Irregular Periods in Pakistan — What's Normal and When to Worry

Period irregularity is extremely common among Pakistani women — affecting up to 30% — yet it is rarely discussed openly or addressed medically.

What Is a Normal Cycle?

A normal menstrual cycle ranges from 21 to 35 days. Periods lasting 3-7 days with moderate flow are typical. Anything outside this warrants attention if persistent.

Common Causes of Irregular Periods

• PCOS (Polycystic Ovary Syndrome) — most common cause in Pakistani women
• Thyroid disorders — both hypo and hyperthyroidism affect cycles
• Stress — significant life stress can delay or stop periods
• Nutritional deficiency — low iron, Vitamin D, body weight extremes
• Endometriosis — painful, heavy periods with chronic pelvic pain
• Perimenopause — cycle changes beginning in the 40s

When to See a Doctor

• No period for 3+ months (and not pregnant)
• Periods more frequent than every 21 days
• Extremely heavy bleeding (soaking a pad/tampon hourly)
• Severe pain that disrupts daily life
• Bleeding between periods