Menstrual Problems and Irregular Menses

What Are Menstrual Problems or Irregular Menses?

Period Problems and Irregular Periods

Menstrual problems or irregularities include any changes in the flow, pattern or timing of your menstrual cycle. These problems may be present from the very beginning of your menarche or maybe a new problem that developed from a previously normal menstrual cycle.

How Do I Know If This Is a Problem?

Any changes to menstrual flow, pattern or timing, especially if persistent, should be further evaluated by your doctor.

This is regardless of whether the problem has been persistent since menarche or of recent onset.

If you are interested to find out more about Period Issuesplease call our Women’s Clinics or drop us an email at for an appointment with our female doctors.

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What Are The Possible Causes of Abnormal Menses?

There are many different causes of why your menstrual cycle may be out of whack.

The actual cause can only be determined after you have had your doctor’s consultation and detailed history, physical examination and relevant investigations have been carried out.

Possible causes of abnormal menstrual bleeding may include being overweight, hormonal imbalance, pregnancy, polycystic ovarian syndrome or even cervical or womb cancer.

Thus, it is always important to seek treatment early so that any abnormalities can be detected early and treatment be given in a timely manner.

Frequently Asked Questions (FAQs)

1) How Do I Know If My Menses Is Abnormal or Not?

Any change in the cycle pattern, flow or timing of your menstrual cycle from the normal pattern is advised to be further worked up by your doctor.

This is especially important if you are above 35 years old, if you are experiencing any other additional symptoms, or if your menstrual cycle has been very irregular since menarche.

2) What Type of Tests Are Usually Done for Irregular Menses?

The tests which are carried out may include blood tests for hormonal irregularities, PAP smear or an ultrasound pelvis.

The type of test will be determined based on your history and physical examination findings.

3) Is Having An Up To Date PAP Smear Important?

Abnormal vaginal bleeding may be a possible sign of cervical cancer.

Cervical cancer is one of the common gynaecological cancers which is preventable, and detectable at an early stage.

Therefore, it is important for any woman, who has been sexually active before, to always have regular and up to date PAP smears.

Learn More about Cervical Cancer, PAP Smear & HPV Vaccination

4) How Do I Know If My Abnormal Bleeding Is Due to Cancer?

There can be many different causes of abnormal irregular bleeding ranging from benign causes like hormonal imbalance to cancer of the cervix or womb.

It is therefore important to have a recent of up to date PAP smear to check for any abnormal cervical cells.

Sometimes, an endometrial biopsy may also be required to rule out womb cancer.

5) What Treatments are Available For Irregular Menses?

The treatment for irregular menses will depend on the cause of it. You may be prescribed hormonal medications to regulate your menses.

6) Can Irregular Menses Be Normal?

Sometimes, some irregularities in the menstrual cycle may be considered physiological (or normal) especially if a girl has just entered menarche, or if a woman is approaching menopause.

However, this can only be diagnosed after further investigations are done to rule out other abnormal causes.

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If you are experiencing any worrying symptoms or signs, please call or visit any of our Women’s Health Clinics or drop us an email at for an appointment for a proper evaluation and treatment.

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