---
title: "Irregular Periods and PCOS in Tirana | Klinika Gjata"
description: "Why is your period late? Causes of irregular periods, PCOS symptoms, tests, treatment and pregnancy. Klinika Gjata, Tirana, Albania: book a consultation today."
lang: en
url: https://klinikagjata.com/en/services/gynecology/irregular-periods-pcos/
alternates:
  sq: https://klinikagjata.com/sherbimet/gjinekologji/cikle-te-parregullta-ovar-polikistik/
  en: https://klinikagjata.com/en/services/gynecology/irregular-periods-pcos/
  it: https://klinikagjata.com/it/servizi/ginecologia/cicli-irregolari-ovaio-policistico/
  fr: https://klinikagjata.com/fr/services/gynecologie/cycles-irreguliers-sopk/
---

# Irregular periods and polycystic ovary syndrome (PCOS): causes, diagnosis and treatment

> A period is irregular when it comes more often than every 21 days, less often than every 35 days, or varies a lot from month to month; the most common hormonal cause is polycystic ovary syndrome (PCOS), which affects 10–13% of women of reproductive age according to the 2023 International Guideline. This guide explains what is normal, what causes irregular cycles, how PCOS is diagnosed, which treatments exist and what PCOS means for pregnancy. At Klinika Gjata in Tirana, Assoc. Prof. Dr. Elinda Gjata, an OB-GYN and infertility specialist with over 25 years of experience, assesses your cycle with hormone tests and ultrasound in one place.

- **Normal cycle:** Every 21–35 days in adults; bleeding lasts up to 8 days
- **How common is PCOS:** 10–13% of women of reproductive age (2023 International Guideline, WHO)
- **Undiagnosed:** Up to 70% of women with PCOS don’t know they have it (WHO)
- **Diagnosis:** History, examination, hormone tests on the right cycle day and ultrasound
- **First step in treatment:** Lifestyle, then cycle, symptom or fertility treatment depending on your goal
- **Pregnancy:** Most women with PCOS conceive naturally or with medical help
- **When to come:** No period for 3 months, bleeding more often than every 21 days, or trouble conceiving

## What is a normal menstrual cycle and how do you count it?

The menstrual cycle is counted from the first day of your period (the first day of real bleeding, not spotting) to the day before your next period starts. In an adult woman a normal cycle lasts 21 to 35 days; the familiar 28 days is only an average, not a rule.

FIGO (the International Federation of Gynecology and Obstetrics) uses these parameters for a normal cycle:

- Frequency: every 24–38 days (many doctors use the practical range of 21–35 days).
- Regularity: the difference between your shortest and longest cycle over a year is no more than 7–9 days.
- Duration of bleeding: up to 8 days.
- Volume: “normal” is whatever does not interfere with your daily life, work, sleep or activities.

What happens during the cycle? In the first half (the follicular phase) the brain releases FSH and LH, which make one follicle grow in the ovary. About 14 days before the next period, ovulation happens: the egg is released and the ovary starts producing progesterone. If there is no pregnancy, progesterone falls and the lining of the womb (endometrium) is shed, which is your period.

This matters: most irregular cycles are cycles in which ovulation does not happen regularly. Without ovulation there is no progesterone, so the period is late, arrives unexpectedly or changes in flow.

How to track your cycle:

1. Note the first day of every period in a calendar or app.
2. Note how many days the bleeding lasts and how heavy it is.
3. After 3–6 months, work out the length of each cycle and the gap between the shortest and the longest.
4. Bring these notes to your appointment: they are one of the most useful diagnostic tools.

## What counts as an irregular period?

A cycle is irregular when periods come too often, too rarely, stop altogether, or when cycle length changes a lot from month to month. The 2023 International PCOS Guideline sets these limits by age:

- In the first year after menarche (the first period): irregular cycles are normal, part of puberty.
- 1 to 3 years after menarche: irregular if cycles are shorter than 21 days or longer than 45 days.
- From 3 years after menarche until perimenopause: irregular if cycles are shorter than 21 days, longer than 35 days, or if you have fewer than 8 cycles a year.
- At any age after the first year: a single cycle longer than 90 days.
- Primary amenorrhoea: no period by age 15, or more than 3 years after breast development began.

