Request an online visit for Menstrual irregularities. A licensed provider reviews your case and prescribes treatment when appropriate.
Board-Certified · Internal Medicine · Medical Director
All 50 states + DC·Video visit
In-network: Aetna, BCBS, UnitedHealthcare +18 more plans
Menstrual irregularities include cycles shorter than 21 or longer than 35 days, heavy or prolonged bleeding, intermenstrual bleeding, or absent periods. Causes vary by age and reproductive stage and include pregnancy, thyroid disease, PCOS, hyperprolactinemia, uterine fibroids or polyps, contraceptive effects, perimenopause, and bleeding disorders. Evaluation typically includes pregnancy testing, TSH, prolactin, CBC, and pelvic ultrasound, with hormonal panels added when indicated. Management depends on cause and pregnancy plans and may include cycle regulation with combined hormonal contraception, levonorgestrel IUD, or treatment of the underlying disorder.