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Dealing with polycystic ovary syndrome (PCOS) can be challenging, especially when it comes to managing irregular and unpredictable periods. However, there are effective strategies to help regulate your menstrual cycle and bring more consistency to your life. 

By understanding PCOS and exploring a combination of medical treatments and natural remedies tailored to your individual needs, you can take control of your menstrual health.

In this article, we'll explore practical steps and tips to help you achieve regular, predictable periods, empowering you to manage PCOS with confidence. From lifestyle changes and dietary adjustments to medical interventions and holistic approaches, you'll discover a range of options to find what works best for you.

Last Updated:
September 6, 2024
Paper written by:
Dr. Emanuel Paleco, PhD

Key Takeaways

  • Irregular and unpredictable menstrual cycles are a common and frustrating symptom of PCOS.
  • Combining medical treatments with natural remedies can help regulate periods with PCOS.
  • Understanding the condition and your individual needs is essential for managing menstrual health.
  • Taking control of your PCOS and achieving regular, predictable periods is attainable.

Understanding PCOS and Irregular Periods

Polycystic Ovary Syndrome (PCOS) is a hormonal disorder affecting women of reproductive age, often leading to irregular menstrual cycles and other challenging symptoms. 

PCOS affects an estimated 8-13% of reproductive-aged women worldwide, and involves an excess production of male hormones, known as androgens, which results in a hormonal imbalance. 

This imbalance can cause the development of multiple small cysts on the ovaries, giving the disorder its name. As a result of this, women with PCOS may experience irregular or missed periods, acne, excessive hair growth, and difficulty losing weight.

How PCOS Affects Menstrual Cycles

 PCOS primarily affects a woman's health by disrupting the regular menstrual cycle. This condition often causes irregular ovulation, the process where a mature egg is released from the ovary.

When ovulation is irregular, the menstrual cycle becomes one of the first aspects to be impacted. Women with PCOS frequently experience irregular, infrequent, or even absent periods.

Regular ovulation is essential for maintaining a consistent menstrual cycle. Disrupted ovulation makes it challenging for the body to manage PCOS and its related symptoms, including menstrual irregularities. 

Addressing the underlying hormonal imbalance is key to regulating menstruation and getting the cycle back on track for women with PCOS.

Medical Treatments to Regulate Periods

If you have polycystic ovary syndrome (PCOS) and are dealing with irregular or unpredictable menstrual cycles, various medical treatments can help regulate your periods. These treatments can be integrated into a comprehensive plan to manage the symptoms of PCOS.

  1. Hormonal Birth Control

Hormonal contraceptives, such as the combined oral contraceptive pill, progesterone-only pills, hormonal implants, vaginal contraceptive rings, and intrauterine devices (IUDs) containing progesterone, can help re-establish regular menstrual cycles.

These methods work by overriding the body's natural menstrual cycle, providing a more predictable and controlled pattern of menstruation. They can also reduce other PCOS-related symptoms, such as acne and excessive hair growth, making them a versatile option for managing multiple aspects of the condition.

  1. Metformin

Metformin is a medication primarily used to treat type 2 diabetes, but it can also be beneficial for women with PCOS. By reducing insulin resistance and androgen production in the ovaries, metformin can help improve ovulation and regulate periods, particularly in women with PCOS who are overweight or obese.

Additionally, metformin may assist in weight loss and improve overall metabolic health, which can further alleviate PCOS symptoms. Some women may experience fewer cravings and better energy levels while on this medication, making it easier to maintain a healthier lifestyle

  1. Progesterone Therapy

Progesterone therapy, available as oral medications or vaginal suppositories, can help regulate periods and alleviate common PCOS symptoms like irregular menstruation and heavy bleeding. This treatment is especially beneficial for women with PCOS who have a progesterone deficiency.

Collaborating with your healthcare provider is crucial in finding the most appropriate medical treatment or combination of treatments for your unique needs. They can guide you through the available options and create a plan that addresses your specific symptoms, helping you achieve a more regular and predictable menstrual cycle.

Natural Remedies to Regulate Periods

For women with PCOS, an irregular and unpredictable menstrual cycle is one of the most common and frustrating symptoms. While medical treatments can help regulate periods, natural remedies may also play a role in supporting menstrual health.

