Traditionally, irregular menstrual cycles have been considered a hallmark symptom of Polycystic Ovary Syndrome (PCOS).

However, it is possible for women to experience regular periods and still have PCOS. 

This subgroup of individuals poses a unique challenge for diagnosis and management.

Their seemingly regular menstrual cycles may mask underlying hormonal imbalances and other characteristic symptoms of PCOS. 

PCOS is a condition that can show up differently for different people. 

It’s not just about having irregular periods; other things can happen in the body too.

In this article, we will understand the diverse ways PCOS can present itself, including in the absence of irregular periods.

PCOS and regular periods

It is possible to have Polycystic Ovary Syndrome (PCOS) and still have your period every month. 

Even though unpredictable periods are a common sign of PCOS, they are not always present. 

PCOS is a complicated hormonal disorder with many signs, such as hormonal imbalances, ovarian cysts, and problems with how the body uses hormones. 

Fact:
Menstrual irregularities happen when ovulation doesn’t occur regularly, making periods come less often or not at all.

But some women with PCOS may still ovulate and have regular periods. 

It’s important to remember that PCOS is a heterogeneous disease, which can look different in different people. 

This means it is characterized by significant variations and diversity among individuals diagnosed with PCOS. 

Sometimes, women with PCOS don’t have noticeable problems with their periods, which makes it harder to figure out what’s wrong. 

Warning:
Even if your periods are regular, you may still have other signs, such as Hirsutism (too much hair growth), acne, weight gain, and problems with getting pregnant.

Reason behind PCOS with regular periods

You might have regular periods and PCOS for a few reasons, and it’s essential to understand how this can concern you personally. 

One significant factor is hormonal imbalances, which are at the core of PCOS. 

These imbalances can be highly variable, causing some individuals with PCOS to have regular periods without necessarily ovulating. 

You should know that while menstrual periods occur, the high levels of androgens in the blood can disrupt the ovulation process.

Another reason for having regular periods with PCOS is the use of oral hormonal contraceptives. 

Many people opt for the contraceptive pill as a common method of birth control and treatment for PCOS. 

While using the pill, you may experience monthly bleeding resembling a period. 

However, this bleeding is known as “withdrawal bleeding” and is triggered by lowering hormone doses.

Knowing that this bleeding does not indicate accurate ovulation but rather a response to the pill cycles is crucial.

Additionally, as you age, you may find that your periods become more regular, even with PCOS. 

This phenomenon occurs in some individuals with PCOS as they get older, and it’s essential to consider the impact of aging on your menstrual cycle.

One should understand what having PCOS with a regular cycle means for your fertility.

It’s possible to have periods without ovulating, affecting your ability to conceive. 

Some individuals with PCOS, who have regular periods, only discover their condition when they encounter difficulty getting pregnant. 

Seeking a medical evaluation in these cases often reveals the presence of PCOS.

Approximately 70-80% of women with PCOS experience infertility, but individual experiences may vary. 

You can better navigate your fertility journey by understanding the unique connection between PCOS and regular periods.

Managing PCOS with regular periods

Eating healthy food
Eating balanced diet (salad bowl)

Managing PCOS in people with regular periods means taking care of other signs and possible long-term health risks. 

Changes to your lifestyle, like keeping a healthy weight, working out regularly, and eating a balanced diet, are significant. 

Oral contraceptives or drugs that make the body more sensitive to Insulin may also be given to control hormones and ease symptoms.

Consult a doctor, as they will be able to recommend you a treatment plan as per your health needs.

Conclusion

PCOS is a complicated hormonal disease that can look different in different people.

Contrary to most people, having regular periods does not rule out PCOS. 

It is essential to know how PCOS can change and how it affects fertility, even if your periods are regular. 

By making more people aware of PCOS and ensuring that it is correctly diagnosed and treated, we can help everyone.

Recommended Article:
To learn about various treatment options for PCOS, you can read Empowering Women with PCOS: Comprehensive Treatment Strategies.

Frequently Asked Questions

What are the symptoms of PCOS with regular periods?

When you have regular periods and PCOS, you may have hormonal problems like acne, too much hair growth, and weight gain. Polycystic ovaries, which can be found with an ultrasound, and insulin resistance are also typical signs.

Do people with PCOS have periods every month?

No, a person with PCOS might not get their period every month. Due to hormonal imbalances and problems with ovulation, PCOS can cause periods that come and go or don’t come at all. However, the frequency and consistency of periods can vary from person to person.

Can you have PCOS and still ovulate?

Yes, you can still ovulate if you have PCOS, but it may happen less often or not at all. Even though PCOS is often linked to problems with ovulation, some people with PCOS can still ovulate sometimes or in specific cycles.

How do I know I’m ovulating with PCOS?

Due to unpredictable cycles, it can be hard to tell when a woman with PCOS will ovulate. Signs of ovulation can be found by keeping track of your basal body temperature, watching your cervical mucus, using an ovulation prediction kit, or talking to a doctor.

Citations:
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