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Irregular Periods

Irregular periods are a common yet concerning issue that can signal an underlying hormonal imbalance or health condition.

Irregular Periods: Understanding, Diagnosing, and Treating Menstrual Irregularities With Expert, Personalized Care
Irregular periods are a common yet concerning issue that can signal an underlying hormonal imbalance or health condition. Whether your cycles are unpredictable, excessively long or short, or accompanied by unusual symptoms, it’s important not to ignore the signs. Menstrual irregularity can affect fertility, emotional well-being, and overall health.

At Premium Healthcare in Miami and South Florida, we take every symptom seriously. Our compassionate team offers expert evaluation, diagnostic testing, and customized treatment plans to restore balance and help you feel your best.

What Are Irregular Periods?

A typical menstrual cycle lasts between 21 to 35 days, with bleeding lasting 3 to 7 days. If your periods fall outside this range or change unpredictably from month to month, they are considered irregular.

Irregular periods may include:

  • Missed periods (amenorrhea) 
  • Infrequent periods (oligomenorrhea) 
  • Too frequent periods (polymenorrhea) 
  • Heavy or prolonged bleeding (menorrhagia) 
  • Spotting or bleeding between periods 
  • Unusually short or long cycles 

Occasional irregularity is normal—especially during adolescence, postpartum, or perimenopause—but chronic menstrual changes may require medical evaluation.

Common Causes of Irregular Periods

There are many possible reasons for irregular menstruation. Understanding the root cause is the first step toward effective treatment.

  1. Hormonal Imbalances 
    • Polycystic Ovary Syndrome (PCOS) 
    • Thyroid disorders (hypothyroidism or hyperthyroidism) 
    • Elevated prolactin levels (hyperprolactinemia) 
    • Perimenopause or menopause 
  2. Lifestyle Factors 
    • High stress or emotional distress 
    • Extreme weight loss or obesity 
    • Overexercise or poor nutrition 
    • Disrupted sleep or travel affecting circadian rhythm 
  3. Medical Conditions 
    • Uterine fibroids or polyps 
    • Endometriosis 
    • Diabetes or insulin resistance 
    • Pituitary or adrenal gland disorders 
  4. Birth Control and Medications 
    • Starting or stopping hormonal contraception 
    • Certain antidepressants, antipsychotics, or blood thinners 

At Premium Healthcare, we investigate all potential causes to ensure your diagnosis is accurate and complete.

When to Seek Medical Help

It’s time to see a healthcare provider if you experience:

  • Periods occurring less than every 21 days or more than every 35 days 
  • Going more than 3 months without a period (not due to pregnancy or menopause) 
  • Excessive bleeding (soaking through pads or tampons every hour) 
  • Bleeding between periods or after sex 
  • Severe cramps, fatigue, or dizziness during periods 
  • Changes in menstrual pattern lasting more than 2–3 cycles 

These symptoms could indicate a hormonal disorder or reproductive health issue that requires treatment.

Diagnosing Irregular Periods at Premium Healthcare

Our experienced women’s health providers use a thorough, step-by-step approach to identify the cause of menstrual irregularities.

  1. Medical and Menstrual History
  • Detailed review of symptoms, cycle patterns, and lifestyle factors 
  • Family history of hormonal or reproductive disorders 
  1. Physical Exam
  • Pelvic exam to assess for abnormalities in the uterus or ovaries 
  1. Blood Testing
  • Hormone levels (FSH, LH, estrogen, testosterone, prolactin, thyroid hormones) 
  • Metabolic testing (glucose, insulin, A1C, cholesterol) 
  1. Imaging
  • Pelvic ultrasound to evaluate ovaries, uterine lining, or detect fibroids/cysts 

This full-spectrum diagnostic approach ensures that nothing is missed and helps guide the most effective treatment.

Effective Treatment for Irregular Periods

Treatment depends on the underlying cause, your health goals, and whether you’re planning for pregnancy. At Premium Healthcare, we create a customized plan that may include:

1. Hormonal Regulation

  • Birth control pills or hormonal IUDs to regulate cycle and reduce bleeding 
  • Progesterone therapy to induce regular periods 
  • Thyroid or prolactin management with appropriate medications 
  • Metformin for women with insulin resistance or PCOS 

2. Fertility-Focused Support

For women trying to conceive, we offer:

  • Ovulation tracking and support 
  • Ovulation-inducing medications (e.g., letrozole, clomiphene) 
  • Referrals to fertility specialists, if needed 

3. Lifestyle and Nutritional Counseling

Our providers work closely with you to improve menstrual health through:

  • Weight management support 
  • Dietary adjustments for hormonal balance 
  • Stress reduction techniques (mindfulness, therapy) 
  • Exercise planning for physical and emotional well-being 

Small lifestyle changes can significantly impact your hormonal health and cycle regularity.

4. Surgical or Specialty Care (If Necessary)

If structural abnormalities like fibroids or polyps are identified, we coordinate:

  • Minimally invasive gynecologic procedures 

Referrals to OB/GYN or endocrinology specialists

Why Choose Premium Healthcare for Menstrual Health?

  • Women’s health experts experienced in hormonal and reproductive care 
  • Bilingual team offering culturally sensitive, personalized care 
  • On-site labs and ultrasound for fast, accurate diagnosis 
  • Holistic approach treating the whole person—not just the symptom 
  • Confidential, judgment-free environment where your voice is always heard 

We’re not here to dismiss your symptoms—we’re here to understand them, validate them, and treat them with precision and compassion.

Take Charge of Your Menstrual Health

Irregular periods are not just an inconvenience—they’re a signal from your body that something may be off. You deserve answers, support, and a care plan that brings your cycle back into balance.

📞 Call (305) 265-4441 or visit premiumhealthcare.com to book your confidential women’s health consultation today.

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