The treatment for each woman's irregular cycle will depend on the factors behind the irregularity.
After taking your full health and menstrual history, your provider will ask about changes to your lifestyle, weight, hair growth and unexplained pain.
Saliva tests to check hormone levels can reveal hormonal imbalances which can point to issues such as PCOS. Hormones typically checked include testosterone, thyroid hormone, prolactin, and analyses of sugar metabolism.
Your provider may also perform a pelvic ultrasound of your ovaries and uterus to look for cysts, tumors, fibroids or other irregularities in the pelvic structures that could impact your menstrual cycle.
If PCOS is the cause of the irregular cycles, your urogynecologist may recommend regulating hormones with birth control pills. If cysts become large and painful, surgeons can draw the fluid out of the cysts to reduce pain and scarring and lower the likelihood of complications. If symptoms become chronic, there are surgical options such as ovarian drilling, oophorectomy (removal of the ovaries) or hysterectomy (removal of the uterus and ovaries).
If the cause of your irregular menstrual cycle is hormonal, your urogynecologist can recommend the appropriate hormonal therapy to bring you back into balance and regulate your periods. This can include something as simple as hormonal birth control pills or a long-term contraceptive intrauterine device (IUD). Hormonal therapy can also ease the symptoms of uterine fibroids endometriosis, including uterine tissue overgrowth and heavy bleeding.
In the most severe cases, in-office procedures such as NovaSure uterine ablation or surgery may be recommended for long-term relief of heavy and irregular periods.
Managing an irregular menstrual cycle is important to maintaining your health now and throughout your life.
If you are experiencing irregular periods, don’t just cope – take action! Schedule your appointment with the team at Coyle Institute today to find the causes of your irregular menstrual cycle and get you on the road to better reproductive and long-term health.