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Causes of Menstruation Not Smooth

Menstruation is not smooth or irregular menstruation, is a condition when the menstrual cycle becomes slower, faster, passes several months, or does not even occur at all.

Menstruation is the process of wasting the uterine wall accompanied by bleeding, usually occurring for 3-7 days. Naturally the menstrual cycle occurs every 28-36 days and lasts 11-13 times in one year. Every woman experiences a different menstrual cycle, can be shorter or longer.

Menstruation type is not smooth

Menstruation is said to be not smooth or irregular if the cycle occurs less than 21 days or more than 35 days. In addition menstruation is classified as not smooth if the length of menstruation changes every month. Blood volume that is not the same, sometimes a lot and sometimes a little, is also one form of menstruation that is not smooth.

Non-menstrual periods usually occur in the first few years after entering. However, if menstruation does not occur smoothly not in the first few years you experience menstruation, then this can be said to be irregular menstruation, which can be classified into the following types.

  • Polymenorrhe, is a menstrual cycle that lasts less than 21 days.
  • Oligomenorrhea, is a condition when the menstrual cycle becomes longer, or no menstruation occurs more than 35 days, but less than 90 days.
  • Amenorrhea, is a condition when not menstruating within 3 consecutive months.
  • Metrorrhagia, is menstrual bleeding that lasts longer and has more blood volume.

What Cause Menstruation Not Smooth?

The following are some things that can be causes of menstruation that are not smooth or irregular, including:


Stress can increase the level of the hormone cortisol in the body, which indirectly affects the production of reproductive hormones that regulate the menstrual cycle. As a result, the process of releasing eggs (ovulation) becomes abnormal which leads to disruption of your menstrual cycle.


Before actually entering menopause, you will go through a period of transition first known as the pre-menopausal period. Although it may occur earlier, most women get this period when they are 40 years old.

Usually, the duration of pre-menoapuse is four to eight years. At this time, you will experience various symptoms associated with menopause. One of them changes in the menstrual cycle, due to erratic estrogen levels in the body.


If your periods are stalled or late, try doing an examination to determine if you are pregnant. Doctors will usually recommend pregnancy tests and ultrasound.

Extreme weight

A decrease or increase in extreme weight or low calorie intake can suppress the hypothalamus, a gland in the brain that is responsible for regulating various processes in the body - including the menstrual cycle.

In extreme weight loss, the body will not release the estrogen needed to form the uterine wall. In addition, being overweight for a short time can cause the body to produce too much estrogen.

This can cause for months without ovulating or cause the endometrial lining to grow too fast and become unstable, resulting in irregular menstruation. Likewise in eating disorders such as bulimia and anorexia, which also causes estrogen levels to be too low.


Using contraception, such as an IUD (spiral) or birth control pill, can indeed cause changes in the form of spots between the menstrual cycles. An IUD can cause more out of the ordinary blood or abdominal pain during menstruation. There can also be a slight release of blood at the start of using birth control pills, but this will stop after several months of use.

Pattern of everyday life

If you do excessive exercise or your weight drops dramatically, it can cause menstruation not smooth or irregular. Likewise with excessive weight or obesity. Not only changes in body weight, stress can also affect your menstrual cycle.

Polycystic Ovary Syndrome (PCOS)

(PCOS) is a collection of symptoms caused by the formation of small cysts in the ovary. The existence of these cysts makes the hormones become unbalanced. Testosterone can increase beyond the normal range, which should only have a little testosterone in women. Abnormalities also occur in the process of releasing eggs. This causes women with PCOS not to menstruate, or experience menstruation, but the blood coming out is only small.

Thyroid problems

In your neck there are thyroid glands that produce hormones that can regulate the body's metabolism. If your thyroid has a problem, your menstruation will also be affected. Consult this with an endocrine specialist. The doctor will do a blood test to see how the thyroid hormone is in your blood.

How to Overcome Menstruation Not Smooth

Treatment to treat non-fluent menstruation needs to be adjusted for the cause. The following are some of the ways you can deal with periods that are not smooth or irregular.

  • Change your lifestyle.
  • Change contraception.
  • Perform thyroid treatment.
  • Perform polycystic ovary syndrome treatment, for example to control hormone levels or diabetes. In addition, lose weight in a healthy way, if you suffer from polycystic ovary syndrome with excess weight.
  • Counseling if you experience stress that causes weight loss to drop dramatically.
  • If you plan to have a baby, consult your doctor for medical examinations and treatment. Maybe the doctor will recommend hormonal therapy to trigger ovulation back to normal.

If you experience bleeding that is unusual during menstruation until you need to change pads every hour, your menstruation occurs for more than 7 days, or if you experience spots after intercourse, contact your doctor immediately for further examination.

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Is a health and wellness enthusiast. In him free time, she loves to travel and taste different types of teas.

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