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Menstrual & Bleeding

Irregular periods: causes and when to check

Cycle length naturally varies, and the occasional irregular period is common. But a persistent change in your pattern is worth checking.

This page explains the common causes of irregular periods and when to seek advice.

Key points

  • Occasional variation is normal; a persistent change is worth checking.
  • Common causes include PCOS (also known as PMOS), thyroid changes and perimenopause.
  • Stress, weight change and some medications can play a role.
  • A review can identify anything treatable.
Last reviewed 5 July 2026

Common causes

Irregular cycles can have several causes. Identifying the reason helps guide what, if anything, is needed.

  • Polycystic ovary syndrome (PCOS)
  • Thyroid problems and some other hormonal causes, such as raised prolactin
  • Perimenopause
  • Stress, significant weight change, or some medications

When it matters

A new or persistent change in your cycle, very infrequent periods, or irregular bleeding with other symptoms is worth reviewing.

Diagnosis: what to expect

A specialist may take a history, arrange blood tests (including hormones and thyroid), and suggest a pelvic ultrasound to look for causes such as PCOS.

When to see a specialist

If your cycle has changed persistently, or irregular periods come with other symptoms, a review can help identify the cause and options.

Frequently asked questions

Sources & further reading

This page is structured around information from reputable Australian health bodies:

Related articles

More plain-language reading from Dr Sivadas.

Noticed a change in your cycle?

Appointments are managed on the practice site.

Consulting locations

Parramatta

Monash IVF

Level 2, 1 Fennell Street
Parramatta NSW 2151

Bella Vista

Norwest Private Hospital

Suite 106, 11 Norbrik Drive
Bella Vista NSW 2153

Penrith

Somerset Specialist Centre

Level 3/38 Somerset St
Penrith NSW 2747