Except for the first two years of the menstrual cycle and the last two to five years around menopause, most women have regular monthly periods. So, when women have very few periods a year very inconsistently they should be evaluated by there gynecologist, just in case it is being cause by an undiagnosed, underlying problem. That way you and your doctor can diagnose the problem and come up with a treatment plan before it develops into something worse. When women have irregular menstruation cycles it is either because, the woman is experiencing less than the regular amount of periods every year with long intervals between them or they’re having more than the normal amount of periods each year and they seem endless.

In this article I will be going over the reasons as to why you are ovulating less than normal and how to regulate it so that you have have a regular ovulatory cycle.


I’m having less than the normal amount of periods every year


Sometimes I’ll go almost eight months without having my period up to and I’ve even gone up to an entire year and 8 months without having my period


When a woman is consistently not ovulating over a long period of time, it is important that we find out why.

The first step is going to be to conduct several tests to see if the functions of the ovaries are working correctly and if they are not we must find out why. We must also rule out other diseases such as thyroid, hormone and pituitary problems.

There you inherit conditions such as Polycystic ovary syndrome, which is considered a metabolic disorder and is one of the most common causes for which one sees few rules.


Polycystic Ovary Syndrome


In this condition the woman does not produce a mature egg or produces very little eggs or not very often.

The woman will present at least two of the following symptoms:


  • The ovaries are seen on an ultrasound with multiple tiny ovules
  • Increased body hair due to an increase in blood testosterone levels.
  • Irregular menstrual cycle


Other causes by which women can see fewer periods:


  • Chronic diseases if not properly controlled.
  • Many women who are very athletic and do a lot of exercise consistently
  • Eating disorders such as bulimia or anorexia
  • Use of certain drugs e.g. cortisone
  • Ovarian failure
  • After a scrape – adhesions in the matrix of the genitalia


I have to emphasize that regardless of the cause of ovulatory cycles, if you maintain normal estrogen levels, women should have a period at least every other month – six periods a year. Having less is a risk factor of ovarian cancer when she is older.


How can I regulate my periods?

Hormone therapy is the most widely used form of treatment for irregular menstruation. Especially when the women is trying to become pregnant.


  • If the estrogen level is normal, cyclical progesterone can be used to regulate the menstrual cycle
  • If you want to regulate your period and at the same time prevent pregnancy, hormonal contraceptives like IUD’s or the Pill can be used
  • If ovarian failure is the cause of your irregular menstruation, and your estrogen levels are low, we would recommend a hormone replacement.
  • If your objective is to get pregnant we would use a drug to artificially induce ovulation. .
  • If a thyroid problem or prolactin (pituitary problem) we must first address that problem depending on your specific circumstances.

The most important thing we recommend our patients is, not to make a self diagnosis and have a full evaluation done by your gynecologist. Once a proper diagnosis is made then your gyncologist will come up with a treatment plan that best fits your needs. Every body is different, this article is intended as a quick summary of possible treatment plans and should not be used as a personal treatment plan. There are many cases where it’s multiple complications that are directly tied to your irregular menstruation not a single factor causing it.