Gynaecologist GynaeGeek explains everything you need to know about irregular periods
started on the first day of the calendar month, your next period would come on the 29th day of the month.
For your period to be regular you need your hormone levels to fluctuate in a rather intricate, yet elegant, cycle in order to ensure you ovulate on a regular basis and thus have a regular menstrual cycle. The second stage is the luteal phase, which occurs after ovulation. The duration of this is pretty fixed, usually 10-14 days, with the length being dictated by the lifespan of the corpus luteum, which is the shell left in the ovary after ovulation that pumps out progesterone.
From an evolutionary point of view, this is nature’s way of ensuring you don’t get pregnant in a situation where you may not have the energy to sustain a pregnancy and a child, in times of famine and siege. Yet in today’s times, that probably translates instead to a 6am bootcamp class, followed by a full-to-the-brim inbox, a barely-there salad for lunch, an afternoon of back-to-back meetings followed by a work social event and a 9.30pm train home.
With HA, the best way to try and regulate your cycle is to try and correct the factors causing chronic stress, such as improving sleep hygiene and decreasing exercise intensity. If you’re found to have PCOS, the same lifestyle changes can help, and the combined oral contraceptive pill may be prescribed as a way of ensuring a bleed at least every few months to stop your womb lining from getting too thick.
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