• Source:JND
Add as a preferred

Irregular Menstruation And Fertility: Typically, the average length of the menstrual cycle is 28 days, but it can range between 25 and 35 days. Most women identify their pattern of menstrual cycle with periods occurring at regular monthly intervals for a certain number of days.

If your cycle doesn’t occur at regular intervals and is of varying lengths, it is considered irregular. An irregular or non-existent menstrual cycle can be problematic for several reasons if you are trying to fall pregnant. In a conversation with Jagran English, Dr Neha Gupta, Additional Director - Obstetrics & Gynaecology, Fortis Hospital, Noida explained how irregular periods can impact female fertility.

Irregularity can cause a lack of egg production, a lack of readiness of the uterus for implantation, and difficulties with fertilisation due to not being able to confidently pinpoint when ovulation is occurring. Irregular menstruation can significantly impact fertility in several ways:

Irregular Menstruation And Fertility

Ovulation issues: Irregular periods often indicate irregular ovulation, making it challenging to predict when ovulation occurs, reducing the chances of conception.

Hormonal imbalance: Irregular menstruation can be caused by thyroid disorders and high prolactin levels which are common among reproductive-age women and easily treatable.

Reduced fertility window: With irregular periods, the fertile window may be shorter or less predictable, making it harder to conceive. A lady who has a 25-day cycle is likely to ovulate on the 11th day of her period and will require guidance to calculate fertile days.

Increased risk of miscarriage: Women with irregular menstruation may face a higher risk of miscarriage due to hormonal imbalances or ovulation issues. Sufficient progesterone hormone must be released by the corpus luteum to support early pregnancy until the placenta takes over. Some women need additional hormone supplements and early intervention is quite rewarding.

Polycystic ovary syndrome (PCOS): Irregular menstruation is a common symptom of PCOS, a condition that can significantly impact fertility. Lifestyle modification, along with insulin sensitizers and hormonal pills, are effective ways of achieving outcomes. Women seeking fertility are assisted with ovulation induction medicines under the guidance of experts.

Stress and anxiety: Irregular menstruation can cause stress and anxiety, which can further exacerbate fertility issues. Ensuring a sound sleep for 7-8 hours, going for a walk in nature, moderate-intensity aerobic exercise, yoga and meditation are ways of optimising health and fertility.

Difficulty tracking cycles: Irregular periods make it challenging to track menstrual cycles, making it harder to time intercourse or fertility treatments. It is advisable to maintain a menstrual calendar or period trackers via apps. Your gynaecologist will be able to guide you better this way. Regularisation of periods by using birth control pills is occasionally required before planning a pregnancy.

If you experience irregular menstrual cycles, it is important to seek the help of your gynaecologist to determine what is causing the irregularity. There are several ways to help regulate menstrual cycles and, in turn, improve your fertility.

ALSO READ: Does Smoking Increase Premature Menopause Risk In Women? Expert Explains

ALSO READ: Causes Of Iron Deficiency In Women; Best Iron-Rich Foods That Every Woman Should Eat