Terms your doctor may use:

- Oligomenorrhoea: infrequent periods (cycles longer than 35 days).
- Secondary amenorrhoea: no periods for 3 months or more in a woman whose cycles used to be regular (or 6 months if they were already irregular).
- Short cycle or frequent periods: bleeding more often than every 21 days, for example “two periods a month”.
- Intermenstrual bleeding: blood or spotting between periods.

A single late period of a few days after a month of stress, travel or illness is usually not a concern. What matters is the pattern: if your cycle falls outside the limits above for several months in a row, it is worth a medical assessment.

## Why is my period late? The most common causes of irregular periods

The first cause to rule out is always pregnancy, even when you think it is impossible. After that, most causes are hormonal and treatable. FIGO groups the causes of abnormal bleeding in the PALM-COEIN system: structural causes (polyps, adenomyosis, fibroids, endometrial changes) and non-structural causes, the most common of which is ovulatory dysfunction.

The most common causes:

- Pregnancy: a urine test can be negative if done too early; repeat it after 2–3 days or have a blood beta-hCG test.
- Polycystic ovary syndrome (PCOS): the most common cause of absent ovulation in women of reproductive age (WHO).
- Stress, poor sleep and major life changes: these can “brake” the part of the brain that runs the cycle (the hypothalamus).
- Weight: rapid weight loss, very strict diets, intense training and eating disorders can stop periods; weight gain also disrupts ovulation.
- Thyroid: both an underactive (hypothyroidism) and an overactive thyroid can change your cycle. It is checked with TSH.
- High prolactin (hyperprolactinaemia): can cause infrequent or absent periods, sometimes with milky nipple discharge. Causes include some medicines, stress, hypothyroidism and, less often, a small benign pituitary adenoma.
- Perimenopause: usually after 40, cycles become shorter, then less frequent, before they stop.
- Hormonal contraception: the pill, hormonal coil, injections and implants change bleeding patterns; after stopping the pill, the cycle may take a few months to settle.
- After childbirth and while breastfeeding: naturally high prolactin delays the return of periods.
- Other causes: poorly controlled diabetes, chronic illness, some medicines, congenital adrenal hyperplasia and, very rarely, hormone-producing tumours.

Why does the cause matter? Because treatment is completely different: a cycle stopped by weight loss needs nutrition and energy, not weight-loss medication; high prolactin is treated differently from PCOS. That is why diagnosis comes before treatment.

## What is polycystic ovary syndrome (PCOS) and what are the symptoms?

Polycystic ovary syndrome (PCOS) is a lifelong hormonal and metabolic condition in which the ovaries do not release an egg regularly and the body produces slightly more male-type hormones (androgens) than usual. It is the most common hormonal condition in women of reproductive age: 10–13% according to the 2023 International Guideline and the WHO. The WHO estimates that up to 70% of women with PCOS do not know they have it.

The new name: PMOS. In May 2026, after a 14-year global process published in The Lancet, PCOS was renamed polyendocrine metabolic ovarian syndrome (PMOS). The reason: the old name made people think of “cysts”, while the condition is about hormones and metabolism, not true cysts. The new name will be phased in up to the 2028 guideline update; on this page we still use “PCOS” because that is what people search for.

The Rotterdam criteria in plain words. PCOS is diagnosed when you have at least 2 of these 3 features, once other causes have been ruled out:

1. Infrequent or absent ovulation: irregular, infrequent or missing periods.
2. Signs of high androgens: excess hair on the face, chest or abdomen (hirsutism), persistent acne, thinning hair on the crown, or raised testosterone in blood tests.
3. “Polycystic” ovaries on ultrasound (many small follicles; in adults 20 or more in one ovary) or, under the 2023 guideline, a raised AMH blood level as an alternative in adults.

If you have irregular cycles and signs of high androgens, the diagnosis can be made without an ultrasound.

The “cysts” in PCOS are not real cysts. They are small follicles (immature eggs) that stop growing. They do not need surgery and are not the same as a single ovarian cyst.

The most common symptoms:

- Irregular, infrequent or absent periods.
- Difficulty getting pregnant.
- Excess hair, acne, oily skin, hair loss.
- Weight gain or difficulty losing weight, especially around the waist.
- Dark, velvety skin patches on the neck or armpits (a sign of insulin resistance).
- Tiredness, mood changes, anxiety.

PCOS does not only affect women with higher weight: slim women can have it too. The exact cause is unknown, but genetics, insulin resistance and hormones from the brain all play a part.

