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Irregular periods? Hormone and blood tests doctors commonly advise

A cycle between about 21 and 35 days is usually considered regular. Periods that keep coming late, skip months, come too often or are very heavy can be due to PCOD, thyroid problems, high prolactin, stress or weight changes. Hormone blood tests help your gynaecologist understand what is going on and plan the next steps.

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Tests to ask about

Thyroid profile (T3, T4, TSH)

Thyroid imbalance commonly disturbs the cycle.

₹1,200 Book Details
Prolactin

High prolactin can stop or delay periods.

₹600 Book Details
LH & FSH

The LH:FSH pattern helps in PCOD and menopause evaluation.

₹565 Book Details
Testosterone

Raised in some women with PCOD, acne or extra hair.

₹735 Book Details
PCOD profile

Combines the common hormone tests in one booking.

₹2,350 Book Details
Fasting insulin

Insulin resistance is common with PCOD.

₹460 Book Details

Common reasons doctors look for

  • PCOD/PCOS – often with acne, weight gain or extra facial hair
  • Thyroid imbalance (low or high)
  • High prolactin – sometimes with milky discharge from breasts
  • Stress, sudden weight loss or gain, intense exercise
  • Pregnancy or breastfeeding
  • Approaching menopause (late 30s–40s)

How to prepare

LH, FSH and some other hormones are usually checked on day 2–5 of the period – follow your doctor's advice. Prolactin is best tested in the morning after resting. Fasting is needed only for fasting sugar, insulin or lipid tests (10–12 hours, water is fine).

When to see a doctor

If you might be pregnant, do a pregnancy test first. See a doctor urgently for very heavy bleeding soaking a pad every hour, bleeding with dizziness or fainting, severe one-sided lower abdominal pain, or any bleeding after menopause.

Irregular Periods – FAQs

Which tests are done for irregular periods?

Commonly thyroid (TSH), prolactin, LH, FSH, testosterone, blood sugar/insulin and CBC. Many labs offer a combined PCOD profile.

On which day should hormone tests be done?

LH and FSH are often tested on day 2–5 of the cycle. Your gynaecologist will tell you the right day for your case.

Can thyroid cause irregular periods?

Yes, both low and high thyroid can change cycle length and flow. TSH is one of the first tests doctors check.

Is ultrasound also needed for PCOD?

Often yes. PCOD is diagnosed using symptoms, blood tests and sometimes a pelvic ultrasound, as decided by your doctor.

This page is general information, not medical advice or a diagnosis. Please talk to a doctor about your symptoms.

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