Irregular Periods

When your cycle feels unpredictable

Irregular periods are common, but they’re often a sign that something isn’t quite right. This might mean your cycles are very far apart, very close together, unpredictable, or have changed over time.

If your periods are difficult to track, interfering with daily life, or affecting fertility, it’s worth having them assessed.

What causes irregular periods

Irregular cycles may be caused by:

Finding the underlying cause is important, because treatment depends on what is driving the change.

How irregular periods are assessed

Assessment starts with understanding your cycle, your symptoms, and any changes over time. This is often followed by pelvic ultrasound and, when needed, blood tests to assess hormone levels and ovulation.

Ultrasound allows detailed assessment of the uterus and ovaries, including:

  • Fibroids

  • Ovarian cysts

  • Features of PCOS

  • Uterine changes such as adenomyosis

My training in advanced pelvic ultrasound helps ensure subtle findings are not missed and that treatment is based on clarity rather than trial and error.

Treatment options

Treatment is tailored to the cause and your priorities. This may include:

  • Reassurance and monitoring

  • Hormonal or non-hormonal medication

  • Management of ovulation disorders

  • Treatment of underlying conditions such as fibroids, adenomyosis, or endometriosis

  • Fertility-focused care if pregnancy is a goal

We will talk through what makes sense for you so that your care fits your life, not just your test results.

How I can help

I use advanced pelvic ultrasound and careful assessment to identify what is affecting your cycle and guide treatment.

Whether your goal is symptom control, cycle regulation, or fertility, we’ll take a thoughtful, step-by-step approach.

Dr Guy Fisher – Specialist Gynaecologist and Fertility Specialist

Book an appointment for irregular periods in Auckland

If your cycle is unpredictable or has changed, you can book a consultation online.

Book an Appointment