## Is PCOS dangerous? Long-term health, metabolism and the endometrium

PCOS is not just a cycle problem: it affects metabolism, heart health and emotional wellbeing throughout life. The good news is that most of these risks can be prevented with regular follow-up.

What the 2023 International Guideline says:

- Diabetes: women with PCOS have a higher risk of prediabetes and type 2 diabetes, regardless of age and weight. Blood sugar should be checked at diagnosis and then every 1–3 years.
- Heart and blood vessels: higher risk of high blood pressure, abnormal blood fats and cardiovascular disease; blood pressure and lipids should be checked.
- Endometrium: without ovulation, the womb lining is stimulated by oestrogen without the “balance” of progesterone. Women with PCOS have a markedly higher risk of endometrial hyperplasia and endometrial cancer, although the overall risk remains low. Prevention means making sure you have regular bleeds (natural or with treatment) and managing weight.
- Mental health: depression and anxiety are significantly more common in PCOS; the guideline recommends asking about them at every assessment. Eating disorders are also more common.
- Sleep apnoea: loud snoring and daytime tiredness are worth mentioning to your doctor.
- Pregnancy: higher risk of gestational diabetes, high blood pressure and pre-eclampsia (see the pregnancy section).

A practical rule: if you go more than 3 months without a period and you are not pregnant, don’t wait for it to “come on its own”. An ultrasound check and, if needed, a progesterone-induced bleed protect the endometrium.

## How are irregular periods and PCOS diagnosed? Blood tests and ultrasound

Diagnosis is step by step: pregnancy and other causes are ruled out first, then PCOS is confirmed or excluded. At Klinika Gjata this assessment usually takes one or two visits.

1. History: age at first period, cycle lengths over the last 6–12 months, weight changes, stress, exercise, medicines and contraception, whether you want to get pregnant, family history (PCOS, diabetes).
2. Clinical examination: weight, waist circumference, blood pressure, skin signs (acne, hair growth, dark patches) and, if needed, a gynaecological examination.
3. Hormone tests on the right day of the cycle:

- Days 2–5 of the cycle: FSH, LH and oestradiol, because values are comparable at this phase.
- Almost any day: TSH (thyroid), prolactin, total and free testosterone (or SHBG), AMH, and beta-hCG to rule out pregnancy.
- About 7 days before your expected period: progesterone, to confirm whether you have ovulated.
- Metabolism: fasting glucose, sometimes an oral glucose tolerance test (OGTT), and lipids.
- If your periods have been absent for a long time, tests can be done on any day or after an induced bleed.

1. Transvaginal ultrasound (or abdominal in girls who have not been sexually active): the follicles in each ovary are counted, ovarian volume and endometrial thickness are measured, and polyps, fibroids or true cysts are ruled out.
2. Interpretation and plan: results are explained in plain language, the doctor confirms whether you have PCOS or another cause, and a plan is built around your goal (cycle regulation, symptoms, pregnancy).

Tips before testing:

- If you are on the contraceptive pill, testosterone and other hormones are not reliable; discuss this with the doctor before stopping any medicine.
- Come fasting (8–10 hours without food) for glucose and OGTT.
- Bring your cycle calendar and any previous results.

## How is PCOS treated and how can irregular periods be regulated?

PCOS is not “cured” for good, but it can be controlled very well: treatment is chosen according to the symptom that bothers you most and whether you want to get pregnant now or later. For irregular cycles with other causes (thyroid, prolactin, low weight), the cause itself is treated.

1. Lifestyle, always first. The 2023 guideline recommends it for every woman with PCOS: healthy eating, regular physical activity, enough sleep and stress management. In women with higher weight, even modest weight loss (around 5–10%) often improves ovulation and the cycle. The benefits exist even without weight loss. There is no single “PCOS diet”: what matters is food quality (vegetables, fibre, protein, less sugar and processed food) and being able to keep it up.
2. Cycle regulation and protecting the endometrium. The combined contraceptive pill regulates periods and reduces acne and excess hair; it is the first choice when pregnancy is not wanted. For women who cannot or prefer not to take the pill, cyclical progesterone or a hormonal coil protects the endometrium.
3. Metabolic treatment. Metformin, a medicine that improves insulin sensitivity, may be added especially in women with higher weight, insulin resistance or prediabetes; it sometimes helps regulate the cycle too. The most common side effect is stomach upset.
4. Treating skin and hair symptoms. The pill, acne treatments, cosmetic hair removal and, in some cases, anti-androgen medicines (always with reliable contraception, because they are not safe in pregnancy).
5. Fertility treatment. If you want to get pregnant, the goal is ovulation: ovulation induction with tablets and ultrasound monitoring; if there is no response, hormone injections with closer monitoring; and, when needed, assisted reproductive techniques (see the pregnancy section).

