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  • October 29, 2025

Menstrual changes: when is it time to visit the gynecologist?

changes in menstruation

Table of Contents

Changes in menstruation are one of the most frequent consultations in gynecology. Many women notice variations in their cycle over the years: heavier periods, unexpected delays or even periods that disappear completely for months. Although in most cases these are temporary alterations, in other cases they may indicate hormonal imbalances or pathologies that should be evaluated in time.

At Ginelux, a gynecological clinic in Telde that also serves patients from Las Palmas and nearby locations, we offer a complete gynecological examination aimed at detecting the origin of these changes and orienting the appropriate treatment for each patient.

Why menstruation changes throughout life

The menstrual cycle is a process regulated by hormones such as estrogens and progesterone. Any change in their balance may be reflected in the regularity, duration or amount of bleeding. These adjustments are normal at certain stages - such as adolescence or perimenopause - but may also be due to other factors.

The menstrual cycle is governed by hormones such as estrogen and progesterone. When this delicate balance is disturbed, changes in the regularity, duration or volume of bleeding may be noticed. These changes are common at certain stages, for example during adolescence or perimenopause, but may also be due to other factors.

Among the most frequent causes of menstrual changes in women are:

  • Temporary hormonal alterations.
  • Prolonged physical or emotional stress.
  • Changes in body weight or diet.
  • Discontinuation or initiation of hormonal contraceptives.
  • Thyroid disorders.
  • Polycystic ovary syndrome (PCOS).
  • Gynecological infections or endometriosis.

If the changes persist for more than three cycles in a row, it is advisable to make an appointment and go to a gynecological consultation to rule out causes that require follow-up or specific treatment.

Irregular menstruation: most common causes

When we talk about irregular menstruation, we refer to variations in cycle length, flow or associated symptoms. In an adult woman, the average cycle usually lasts between 21 and 35 days. If periods are repeatedly early or late, there may be a hormonal imbalance.

Some of the most common causes are:

  • Stress and lack of sleep affect ovulation and may cause delayed or absent periods.
  • Female hormonal changes especially during adolescence or premenopause.
  • Thyroid problems both hypothyroidism and hyperthyroidism alter the cycle.
  • Hormonal contraceptives, their inception or suspension may temporarily modify menstruation.
  • Polycystic ovary syndrome  is characterized by scanty periods, increased hair growth and acne.

A gynecologist in Telde or Las Palmas can assess these symptoms by means of a complete gynecological examination, including ultrasound and hormone analysis if necessary.

Heavy or scanty menstruation: when to be concerned

Changes in the amount of bleeding are also a frequent reason for consultation. Menstruation is considered heavy when it requires changing pads or tampons every hour or lasts more than seven days. At the other extreme, a period that is too scanty may indicate hormonal or endometrial abnormalities.

Some possible causes of heavy or scanty menstruation are:

  • Myomas or uterine polyps.
  • Coagulation disorders.
  • Intrauterine device (IUD).
  • Excessive weight loss or extreme exercise.
  • Early menopause.

A medical evaluation is essential to differentiate whether it is a temporary change or a menstrual disorder that requires study. At Ginelux we have specialists in hormonal gynecology who can help you identify the origin of the problem and establish an appropriate gynecological treatment.

Abnormal menstrual period symptoms: warning signs

Beyond bleeding, there are symptoms that may indicate alterations in the reproductive system of the patient. It is advisable to visit a gynecologist in Las Palmas or in your city of residence if you observe any of the following signs:

  • Severe or disabling pelvic pain.
  • Large clots or intermenstrual bleeding.
  • Vaginal secretions with bad odor.
  • Dizziness, weakness or unusual fatigue during menstruation.
  • Absence of menstruation for more than three months (without pregnancy).

These symptoms may be related to menstrual disorders, endometriosis, ovarian cysts o hormonal problems. Early diagnosis avoids complications and allows effective treatment to be initiated at an early stage.

