Introduction
A missed period is one of the most common symptoms a woman considers as a sign of pregnancy.
However, this is not always a reliable sign for those with irregular periods. An irregular period is when a woman’s menstrual cycle is less than 21 days or longer than 38 days.
When a couple struggles to get pregnant, their first step should be understanding the correct time frame for intercourse.
However, determining this can be challenging when trying to get pregnant with irregular periods.
Additionally, these irregularities make it hard to find the difference between early pregnancy signs and regular menstrual symptoms, leaving a woman confused.
Signs & Symptoms : Pregnant with Irregular Periods
Although a missed period is one of the common pregnancy symptoms, there are a few other signs of pregnancy that most pregnant women have, including:
1. Implantation Bleeding
It can be one of the earliest signs of pregnancy. This short-duration light spotting occurs when the fertilized egg attaches itself to the uterine lining.
Sometimes, this can be misunderstood as a light period, especially in a woman who is pregnant with irregular periods.
2. Breast Tenderness
Hormonal changes and increased blood flow can cause tender breasts.
At times, people might easily mistake them for PMS (premenstrual syndrome) because the soreness and sensitivity of the breast can feel similar.
3. Extreme Fatigue
Pregnancy rapidly increases hormones and metabolic demands to support the growing fetus.
All these changes, especially in the first trimester, can lead to profound fatigue in a woman.
4. Mild cramps
There are many causes of cramps during the early stages of pregnancy. Implantation, uterine muscle stretching, or bloating can cause a pulling sensation in the lower abdomen.
However, this pregnancy sign is often mistaken for the start of a period, especially during irregular cycles.
5. Food Cravings and Aversions
Food cravings due to the hormonal shift can be caused when the period is about to start or even during pregnancy.
But food aversions aren’t that common during periods as they are often related to HCG hormone that is produced by the body during pregnancy.
6. Nausea and Vomiting
Nausea and vomiting are early pregnancy signs, often accompanied by a missed period. However, nausea can also occur as a PMS symptom due to an increase in prostaglandin hormones.
Women with irregular periods may mistake this nausea for a typical PMS symptom, making it hard to differentiate from pregnancy.
If nausea persists beyond the usual menstrual cycle, it may be better to consider it as a potential sign of pregnancy.
7. Mood Swings
Although mood swings are a common PMS symptom, they are also a typical sign of early pregnancy.
Understand that pregnancy-related mood swings usually last longer than PMS mood swings.
8. Increased Urination
Hormone fluctuation and increased blood flow result in frequent urination during pregnancy.
Hence, women can consider this an important symptom while being pregnant with irregular periods.
9. Constipation
Hormone fluctuations during early pregnancy slow down food movement along the gastrointestinal tract.
This process makes it difficult for the stools to pass through the anal tract, leading to constipation.
When to take a pregnancy test with irregular periods?
Women with regular periods are recommended to take a pregnancy test at least a week after their missed period for accurate results.
However, for those with irregular periods, it may be difficult to find out the exact timeframe to take a pregnancy test.
Healthcare professionals suggest taking a pregnancy test after 45 to 50 days from the last period or after 21 days of having unprotected intercourse for best accuracy in results.
Additionally, a woman with irregular periods can also take a pregnancy test if she experiences early pregnancy signs, including morning sickness, breast tenderness, mood swings, and food aversions.
It is better to take a pregnancy test when she experiences one or more of these symptoms.
How to track ovulation with irregular periods?
Tracking ovulation is one of the stressful things when a woman tries to get pregnant with irregular periods.
Generally, a woman with regular periods has a 28- or 30-day menstrual cycle. Her ovulation is said to occur on the 14th or 15th day of the cycle. The first day of the period is considered day 1 of the cycle.
However, for women with irregular cycles, this calculation is often inaccurate. In this case, some of the best ways to predict ovulation are:
Follicular study:
A gynecologist performs a series of ultrasound scans at regular intervals to study when a mature egg is released. The first scan will be done around the ninth day of the current menstrual cycle.
OPK:
Ovulation Prediction Kit (OPK): It is a home test kit that measures the amount of luteinizing hormone (LH) in the urine.
An increase in the LH level indicates that a woman is likely to ovulate in the next 12 to 36 hours.
Cervical mucus:
The color and feel of the cervical mucus are to be monitored regularly when a woman stops bleeding after her menses.
Mucus with a clear and sticky consistency (like egg white) could indicate the fertile days.
Basal body temperature (BBT):
It is the body’s temperature that is typically taken as soon as waking up.
Usually, the BBT of a person is around 97 to 98 degrees Fahrenheit. After ovulation, this usually rises by 0.5 to 1 degree for the next two or three days.
A woman’s fertile window is likely to fall two or three days before this temperature increases. It’s better to track this for several months to observe a standard pattern.
When to consult a doctor?
If you’re dealing with an irregular cycle or trying to get pregnant with irregular periods, certain warning signs indicate it’s time to see a gynecologist.
Consult a doctor if:
- Your regular cycle suddenly becomes irregular.
- Menstrual flow lasts more than 7 days.
- You experience extreme fatigue, weight gain, hair loss, or other severe symptoms.
- Periods are unusually heavy.
- Abdominal pain is unbearable.
- Manual ovulation tracking for irregular periods and pregnancy doesn’t work.
- Your cycle exceeds 35 or 45 days.
- Menstrual flow includes frequent painful blood clots.
Conclusion:
Although women with irregular periods may find it difficult to distinguish between PMS and pregnancy symptoms, it is manageable with the right approach.
For those with irregular periods, advised to take a pregnancy test after 45 to 50 days of the last menstrual cycle or after 21 days of having unprotected intercourse.
It is also important to consult with a gynecologist and have a consultation with them.
For appointments and consultations with the best gynecologist in Chennai Dr. Deepthi Jammi, Contact Jammi Scans at 73387 71733.
Chennai women’s clinic is now Jammi Scans.
FAQs
1. Can I get pregnant with an irregular cycle?
Yes, most of the women with irregular periods can get pregnant under the guidance of a gynecologist.
2. How many days after an irregular period can you get pregnant?
The exact time frame of ovulation can vary from person to person. However, those with irregular periods can track ovulation by:
- Performing a follicular study
- Using ovulation predictor kit
- Monitoring the cervical mucus
- Monitoring the basal body temperature
3. How many days delay in periods confirm pregnancy?
In general, a menstrual delay of 7 to 10 days is a good time to take a pregnancy test.
But for those with irregular periods, it is better to wait at least 21 days after having unprotected intercourse before taking a pregnancy test.
However, it is advised to talk to a gynecologist inorder to confirm pregnancy.
4. Is pregnancy difficult with irregular periods?
Pregnancy with irregular periods can be challenging as it is hard to predict the ovulation window.
However, methods like follicular study, OKP, cervical mucus analysis, and basal body temperature monitoring can be effective for tracking ovulation days.
Planning for intercourse during these days can increase the chances of conception.
5. Am I infertile if I have irregular periods?
An irregular period is not always a sign of infertility. It is best to talk to your gynecologist and take proper treatments to improve your chances of conception.
Deepthi
Dr. Deepthi Jammi (Director, Jammi Scans) is a qualified OB/GYN and Post-Doc in Maternal Fetal Medicine. As a pregnancy ultrasound expert, she is passionate about healthy pregnancies and works towards spreading awareness on the latest diagnostic options available for parents to choose from. Dr.Deepthi has received gold medals and awards in Fetal Medicine at international and national conferences, and has appeared in numerous prestigious regional magazines and TV interviews.