What about inositol? The 2023 guideline says inositol may be considered according to your preferences, because harm is low and it may improve some metabolic measures, but the clinical benefits (cycle, hair, weight) are limited; for fertility it is still considered experimental. No dose or form has been proven to be “the best”. Let us know if you are taking it.

Doses and combinations are decided individually by the doctor after testing. Don’t start or stop hormonal medicines on your own.

## Can I get pregnant with PCOS? PCOS and fertility

Yes. The 2023 International Guideline states clearly that women with PCOS can often achieve pregnancy successfully, naturally or with medical help. PCOS is the most common cause of infertility due to absent ovulation, but ovulation is exactly what treatment can stimulate.

The usual path to pregnancy:

1. Preparing for pregnancy: folic acid, weight and lifestyle review, blood pressure check and an oral glucose tolerance test (OGTT), as the guideline recommends for every woman with PCOS planning pregnancy.
2. Checking the partner and the tubes when needed: semen analysis and, where appropriate, a tubal patency assessment, so that treatment does not lose time.
3. Ovulation induction: according to the 2023 guideline, letrozole is the first-line drug treatment for ovulation induction in PCOS, ahead of clomiphene; metformin can be used alone or in combination. Pregnancy is ruled out before each treatment cycle.
4. Ultrasound monitoring: follicle growth is followed to know when ovulation occurs, to time intercourse and to avoid several follicles growing at once (risk of multiple pregnancy).
5. Further steps: gonadotrophin injections, sometimes laparoscopic ovarian “drilling”, or in vitro fertilisation (IVF), where specific protocols are used in PCOS to reduce the risk of ovarian hyperstimulation syndrome (OHSS).

During pregnancy, the 2023 guideline lists higher risks in women with PCOS: excess weight gain, miscarriage, gestational diabetes, high blood pressure and pre-eclampsia, restricted fetal growth, preterm birth and caesarean section. That is why PCOS should be mentioned at the first antenatal visit; an OGTT is done early and repeated at 24–28 weeks.

When to seek fertility help: after 12 months of trying if you are under 35, after 6 months if you are 35 or older, or straight away if your periods are very infrequent or absent, because without ovulation waiting does not help.

## Irregular periods in teenagers: when is it normal and when should she be checked?

In the first 1–2 years after the first period, irregular cycles are normal, because the brain–ovary hormone axis is still maturing. Some signs, however, need a check-up.

A teenage girl should be seen if:

- She has not had a period by age 15, or 3 years after breast development began.
- After the first year, cycles are shorter than 21 days or longer than 45 days.
- One cycle lasts longer than 90 days.
- Periods are so heavy that she needs to change pads every hour, or they last more than 8 days.
- She has severe acne, excess hair or rapid weight gain.
- She has lost a lot of weight, exercises very intensely or eats very little.

Diagnosing PCOS in adolescents is more cautious. The 2023 guideline requires both irregular cycles and signs of high androgens. Ultrasound is not used for diagnosis in the first 8 years after menarche, because ovaries with many follicles are common at this age; AMH is not used either. When some features are present but not all, the guideline talks about “increased risk” and reassessment later, not a lifelong label.

Treatment in girls focuses on a healthy lifestyle, regulating the cycle when needed and emotional support. Parents are welcome at the visit, with respect for the girl’s privacy.

## When should I see a gynaecologist about irregular periods?

Book an appointment when the irregularity keeps happening or comes with other symptoms; a single late period with an obvious explanation usually does not need a visit.

Book a visit if:

- You have had no period for 3 months and your pregnancy test is negative.
- Your period comes more often than every 21 days or less often than every 35 days for several months.
- You bleed between periods or after sex.
- You have fewer than 8 periods a year.
- You have acne, excess hair, hair loss or unexplained weight gain.
- You have milky nipple discharge without being pregnant or breastfeeding.
- You are trying to get pregnant and your cycles are irregular.
- You are over 45 and your bleeding pattern changes suddenly, or you bleed after the menopause.

