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Many women experience widely spaced periods typically having one or two periods every six months. It is very unlikely that there is a serious underlying cause but women often seek an explanation and reassurance from their GP or gynaecologist.
The commonest cause of infrequent periods is a condition called polycystic ovaries. This is a common condition affecting as many as 10 per cent of women.
There are a large number of very small (less than 1cm) cysts on the ovaries and these are in association with a hormone imbalance. The result of this is that women do not ovulate regularly and so their periods are usually infrequent.
The diagnosis of polycystic ovaries is made on the basis of one or more blood tests to measure hormone levels often in conjunction with a pelvic ultrasound scan of the ovaries.
Treatment is only necessary if the woman is concerned about the irregularity of her periods or if she is having difficulty becoming pregnant.