each night.
  • Practice stress-reducing techniques such as meditation, deep breathing exercises, or journaling.
  • If weight loss is necessary, aim for gradual and sustainable changes.
  • Drink plenty of water throughout the day.

When to See a Doctor

While some menstrual irregularities are normal, certain symptoms warrant a consultation with a healthcare provider. Seek medical advice if you experience:

  • Severe pain or cramping during or between periods.
  • Unusually heavy bleeding or passing large blood clots.
  • Foul-smelling vaginal discharge.
  • A period lasting longer than seven days.
  • Bleeding or spotting between periods or after menopause.
  • Periods that become very irregular after a history of regular cycles.
  • Nausea or vomiting during your period.
  • Symptoms of toxic shock syndrome (TSS).
  • Missing three or more periods in a row.
  • If you suspect you might be pregnant.

Unlock Your Free Guide to Hormonal Harmony

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