Dr. Rigobert Kefferputz

Patient Library / Women's Health / Irregular Cycles

Irregular Cycles

An irregular cycle is a symptom, not a diagnosis — it points to something upstream that needs investigating.

A regular menstrual cycle is one of the most reliable indicators of hormonal health. When cycles become unpredictable — too short, too long, or absent altogether — something upstream in the hormonal axis has shifted. Finding that cause, whether it's stress, PCOS, thyroid dysfunction, or nutrition, is what determines the right treatment.

The Cycle as a Vital Sign

The American College of Obstetricians and Gynecologists considers the menstrual cycle a fifth vital sign. Irregularity signals systemic hormonal disruption that warrants investigation, not just reassurance.

Multiple Root Causes

Irregular cycles can stem from PCOS, thyroid dysfunction, elevated prolactin, hypothalamic suppression, or perimenopause — each requires a distinct treatment approach.

Ovulation Is the Goal

Having a period doesn't confirm ovulation. Identifying whether ovulation is occurring — and restoring it — is the marker of true hormonal health restoration.

What You Need to Know

Frequently Asked Questions

How I Treat This

These are the services I most commonly draw on when working with irregular cycles.

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