What causes irregular periods?

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Thank you for providing those details. Your concern is valid, and I am here to help.

Based on your symptoms:

1. Irregular periods and 10 days of light bleeding.

2. Mild lower abdominal pain.

3. Negative pregnancy test.

4. No medication and no similar history.

Possible causes:

1. Hormonal imbalance - Very common at your age, especially due to stress, sudden weight change, PCOS (polycystic ovarian syndrome), thyroid issues, or missed ovulation.

2. Anovulatory cycle - A cycle where no egg is released, leading to prolonged light bleeding.

3. Polycystic ovary syndrome (PCOS) - It can cause irregular bleeding and mild pain.

4. Uterine or cervical infection (less likely but needs to be ruled out if pain increases or discharge changes).

5. Functional ovarian cyst — This may cause prolonged spotting and cramping, but often resolves on its own.

What you should do:

A. See a gynecologist in person, especially if:

1. Bleeding continues beyond 14 days.

2. Pain worsens or becomes sharp.

3. You feel fatigued, dizzy, or pale.

B. Recommended tests:

1. Pelvic ultrasound (to rule out cysts or structural issues).

2. Hormone blood tests: LH (leutinizing hormone), FSH (follicle-stimulating hormone), TSH (thyroid-stimulating hormone), prolactin, estrogen, and progesterone.

3. CBC (complete blood count) - To check for anemia from prolonged bleeding.

C. Track your cycle for the next two to three months: Note dates of bleeding, flow, pain, and mood changes.

For now:

1. Take iron-rich foods or supplements if you are feeling weak.

2. You can take Paracetamol or Mefenamic acid for abdominal pain if needed.

3. Avoid unprotected sex while bleeding.

I hope this helps.

Take care.