Polymenorrhea Explained: Diagnosis, Causes, and How to Manage It

Dr. Dishaa Bansal

What is Polymenorrhea?

Polymenorrhea is a condition where periods come more often than usual. Usually, a normal menstrual cycle lasts between 21 and 35 days. However, with polymenorrhea, cycles are shorter than 21 days. This means you may have periods more than once a month. Because of this, many women feel worried or confused. But, understanding polymenorrhea can help you manage it better.

Common Symptoms of Polymenorrhea

Polymenorrhea can show up in different ways. Still, the main sign is frequent periods. Other symptoms may include:

  • Bleeding more than once every 21 days
  • Light or heavy menstrual flow
  • Fatigue due to frequent blood loss
  • Cramping or pelvic pain
  • Spotting between periods
  • Sometimes, these symptoms can affect daily life. For example, you may feel tired or stressed about the frequent bleeding.

    Causes and Risk Factors

    There are many reasons why polymenorrhea can happen. Some common causes include:

  • Hormonal imbalances, such as low progesterone
  • Thyroid problems
  • Stress or sudden weight changes
  • Polycystic ovary syndrome (PCOS)
  • Perimenopause (the time before menopause)
  • Use of certain medications, like birth control pills
  • Uterine fibroids or polyps
  • In addition, some women are at higher risk. For instance, teenagers and women nearing menopause may notice changes in their cycles. According to the World Health Organization (WHO), hormonal changes are a leading cause.

    How Polymenorrhea is Diagnosed

    If you have frequent periods, your doctor will ask about your menstrual history. Next, they may do a physical exam. Often, doctors use these steps to diagnose polymenorrhea:

  • Review of your period calendar
  • Blood tests to check hormone levels
  • Thyroid function tests
  • Pelvic ultrasound to look for fibroids or cysts
  • Other tests if needed
  • Because many things can cause polymenorrhea, a full check-up is important. Early diagnosis helps find the right treatment.

    Treatment Options

    Treatment for polymenorrhea depends on the cause. Your doctor may suggest:

  • Hormone therapy to balance your cycle
  • Birth control pills to regulate periods
  • Treating thyroid or other medical problems
  • Iron supplements if you have anemia
  • Surgery for fibroids or polyps, if needed
  • Sometimes, simple lifestyle changes can help. However, always talk to a doctor before starting any treatment. The Centers for Disease Control and Prevention (CDC) recommends regular check-ups for women with irregular periods.

    Lifestyle Tips and Prevention

    While not all cases can be prevented, some tips may help manage polymenorrhea:

  • Keep a period diary to track changes
  • Eat a balanced diet rich in iron and vitamins
  • Exercise regularly, but avoid overdoing it
  • Manage stress with relaxation techniques
  • Maintain a healthy weight
  • Additionally, avoid skipping meals or sudden dieting. These habits can affect your cycle. If you notice changes, write them down and share them with your doctor.

    When to See a Doctor

    It is important to seek medical advice if you:

  • Have periods more often than every 21 days
  • Experience heavy or long-lasting bleeding
  • Feel dizzy, weak, or very tired
  • Notice pain that does not go away
  • Have other unusual symptoms
  • Early care can help prevent complications. For example, untreated polymenorrhea may lead to anemia or other health issues.

    In summary, polymenorrhea can be managed with the right care. Consult Dr. Disha Bansal, a gynecologist, for personalized advice on managing polymenorrhea.