  • Diet and Nutrition Changes: A balanced diet rich in both macro and micro-nutrients can help regulate periods and alleviate PCOS symptoms. Incorporating anti-inflammatory foods like fruits, vegetables, and whole grains can aid in weight management and reduce inflammation, which in turn may help normalise menstrual cycles.
  • Exercise and Physical Activity: Exercise is a key recommendation for managing PCOS symptoms, including irregular periods. While the direct effects of regular exercise on menstrual patterns and period pain are still being studied, it can help regulate your cycle by supporting weight management.
  • Stress Management Techniques: Stress can upset hormonal balance, causing irregular cycles. Practising stress management techniques like meditation, yoga, or deep breathing can help regulate periods and alleviate PCOS symptoms.

By incorporating these natural remedies into a comprehensive treatment plan, menstruating women with PCOS may be able to get their menstrual cycle back on track and improve their overall reproductive health.

Supplements for Menstrual Regularity

If you're struggling with an irregular and unpredictable menstrual cycle, certain PCOS supplements may help regulate your periods and relieve associated symptoms.

Myo-inositol and D-chiro inositol

Myo-inositol and D-chiro inositol are two naturally occurring sugars that have gained attention for their beneficial effects on PCOS management.

When used in combination, these supplements have been shown to improve insulin sensitivity, which is a common issue in women with PCOS. Enhanced insulin sensitivity can lead to better regulation of blood sugar levels and a reduction in insulin resistance, a key factor in managing PCOS symptoms.

Additionally, this combination has been found to help alleviate other PCOS symptoms, such as irregular menstrual cycles, hormonal imbalances, and acne.

By assisting with weight control, myo-inositol and D-chiro inositol can also contribute to overall health improvements in women with PCOS, making them a valuable part of a comprehensive treatment plan.

Herbal supplements

Herbal supplements have gained popularity for their potential benefits in managing PCOS symptoms. Cinnamon, renowned for its anti-inflammatory properties, can help regulate periods and ovulation by improving insulin function, which is often compromised in women with PCOS. 

Chasteberry (Vitex agnus-castus) is another valuable herb, believed to balance reproductive hormones and support regular menstrual cycles.

Additionally, spearmint has shown promise in some studies, suggesting that spearmint tea may reduce androgen levels and alleviate hirsutism, a common issue for women with PCOS.

Together, these herbal supplements offer natural options for managing PCOS and promoting overall reproductive health.

Benefits and Precautions

When used as part of a comprehensive treatment plan, these supplements may help to regulate your cycle, reduce PCOS symptoms, and get your menstrual cycle back on track.

However, it's important to consult your healthcare provider before starting any new supplements, as they can interact with medications or have other side effects, especially for those with medical conditions like liver or kidney disease.

Lifestyle Changes to Support Menstrual Health

Managing PCOS, a condition that can lead to an irregular and unpredictable menstrual cycle, often requires a multifaceted approach. Two key lifestyle factors that can play a significant role in regulating your periods and relieving associated symptoms are maintaining a healthy weight and getting adequate sleep.

Maintaining a Healthy Weight

Achieving and maintaining a healthy weight is crucial for women with PCOS. Even a modest weight loss of 5-10% can greatly improve insulin resistance, restore ovulation, regulate menstrual cycles, and reduce the risk of long-term health issues like diabetes and heart disease. By assisting with weight control, this can be an important part of a treatment plan to help your periods get back on track.

Adequate Sleep and Rest

Getting enough high-quality sleep is also essential for managing PCOS symptoms, including irregular periods. Lack of sleep can exacerbate hormonal imbalances and contribute to the common and frustrating symptoms associated with PCOS, such as disrupted menstruation patterns and period pain. Aim for 7-9 hours of sleep per night to help regulate your cycle and support your overall health.

By making lifestyle changes that support a healthy weight and adequate rest, you can take proactive steps to help your menstrual cycle get back on track and reduce the impact of PCOS on your reproductive and general well-being.

Monitoring Your Menstrual Cycle

Tracking your menstrual cycle and understanding your individual patterns is an essential part of managing polycystic ovary syndrome (PCOS). The average menstrual cycle is 28 days, but cycles can range from 21 to 35 days. 