Seek urgent help if:

- You have severe pain in the abdomen or shoulder, dizziness or fainting, especially with a positive test or a late period (this may be an ectopic pregnancy).
- Bleeding is very heavy: soaking a pad every hour for several hours in a row.

## Why choose Klinika Gjata for irregular periods and PCOS in Tirana?

Klinika Gjata is an obstetrics, gynaecology and infertility clinic in Tirana, Albania, open since 2009 and led by Assoc. Prof. Dr. Elinda Gjata, MD, Dr. Sc.

- Specific experience: Dr. Gjata is an OB-GYN with over 25 years of experience, an infertility specialist and Associate Professor at the University of Medicine, Tirana.
- Ongoing work on PCOS: in October 2024 she gave the talk “Të dhëna të reja për trajtimin e ovarit polikistik” (New data on the treatment of polycystic ovary) at the National Endocrinology and Diabetology Conference, and in December 2024 the talk “Ovari policistik, infertiliteti dhe Teknikat e Riprodhimit të Asistuar” (Polycystic ovary, infertility and assisted reproductive techniques) at the FSHMT conference.
- Everything in one place: gynaecological consultation, hormone testing and monitoring, ultrasound, PCOS management, ovulation induction and fertility care.
- A plan built around your goal: cycle regulation, symptom control, long-term health or pregnancy.
- Clear communication: results are explained in plain language and your questions are answered before you decide on treatment.

Address: Rruga Hasan Sufa, Tirana. Tel: +355 4 234 0059.

## How much does assessment and treatment of irregular periods cost? What affects the price

The cost is not the same for every patient, because it depends on how many tests are needed and on the goal of treatment. We give you a clear plan before you start.

Factors that affect the cost:

- Number of visits: often one visit with ultrasound and one visit for results is enough; fertility treatment needs monitoring visits.
- Hormone and metabolic tests: the panel varies with your symptoms (for example thyroid, prolactin, androgens, AMH, blood sugar).
- Ultrasounds: one diagnostic scan, or several monitoring scans during ovulation induction.
- Type of treatment: lifestyle changes and tablet treatment cost differently from fertility treatment with injections or assisted reproductive techniques.
- Length of follow-up: PCOS is a long-term condition, so periodic checks (for example blood sugar every 1–3 years) are part of care.

For up-to-date fees, call the clinic on +355 4 234 0059.

## Frequently asked questions

### My period is late and my pregnancy test is negative. Why?

The most common reasons are late ovulation (the test was done too early), stress, weight change, PCOS, thyroid problems or high prolactin. Repeat the test after 2–3 days with first-morning urine or have a blood beta-hCG test. If the delay lasts more than 3 months or keeps happening, book a visit with hormone tests and ultrasound. With severe abdominal pain, seek help immediately.

### How many days late is normal for a period?

A variation of a few days from one month to the next is normal, as long as the cycle stays between 21 and 35 days. FIGO considers a cycle regular when the difference between the shortest and longest cycle is no more than 7–9 days. Delays that push the cycle past 35 days several times in a row deserve a check-up.

### Why am I getting my period twice a month?

When periods come more often than every 21 days, common causes are a short luteal phase, perimenopause, thyroid problems, hormonal contraception, or polyps and fibroids. Sometimes the “second period” is actually bleeding between periods or spotting around ovulation. If it happens for several months or bleeding is heavy, an ultrasound and blood tests are needed.

### I haven’t had a period for 3 months. Is it dangerous?

No periods for 3 months is called secondary amenorrhoea and should be assessed. Once pregnancy is ruled out, the most common causes are PCOS, stress, weight loss, thyroid problems and prolactin. A long absence of periods without progesterone can thicken the endometrium, so don’t wait for it to “come on its own”.

### What are the symptoms of polycystic ovaries?

The main symptoms are irregular or absent periods, acne, excess facial or body hair, hair thinning, weight gain and difficulty getting pregnant. Not every woman has all of them; the diagnosis requires at least 2 of the 3 Rotterdam criteria after other causes are ruled out.

### Can PCOS be cured permanently?

PCOS does not disappear for good, but its symptoms can be controlled very well with lifestyle and tailored treatment. Many women have more regular cycles after weight loss or as they get older. Regular follow-up protects metabolic health and the endometrium.

