Irregular Menstrual Bleeding Specialist in Columbia, MD and Greenbelt, MD
Irregular menstrual bleeding refers to changes in the frequency, duration, or volume of menstrual periods. It may be caused by hormonal imbalances, stress, or underlying health conditions. Dr. Chetanna Okasi, MD, Board-Certified OB-GYN at Women’s Wellness MD, offers personalized evaluations to determine the cause and recommended appropriate care. For more information, contact us or request an appointment online. We have convenient locations to serve you in Columbia, MD & Greenbelt, MD.


Table of Contents:
What’s a normal menstrual cycle length?
When is bleeding considered irregular or abnormal?
What causes irregular menstrual bleeding?
Why does irregular bleeding happen?
What are the symptoms of irregular menstrual bleeding?
At Women’s Wellness MD, we understand that every woman’s menstrual cycle is unique. A normal menstrual cycle is typically counted from the first day of one period to the first day of the next, usually lasting between 21 and 35 days. While the average cycle is about 28 days, it’s perfectly normal for yours to be a bit shorter or longer—and for cycle length to vary slightly month to month, especially during adolescence or as you approach menopause.
However, if your cycles are consistently shorter than 21 days, longer than 35 days, or are highly unpredictable, it’s important to schedule a visit with one of our specialists. These patterns could signal underlying health concerns, such as hormonal imbalances or conditions like polycystic ovary syndrome (PCOS). Your menstrual cycle is a key indicator of your reproductive health and can be affected by stress, weight changes, and other medical conditions.
Our caring providers are here to help you better understand your cycle and address any concerns you may have. If you notice changes in your period or have questions about your reproductive health, contact us to schedule a personalized consultation. Your wellness is our priority.
At Women’s Wellness MD, we understand that every woman’s menstrual cycle is unique. However, bleeding is considered irregular or abnormal when it deviates from your typical pattern or occurs outside of expected circumstances. Normally, menstrual bleeding happens every 21 to 35 days and lasts about 2 to 7 days. Any vaginal bleeding that occurs between periods, after intercourse, after menopause, or is significantly heavier or lighter than usual may be classified as abnormal.
This can include:
• Spotting or bleeding between periods
• Periods that are much more frequent or less frequent than normal
• Very heavy menstrual flow requiring frequent changes of sanitary products
• Bleeding that lasts longer than a week
• Any bleeding after menopause
Other forms of abnormal bleeding may involve bleeding from areas not related to menstruation, such as rectal or urinary bleeding.
If you notice any of these symptoms, or if your normal bleeding pattern suddenly changes, it’s important to reach out to a healthcare professional. At Women’s Wellness MD, our team specializes in diagnosing and treating abnormal bleeding, ensuring you receive compassionate care tailored to your individual needs. Don’t hesitate to contact us for an evaluation—your health and peace of mind are our top priorities.
We understand that irregular menstrual bleeding—also known as abnormal uterine bleeding—can be concerning and disruptive to your daily life. Our team specializes in identifying and treating the underlying causes of menstrual irregularities so you can regain control of your health and well-being.
Irregular bleeding can occur for many reasons, most commonly due to hormonal fluctuations. This is especially true for teenagers who have recently started menstruating and for women approaching menopause, when estrogen and progesterone levels naturally shift. However, there are many other potential causes that our specialists are trained to evaluate, including:
• Hormonal Imbalances: Conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, or pituitary gland dysfunction can interfere with the hormones that regulate your menstrual cycle.
• Lifestyle Factors: High levels of stress, significant changes in weight, excessive exercise, or certain medications (like hormonal contraceptives or blood thinners) may also affect menstrual regularity.
• Structural Concerns: Uterine fibroids, polyps, or adenomyosis can lead to irregular or heavy bleeding.
• Infections: Pelvic inflammatory disease and other infections of the reproductive tract may disrupt your normal cycle.
• Serious Conditions: Although rare, endometrial hyperplasia or cancer—especially in women over 40 or those with additional risk factors—can present as abnormal bleeding.
When to Seek Help:
If you’re experiencing persistent irregular menstrual bleeding, don’t hesitate to reach out. At Women’s Wellness MD, we provide comprehensive evaluations and personalized treatment plans, utilizing the latest technology and evidence-based care. Our compassionate team will work with you to identify the cause of your symptoms and recommend the best management options for your unique needs.
Your menstrual health is a vital part of your overall wellness. If you have concerns about irregular bleeding, contact Women’s Wellness MD today to schedule a thorough evaluation with one of our women’s health specialists. We’re here to help you achieve better health and peace of mind.
We understand that every woman’s menstrual cycle is unique. Irregular menstrual bleeding—also known as abnormal uterine bleeding—can be concerning and may present in many ways. You might notice your periods coming more often than every 21 days, or less frequently than every 35 days. Some women experience periods that last longer than a week or end unusually quickly. Bleeding may also be heavier than usual, requiring you to change pads or tampons every one to two hours, or you might notice large blood clots. Others may have only light spotting instead of a normal flow.
Other signs of irregular bleeding include spotting or bleeding between periods, after sexual intercourse, or after menopause. These changes can also be accompanied by symptoms such as pelvic pain or cramping.
At Women’s Wellness MD, our experienced providers are here to help you understand what’s normal and what may need further evaluation. If you’ve noticed any changes in your menstrual pattern, we encourage you to schedule an appointment. Early evaluation can help identify the cause and guide you toward the right treatment options for your health and peace of mind. Your well-being is our priority—let us support you in every stage of your reproductive health. For more information, contact us or request an appointment online. We have convenient locations to serve you in Columbia, MD & Greenbelt, MD. We serve patients from Columbia MD, Greenbelt MD, Ellicott City MD, Jessup MD, Savage MD, New Carrollton MD, College Park MD, Beltsville MD, Bowie MD, and surrounding areas.

Additional Services You May Need
▸ Breast Cancer Screening
▸ Cervical Cancer Screening
▸ Endometrial Biopsy
▸ Cervical Biopsy
▸ Ultrasound
▸ Colposcopy
▸ Annual Well Women’s Exams
▸ Urinary Tract Infection
▸ Hot Flashes

Additional Services You May Need
▸ Breast Cancer Screening
▸ Cervical Cancer Screening
▸ Endometrial Biopsy
▸ Cervical Biopsy
▸ Ultrasound
▸ Colposcopy
▸ Annual Well Women’s Exams
▸ Urinary Tract Infection
▸ Sexually Transmitted Disease
▸ Pelvic Pain
▸ Semaglutide GLP-1
▸ Tirzepatide
▸ Medical Weight Loss
▸ Irregular Menstrual Bleeding
▸ Heavy Periods
▸ Menopause
▸ Fibroids
▸ Bladder Problems
▸ Bioidentical Hormone Replacement Therapy
▸ Infertility
▸ Family Planning
▸ Botox
▸ Sexual Health
▸ Hot Flashes
▸ Polycystic Ovary Syndrome (PCOS)