Cycle disorders
Too rare, too often, too heavy, not at all: a disturbed cycle is not a mood, it is a measurement from your body. We clarify systematically instead of putting you off — and treat the cause, not the calendar.
When the cycle needs clarification
- Absent periods (amenorrhoea) for three months without pregnancy
- Infrequent cycles over 38 days or constantly changing lengths
- Intermenstrual bleeding and spotting, bleeding after sex
- Very heavy or prolonged bleeding — at the latest when iron deficiency joins in
- Sudden change of a previously stable pattern
Rule of thumb: whatever irritates you for two or three cycles in a row deserves a look. Not because something bad usually lies behind it — but because clarification is simple and creates certainty.
How we clarify
The order is always the same and always justified: conversation (cycle pattern, medication, weight change, stress, sport), ultrasound (lining, ovaries, fibroids, polyps), targeted labs — timed to the cycle phase, because hormone values without a cycle day are tea-leaf reading. Typical: TSH, prolactin, androgens, if needed FSH/LH/oestradiol.
Frequent diagnoses behind it: thyroid dysfunction, PCOS, elevated prolactin, beginning perimenopause, underweight or intensive sport, endometrial polyps. Each has its own treatment path — the pill as a universal plaster is not our reflex.
Using cycle tracking sensibly
Your own data are gold for diagnostics: bring cycle-app histories, basal temperature charts or wearable data — we read them with you. What matters is the honest framing: tracking describes, it does not diagnose. But it often shortens the path to diagnosis considerably.
Frequent questions about cycle disorders
I stopped the pill and have no period — normal?
The cycle can take up to three months to settle. After that: clarify — often a cause shows that existed before the pill and was masked by it.
Is an irregular cycle bad if I do not want to get pregnant?
It is above all a signal. Persistently rare ovulations can affect lining and bones long-term — so clarification is worthwhile regardless of family planning.
Can stress really shift the cycle?
Yes, markedly — the brain controls the cycle, and chronic stress, sleep deprivation or calorie deficit measurably throttle the axis. That is physiology, not imagination. Still, we check organic causes first.
When is heavy bleeding "too heavy"?
When you must change at night, need tampon plus pad, pass clots larger than a coin, or your ferritin drops. That is treatable — from tranexamic acid to hormonal IUD to polyp removal.
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Ask your questionYour cycle irritates you?
Bring your tracking if you have one — and we find out systematically what is behind it.
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