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Treatment for Irregular Periods

By Dr (TCM) Attilio D'Alberto | Traditional Chinese Medicine Practitioner, Wokingham

An irregular menstrual cycle — defined as cycles consistently shorter than 21 or longer than 35 days, or cycles that vary by more than seven days from month to month — is one of the most common presentations in my clinic. It is also one of the most impactful for women trying to conceive, as it makes timing ovulation difficult and often signals an underlying hormonal imbalance. Traditional Chinese medicine is particularly effective at cycle regulation — it is one of the oldest documented applications of TCM in women's health.

Common Causes

PCOS, thyroid dysfunction, elevated prolactin, hypothalamic disruption (from stress, low weight, or overexercise), perimenopause, and post-contraceptive cycle irregularity are the most common causes. Each has a distinct TCM pattern requiring specific treatment.

TCM Patterns

Kidney deficiency — insufficient kidney jing or yang to drive a regular cycle. Liver qi stagnation — emotional stress disrupting the smooth flow of qi through the thoroughfare vessel. Blood deficiency — insufficient blood to build and shed the endometrium at regular intervals. Phlegm-dampness — most common in PCOS, obstructing the ovaries and preventing regular ovulation.

Treatment

Acupuncture regulates the HPO axis, supports ovulation, and harmonises the phases of the cycle. Chinese herbal treatment is administered in cycle-phase specific protocols — different formulas in the follicular and luteal phases address the changing pattern across the cycle. Most women notice meaningful improvement in cycle regularity within two to three months of weekly treatment. I prescribe pharmaceutical-grade granules from Sun Ten in Taiwan.

To discuss irregular periods, contact me or book a consultation in Wokingham.

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