Irregular Period Bleeding: Causes & What to Expect

Irregular bleeding (heavy flow followed by light/spotting) has multiple causes:

  1. Hormonal imbalance: PCOS, perimenopause, thyroid disorders.
  2. Implantation bleeding: Light spotting when embryo attaches (~week after conception).
  3. Early pregnancy: Hormonal shifts cause irregular bleeding.
  4. Medication effects: Contraceptives, blood thinners, fertility drugs.
  5. Uterine abnormalities: Fibroids, polyps, adenomyosis.
  6. Stress/lifestyle: Weight change, intense exercise, emotional stress.
  7. Perimenopause: Declining ovarian function causes erratic cycles.

Consult a healthcare provider for evaluation if bleeding is heavy, prolonged, or concerning.

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