### What diet should I follow with PCOS?

There is no single proven PCOS diet. The 2023 International Guideline recommends healthy eating you can keep up long term: vegetables, fruit, whole grains, protein, healthy fats and less sugar and processed food, together with regular physical activity. In women with higher weight, losing 5–10% of body weight often improves the cycle.

### Why is it so hard to lose weight with PCOS?

Insulin resistance, common in PCOS, makes it easier to gain weight, especially around the waist, and harder to lose it. It is not your fault. A realistic eating and activity plan, good sleep and, where indicated, metabolic treatment help more than strict short-term diets.

### Does metformin help with PCOS?

Metformin improves insulin sensitivity and can help particularly in women with higher weight, prediabetes or insulin resistance; it sometimes regulates the cycle too. The most common side effect is stomach upset. It is used only on medical advice, and the dose is set individually.

### Does inositol work for PCOS?

According to the 2023 International Guideline, inositol may be considered according to your preferences, because harm is low and it may improve some metabolic measures, but benefits for the cycle, hair and weight are limited. For fertility it is still considered experimental. Supplement quality varies; tell your doctor if you take it.

### Can I get pregnant naturally with PCOS?

Yes, many women with PCOS conceive naturally, especially when they still ovulate from time to time or after lifestyle changes. When cycles are very infrequent, ovulation induction with ultrasound monitoring usually shortens the time to pregnancy.

### What is the difference between PCOS and an ovarian cyst?

In PCOS the “cysts” are many small follicles, normal but arrested in growth, and the condition is hormonal. An ovarian cyst is a single fluid-filled sac, usually functional and temporary, which sometimes needs follow-up or treatment. Ultrasound tells them apart clearly.

### Can I have PCOS with regular periods?

Yes. Some women have fairly regular cycles but ovulate rarely, or have high androgens and polycystic ovaries on ultrasound. In these cases a progesterone test about 7 days before the period shows whether ovulation has occurred.

### What is PMOS, the new name for PCOS?

PMOS (polyendocrine metabolic ovarian syndrome) is the new name for PCOS, announced in May 2026 after a global consensus published in The Lancet. The new name reflects that this is a hormonal and metabolic condition, not a problem of cysts. The switch will happen gradually up to the 2028 guideline update.

### How does high prolactin affect the menstrual cycle?

High prolactin suppresses the hormones that trigger ovulation and can cause infrequent or absent periods, milky nipple discharge and difficulty conceiving. Causes include stress, some medicines, hypothyroidism and, less often, a small pituitary adenoma. It is treated according to the cause, and the cycle usually returns to normal.

### Can my thyroid cause irregular periods?

Yes. Both hypothyroidism and hyperthyroidism can cause irregular, heavy or infrequent periods and affect fertility. It is checked with a TSH blood test; once the thyroid is treated, the cycle often settles.

### How long does it take for periods to become regular after stopping the pill?

In most women the cycle returns within 1–3 months. If periods have not come back after 3 months, an assessment is needed, because the pill may have masked a pre-existing irregularity such as PCOS.

### How long after giving birth do periods come back?

If you breastfeed exclusively, periods may be absent for months because of prolactin, and this is normal. Without breastfeeding, periods usually return within 6–8 weeks. Breastfeeding is not reliable contraception after the first months.

### On which day of the cycle are hormone tests for PCOS done?

FSH, LH and oestradiol are usually taken on days 2–5 of the cycle. TSH, prolactin, testosterone and AMH can be taken on almost any day. Progesterone is measured about 7 days before the expected period to see whether ovulation has occurred. If you have no periods, the doctor will tell you when to test.

### My periods are irregular. Does that mean I’m not ovulating?

Very irregular cycles, cycles longer than 35 days or absent periods often signal that ovulation isn’t happening regularly. Without ovulation there is no egg to fertilise, which makes this one of the most common, and most treatable, causes of infertility.

The most frequent causes are:

- polycystic ovary syndrome (PCOS);
- thyroid disorders or raised prolactin;
- major weight changes, very intense exercise or severe stress;
- reduced ovarian reserve, especially approaching menopause.

Hormone tests and ultrasound monitoring can confirm whether you ovulate and identify the cause. Often, treating the cause (for example correcting thyroid or prolactin levels) or inducing ovulation is enough to restore the chance of pregnancy. So with irregular cycles, there’s no reason to wait a full year before seeking advice.

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- **Phone:** +355 4 234 0059
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