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Irregular
menstrual cycle——Skipping
a Period
One of
the most common gynecological problems is an irregular menstrual cycle.
But before you jump to the conclusion that you're irregular, it's
important to remember that being regular doesn't mean your cycle is the
same number of days each time. One month your cycle may be twenty-nine
days and the next month it may be thirty-one days. This is still
considered the norm. It's also normal to have a light flow one month and
a heavy flow the next. Another common misperception about irregular
cycles is that unless you have a period every four weeks (again, the
statistical average) you're irregular. This is not true. Some women
menstruate every three weeks, which is normal for them; some menstruate
every five weeks, which is also normal for them. The only time you
should be concerned is if your period consistently yo-yos: for instance,
three weeks, then four weeks, then five weeks, then three weeks. When
this happens, it's usually a sign that you're not ovulating regularly.
This is common in young girls after they first begin menstruating. If
your period jumps around once or twice a year, there isn't anything to
worry about. Occasional stress is usually the culprit when this happens.
Once in
a while, women may skip a period and then experience a heavier flow with
their next period. This is extremely common. Women who are trying to get
pregnant, however, often fear that this is an early miscarriage -- so
mild it feels like a heavy period. This is usually not the case.
Although it's possible for a pregnancy not to take and be expelled in
the menstrual flow, it's rare and occurs in less than 1 percent of
women. In most cases, skipping one period is caused by skipped
ovulation. The flow is heavier after a skipped period because the
estrogen has been building up in the endometrium longer, and there is
more lining than usual that needs to be shed. You would have built up
two cycles' worth of lining, so the flow is naturally heavier than
normal. That being said, you could have a lighter period or bleeding
that fluctuates in duration or amount.
The
number one cause of a skipped period is pregnancy. Regardless of whether
you've had sex, if you skipped a period, get a pregnancy test. If you're
on oral contraceptives and have not missed a pill, the missed period is
probably related to your dosage and can be remedied by adjusting the
dosage. Another common cause of irregular or skipped periods is physical
and emotional stress. One scenario is worrying that you might be
pregnant and then actually missing your period because you're worried.
Other stress-related situations revolve around career changes, job loss,
a death in the family, going off to college, moving, exams, and
stressful workloads. It's not really understood why stress can cause you
to miss a cycle, but it is considered a protective mechanism, a sort of
prehistoric parachute in the female body. The body senses the stress
levels and somehow decides to stop ovulation for that month to prevent a
"stressed" pregnancy.
Overdieting
and overexercising can also affect your cycle. For example, sudden
weight loss could cause you to miss your period or cause a long bout of
irregular cycles. Overexercising can also cause you to miss your period.
It's not unusual for female athletes to stop menstruating when they're
in training.
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