There are many myths surrounding menstruation. Without proper knowledge and guidance, menstrual issues can lead to serious complications in the future. So let’s understand when period-related problems arise, their causes, and the warning signs that require medical attention.

When Should You Be Concerned About Your Period?

Let’s first look at some common causes of irregular menstruation:

1. Pregnancy or Breastfeeding

A missed period can be an early sign of pregnancy. Breastfeeding can also delay the return of your periods after childbirth.

2. Eating Disorders, Rapid Weight Loss, or Excessive Exercise

Conditions like anorexia nervosa, sudden weight loss, or intense physical activity can disrupt your menstrual cycle.

3. Polycystic Ovary Syndrome (PCOS)

This common hormonal disorder causes irregular periods. The ovaries may be enlarged and contain small fluid-filled sacs (follicles), visible through ultrasound.

4. Premature Ovarian Failure

Also known as Primary Ovarian Insufficiency, this condition refers to the loss of normal ovarian function before the age of 40, often causing irregular or infrequent periods.

5. Pelvic Inflammatory Disease (PID)

This infection of reproductive organs can lead to irregular bleeding and long-term complications if untreated.

6. Uterine Fibroids

Non-cancerous growths in the uterus can cause heavy, prolonged periods and pelvic discomfort.

When to Contact a Doctor Immediately:

You should seek medical advice if:

1. Your periods suddenly stop for more than 90 days, and you're not pregnant.
2. Your previously regular periods become irregular.
3. You bleed for more than 7 days.
4. You soak through a pad or tampon every 1–2 hours.
5. Your cycle is shorter than 21 days or longer than 35 days.
6. You experience bleeding between periods.
7. You have severe pain during your period that disrupts daily life.
8. You develop a sudden fever and feel unwell after using a tampon (this could be Toxic Shock Syndrome, a medical emergency).