Dr Ismail was featured in Sayidaty magazine on the 11th August 2018, issue number 1953. He talked about the common causes of irregular or missing periods, and whether women should worry about these symptoms.

An English translation summarizing the article is below the photographs.


















































Irregular periods or amenorrhea (missing periods for an extended length of time) can affect a woman from her first ever period, aged 11 or 12. My advice if this occurs is to avoid going to a doctor until the girl is around 17 or 18, if the problem has persisted until then. A gynaecologist at this point should be able to identify any issues, stop them progressing, and regulate her period using appropriate treatment.

It is vital to remember that the most common cause of amenorrhea is pregnancy! Do not immediately dismiss this possibility or rule it out without good reason. After the age of 16 and aside from pregnancy, causes include:

  • Polycystic ovarian syndrome- other symptoms include abnormal hair growth and facial acne
  • Chromosome abnormalities like Turner or Triple X syndrome
  • Being underweight
  • Being overweight
  • Thyroid problems
  • Pituitary gland or suprarenal gland problems
  • Ovarian cysts or tumors
  • Menopause / early menopause / premature menopause
  • Other endocrinological or hormonal problems

You should note that although fibroids can cause long, heavy periods, they do not cause missing periods.

Any woman with irregular periods should check her iron levels and get a blood test, because it can lead to severe anemia with serious consequences for her future health and wellbeing.