Although two-thirds of reproductive age women have menstrual cycles that occur every 25-31 days, the definition for normal menstrual cycles are cycles that occur between every 23-35 days. Most women whose menstrual cycles occur less frequently than every 35 days suffer from infrequent ovulation. This may be due to a hormone abnormality with the thyroid gland or due to an elevation in a hormone called prolactin which is involved with breast milk production. Polycystic ovarian syndrome is a condition that affects 5 percent of reproductive women and is the most common cause of infrequent menstrual cycles. This condition is due to a hormone imbalance that prevents the ovary from forming and releasing an egg every month leaving the ovary with several small cysts present within it hence the term polycystic ovarian disease. Women who do not have any periods at all are referred to as suffering from amenorrhea. This condition is due to a hormone imbalance that prevents the ovary from forming and releasing an egg every month leaving the ovary with several small cysts present within it; hence, the term "polycystic ovarian disease".
Women who bleed more frequently than every 21 days may suffer from inflammation or abnormal cells on the cervix. They may also have benign growths such polyps or fibroids inside the uterus. Women may also have abnormal cells that develop inside the cavity of the uterus which is referred to as hyperplasia. This condition is a precursor to some cancers of the uterus and is more common in women who do not ovulate on a regular basis.
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The Center of Reproductive Biology
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