Female hormonal changes and their impact on the cycle

Hormones regulate not only a woman's menstrual cycle, but also her overall health. Changes in estrogen or progesterone levels can cause alterations in mood, sleep or skin, as well as affect menstruation.

During the early menopause or the perimenopause, In these cases, it is common to experience shorter cycles, irregular periods or hot flashes. In these cases, a follow-up by a physician may be necessary. gynecologist specializing in hormones can significantly improve quality of life through personalized treatments or supportive therapies.

Gynecological examination: when and why to have it done

An annual gynecological visit is an essential tool for detecting, in advance, any abnormality of the reproductive system, even if the patient does not experience any discomfort. During the consultation, the uterus, ovaries and breasts are inspected and, depending on the need, additional tests such as cytology or transvaginal ultrasound may be added.

A complete review allows:

  • Identify menstrual disorders early.
  • Monitor hormonal health.
  • Prevent infections or cervical lesions.
  • Resolve doubts about contraception or fertility.

At Ginelux, gynecological clinic in Telde and Las Palmas, We recommend having your first gynecological check-up with or without a period at the age of 18 or after the onset of sexual life, and maintaining regular check-ups throughout adulthood.

When to go to the gynecologist for menstrual periods

It is not always easy to know if a change in menstruation requires medical evaluation. However, there are situations in which going to a specialist is the best decision:

  • Repeated delays or absence of menstruation without apparent cause.
  • Bleeding between periods or after sexual intercourse.
  • Intense pain that interferes with daily life.
  • Abrupt changes in the amount or duration of bleeding.
  • Irregular menses that persist for more than three months.

At Ginelux we attend consultations for irregular menstrual symptoms, hormonal disorders o questions about reproductive health, We have been working with patients from Telde as well as patients from Las Palmas, Vecindario, Agaete, Playa del Inglés and Maspalomas.

Treatment of menstrual disorders

Treatment will always depend on the origin of the problem. In some cases, lifestyle changes or stress management will suffice; in others, a medical approach or hormonal therapies may be necessary.

Among the most common options:

  • Nutritional supplementation or adjustment.
  • Hormonal regulators or oral contraceptives.
  • Treatment of PCOS or other endocrine disorders.
  • Specific therapies in menopause.
  • Minor surgery (if fibroids or polyps are present).

Each woman requires individualized attention. For this reason, the gynecological consultation due to menstrual changes is the first step in restoring balance to the cycle and improving overall well-being.

Taking care of your menstrual health is taking care of your well-being.

Changes in menstruation do not always cause alarm; rather, they signal that the body's delicate balance is undergoing some variation. Paying attention to these signals and having regular checkups can be critical in distinguishing between a temporary adjustment and a more serious condition.

At Ginelux we accompany each patient with a comprehensive approach, combining advanced diagnostic technology with a close and personalized attention. If you notice persistent changes in your menstrual cycle, ask for a professional assessment and resolve your doubts with a trusted gynecologist. You can request your appointment with the gynecologist at this contact form.

Frequently asked questions about menstruation changes

Is it normal for the cycle to change from month to month?

Yes, stress, intense exercise or hormonal variations can temporarily alter the cycle. If it occurs repeatedly, it is advisable to consult.

Can I go for a gynecological check-up when I have my period?

It depends on the type of examination. In general, cytology is postponed if there is active bleeding, but other evaluations can be performed without problem.

When should I worry about painful menstruation?

When pain is severe, disabling or does not improve with analgesics. May indicate endometriosis or other disorders requiring medical diagnosis.

Does delayed menstruation always indicate pregnancy?

Not necessarily. The delay may be due to hormonal factors, stress or thyroid disturbances. A pregnancy test helps to rule it out, but if it recurs, it should be evaluated.

How often should I have a gynecological check-up?

An annual check-up is recommended, although it may vary according to age or personal history.

Related links

To continue taking care of your intimate health, we recommend you also read:

  • Why talking to your gynecologist about your period is key
  • Recurrent vaginal infections: when to go to the gynecologist
  • Annual gynecological check-up: why it is important in Gran Canaria
  • Gynecologist and sex life after 60 years of age

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