Periods, irregular - Treatment 

Treating irregular periods 

When should I see my GP?

Talk to your doctor if you have any of the following changes in your periods:

  • You have very heavy periods, where you need to change your tampon or pad every hour or two, or you have to wear both a pad and a tampon.
  • Your periods last for longer than seven days.
  • There are fewer than three weeks between the start of one period and the next.
  • You have bleeding or spotting between periods. 
  • You are bleeding after sex.

Irregular periods are common during puberty or just before the menopause and in these cases treatment is usually not necessary.

But if you're worried because your periods are particularly heavy, last a long time or are more frequent than monthly, or if you get bleeding or spotting between periods or after sex, see your GP. Read the box on this page for more specific advice on when you should see your GP.

Your GP will ask questions about your periods, your lifestyle and your medical history to find out the underlying reason for your irregular cycle.

Any treatment that is necessary will depend on the reason for your irregular periods.

Changing your method of contraception

If you have recently been fitted with an intrauterine device (IUD) and you are experiencing irregular bleeding that does not settle within a few months, discuss changing to another method of contraception with your GP or practice nurse.

If you have started taking a new contraceptive pill that is causing irregular bleeding, you may be advised to change to another type of pill.

Treating polycystic ovary syndrome

For overweight women with polycystic ovary syndrome (PCOS), the symptoms can be improved by losing weight, which will also help with irregular periods. By losing weight, your body does not need to produce as much insulin, which reduces testosterone levels and improves your chance of ovulation (releasing an egg each month).

Other treatments for PCOS include hormone treatment and diabetes medication. For more information, see Treating polycystic ovary syndrome.

Treating an overactive thyroid

Treatment for an overactive thyroid aims to return the level of thyroid hormones in your blood to normal. You may need to take medication to stop your thyroid gland producing too many hormones. See Treating hyperthyroidism for more information on this and other treatments. 

Your menstrual cycle should return to normal after your overactive thyroid is treated. If it does not, go back to your GP.

Counselling and stress management

Stress or sudden weight loss may be diagnosed as a cause of irregular periods. Relaxation techniques, stress management or counselling (talking to a therapist) may be recommended.

  • show glossary terms
Counselling
Counselling is guided discussion with an independent trained person, to help you find your own answers to a problem or issue.
Thyroid
The thyroid is a jointed piece or cartilage that encloses the vocal cords and forms the ‘Adam’s apple’ in men.
Thyroid gland
The thyroid gland in the throat makes hormones to help control growth and metabolism (the process that turns the food we eat into energy).

Last reviewed: 14/07/2011

Next review due: 14/07/2013

Trying for a baby

If you are having problems conceiving a baby due to an unpredictable menstrual cycle, treatment with synthetic hormones may help to achieve regular ovulation (monthly release of an egg). Discuss this with your GP.