Plainly Her Answers

Why are my periods getting closer together?

The short answer

Shortening cycles are typically the first measurable sign of perimenopause. As the ovarian follicle pool declines, the first half of the cycle shortens, so a 28-day cycle becomes 25, then 23. It usually appears before hot flushes do.

Medically reviewed by Dr Charmaine Thomas
MBBS, BHRT-certified, Kingston, Jamaica
Reviewed 22 August 2026
Updated 29 August 2026

The fuller picture

  • The follicular phase, the first half, is the part that shortens. Follicles are recruited faster as the pool declines, so ovulation arrives earlier and the whole cycle compresses.
  • A persistent change of seven days or more in cycle length is the clinical marker used to define the early menopause transition. It usually precedes vasomotor symptoms by years.
  • Shorter cycles often come with heavier bleeding, because the cycles that do not ovulate produce unopposed oestrogen and a thicker lining.

What else could cause this

Assuming everything in midlife is hormonal is how other things get missed. These are the ones worth ruling out.

Thyroid dysfunction

Both overactive and underactive thyroid disturb cycle length. A blood test settles it.

Fibroids or polyps

More typically heavy or prolonged bleeding than short cycles, but common enough in this age group to be worth excluding, particularly in Black women, where fibroid prevalence is substantially higher.

Stress, weight change or intensive training

Usually lengthens or stops cycles rather than shortening them, but disruption of any kind is worth noting.

Most women expect perimenopause to announce itself with hot flushes. For a large proportion, the first thing that actually changes is the calendar, years earlier, and it goes unremarked because a slightly shorter cycle is not a symptom, it is an inconvenience.

What is happening physically

You were born with a finite number of ovarian follicles. As the pool declines, the hormonal signal to recruit them rises, so recruitment happens faster. The follicular phase, the stretch between the first day of bleeding and ovulation, contracts. The luteal phase after ovulation stays roughly the same length, so the whole cycle shortens from the front.

A cycle that was reliably twenty-eight days becomes twenty-five, then twenty-three, and then, later in the transition, starts skipping entirely and stretching out to forty and sixty days. Shortening first, lengthening later, is the usual arc.

Why this is worth tracking

Cycle length is the only part of this that is objectively measurable at home, without a blood test, without a clinician, and without argument. A woman who arrives at an appointment able to say “my cycles have gone from twenty-eight to twenty-three days consistently over the last eight months” is having a different conversation from one who says she thinks something has changed.

Write it down. It is the cheapest leverage available in this entire process.

What to do next

  1. Track cycle length for three months. Day one to day one. This single number is the most useful thing you can bring to an appointment.
  2. Note the bleeding as well as the timing: how many days, how heavy, whether you are flooding or passing large clots.
  3. If bleeding is heavy enough to soak through protection hourly, or lasts more than seven days, ask for a full blood count. Iron deficiency from heavy perimenopausal bleeding is extremely common and frequently missed.

Speak to someone rather than reading on if

  • You are bleeding between periods or after sex
  • You are soaking through a pad or tampon every hour, or passing clots larger than a ten pence coin
  • You have any bleeding at all after twelve months without a period
Sources

This is health information, not medical advice, and it cannot know your history. How we review · Corrections

Related