Irregular Periods: Not Always a Sign of PCOS

Irregular periods do not automatically indicate polycystic ovary syndrome (PCOS). While irregular menstrual cycles are a common symptom of PCOS, many other factors can contribute to menstrual irregularities, and not all women with irregular periods have PCOS.

Dr Gandhali Deorukhkar, Consultant – Obstetrics and Gynaecology, Wockhardt Hospitals Mumbai Central shares all you need to know:

PCOS is a hormonal disorder that affects women of reproductive age and is characterized by irregular periods, high levels of androgens (male hormones), and the presence of multiple small cysts on the ovaries. However, other factors can also lead to irregular menstrual cycles. Stress, for example, is a common culprit, as both emotional and physical stress can disrupt the body’s hormonal balance, leading to temporary changes in menstruation. Significant weight fluctuations, whether rapid weight gain or loss, can also affect hormone levels and contribute to irregular cycles. Thyroid disorders, such as hypothyroidism (underactive thyroid) or hyperthyroidism (overactive thyroid), are another common cause of menstrual irregularity. Additionally, excessive exercise, particularly when combined with low body fat, can disrupt the menstrual cycle, and changes in hormonal contraceptive use can also temporarily affect period regularity.

If irregular periods are accompanied by other common signs of PCOS, such as weight gain, acne, thinning hair, or difficulty conceiving, it may be worth consulting a healthcare provider for a proper diagnosis. Diagnosing PCOS typically involves assessing a combination of symptoms, performing blood tests to check hormone levels, and conducting an ultrasound to examine the ovaries.

In conclusion, while irregular periods can be a symptom of PCOS, they can also result from various other causes. Consulting a healthcare provider is essential to determine the underlying reason for irregular periods and ensure appropriate treatment.