Provided the cause of your irregular menstrual cycle is because of hormonal imbalance, this can be very easily regulated with hormonal therapy. The most popular and convenient way would be oral hormones either with the oral contraceptive pills (if pregnancy prevention is also wanted) or hormonal pills with no contraceptive benefits. These oral tablets need to be taken on a daily basis so for women who are very forgetful, there is an alternative intramuscular hormonal injection which would last up to 3 months and a repeat injection is then planned 3 months later. Other women who are adverse to repeated injections but would like to regulate their menses along with contraception can opt to have implanon inserted subcutaneously into their arm (which should last for 3 years) or have mirena IUS inserted into the uterine cavity (which should last for 5 years).
Question
What are the ways to regulate my irregular menstrual cycle?
Doctor's Answers 1
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Where should I go to confirm a diagnosis of PCOS in Singapore?
I agree that seeing a gynaecologist directly might make the most sense as regardless of history taking by the GP, the ultimate confirmatory diagnosis is still ultrasound of your ovaries. They would be better placed to discuss with you on treatment modalities.
Can I safely resume taking my contraceptive pills if I have stopped taking it for a period of time?
I suggest to have a scan done by your gynae to check the lining of the endometrium. It is not uncommon after prolonged use that the lining thins out by quite a bit so there is nothing much to shed as a “period” as such after cessation of the pills. This situation is generally temporary, and the periods should come back soon. A second possibility is that you naturally had infrequent cycles (say every 3-4 months) due to irregular ovulation. The pill will mask this and make it seem like your periods come every month.