Irregular Periods
Irregular periods are one of the first and most common signs of perimenopause, characterized by changes in menstrual cycle length, flow, or timing as hormone levels fluctuate.
How to track
- Log the start and end date of each period.
- Record cycle length (days between period starts).
- Note flow intensity (light, moderate, heavy, very heavy) and duration.
- Track any spotting between periods with timestamp and intensity.
- Record context such as stress levels, sleep quality, or physical activity.
- Note whether periods interfere with daily activities or require changes in supplies.
Common context
Period irregularity typically increases as perimenopause progresses, with cycles becoming shorter or longer, flow becoming heavier or lighter, and timing becoming less predictable. Tracking patterns helps distinguish perimenopause from other causes of menstrual changes.
What to bring to a clinician
- What is your current cycle length range (shortest to longest)?
- How has your cycle changed from your typical pattern?
- Have you experienced very heavy bleeding, prolonged periods (>7 days), or frequent spotting?
- Do periods interfere with work, sleep, or daily activities?