An irregular cycle, which is one of the most common and frustrating symptoms associated with PCOS, is defined as having eight or fewer menstrual cycles per year, menstrual cycles shorter than 21 days, or menstrual cycles longer than 35 days.

Tracking Your Periods

Closely monitoring your periods can help you and your healthcare provider identify any irregularities and develop an appropriate treatment plan to regulate your menstrual cycle.

This may involve keeping a diary or using a period-tracking app to record the start and end dates of your periods, as well as any associated symptoms, such as menstruation patterns and period pain.

Understanding Your Cycle Patterns

By tracking your cycle, you can start to identify any patterns or inconsistencies, which can provide valuable insights into your overall reproductive health.

This information can then be used to support PCOS treatment, as understanding your cycle patterns may help to regulate your periods and relieve other symptoms associated with the condition.

Maintaining a healthy weight and managing stress levels are also believed to help regulate periods in menstruating women without PCOS, and may be part of a treatment plan for those with the condition.

Before you go...

Dealing with polycystic ovary syndrome (PCOS) and its impact on menstrual cycles can be challenging, but with the right strategies, you can achieve regular and predictable periods. 

By integrating medical treatments, such as hormonal contraceptives, metformin, and progesterone therapy, with natural remedies and lifestyle changes, it's possible to manage PCOS symptoms effectively.

Understanding your individual needs and working closely with your healthcare provider is crucial in developing a personalised treatment plan. Embracing a balanced diet, regular exercise, stress management techniques, and appropriate supplements can support your journey towards better menstrual health and overall well-being.

Read More

About Institute of Medical Physics

The Institute of Medical Physics, founded by Dr. Emanuel Paleco, is a leader in Medical and Aesthetic Laser Science, with a flagship clinic in King's Cross and additional locations throughout North London and Essex. We are committed to delivering innovative treatments that prioritise your health and well-being.

Our signature Inositol formula combines Myo-Inositol and D-Chiro-Inositol in a scientifically validated 40:1 ratio, ensuring peak effectiveness. Enhanced with α-Lactalbumin for superior absorption, along with L-Methylfolate, Chromium, and KSM-66 Ashwagandha, this formula offers comprehensive support for your overall health.

At the Institute of Medical Physics, we focus on advancing your wellness through expert care and scientifically-backed solutions. 

FAQs

What is PCOS and how does it affect menstrual cycles?

PCOS (polycystic ovary syndrome) is a hormone disorder that affects women in their reproductive years due to disordered signals from the pituitary gland. An irregular and unpredictable menstrual cycle is one of the most common and frustrating symptoms of PCOS, as the hormonal imbalance can prohibit regular ovulation and affect menstruation.

What medical treatments can help regulate periods with PCOS?

Hormonal contraception such as the combined oral contraceptive pill, progesterone, hormonal implants, vaginal contraceptive rings, and intrauterine devices (IUDs) that contain progesterone can help re-establish regular periods by overriding the body's menstrual cycle. Metformin can also help improve ovulation and regulate periods, particularly in women with PCOS who are overweight.

What natural remedies can help regulate periods with PCOS?

Maintaining a healthy weight, engaging in regular exercise, managing stress, and incorporating evidence-based supplements like inositol can help regulate periods and relieve the symptoms of PCOS. A balanced diet that provides a good mix of macro and micro-nutrients, and includes foods with anti-inflammatory properties, can also help to regulate periods.

How can herbal supplements help with menstrual regularity in PCOS?

Studies have concluded that a specific combination of Myo-inositol and D-Chiro inositol can help women with PCOS in numerous ways, including re-balancing hormones, regulating the menstrual cycle, and alleviating other PCOS symptoms.

Why is tracking your menstrual cycle important for managing PCOS?

Closely monitoring your periods can help you and your healthcare provider identify any irregularities and develop an appropriate treatment plan to regulate your menstrual cycle. An irregular cycle is defined as having eight or fewer menstrual cycles per year, menstrual cycles shorter than 21 days, or menstrual cycles longer than 35 days.

Date First Published:
September 9, 2024
Our Research is Led by Dr. Emanuel Paleco World Renowned Biophysicist
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Dr. Emanuel Paleco, PhD

Institute of Medical Physics