PCOS JunoWriting

Cycles

How to track a cycle that doesn't behave

A cycle app that averages 34, 61 and 39 into "about 45 days" has destroyed the most clinically interesting thing about your record.

Most cycle apps were built around a 28-day assumption with some tolerance either side. Feed one a cycle that runs 34 days, then 61, then 39, and it does not break — which is the problem. It quietly reports an average of about 45 and draws a confident prediction on a date that none of your actual cycles has ever landed on.

The average is the least useful number in that set. The interesting facts are the 61 and the spread, and both have just been smoothed away.

Record starts, not lengths

The single most robust thing you can keep is a list of dates that bleeding started. Everything else is derived from it, and derived numbers can be recalculated when you change your mind about what counted; a length you typed in cannot.

Lengths also invite a small, silent error. Cycle length is measured from the first day of one period to the day before the next — so if you count “about five weeks” in your head twice in a row, you have introduced a wobble of several days into a record whose entire value is in the spread.

Let the ambiguous ones be ambiguous

The awkward part of an irregular cycle is that not every bleed is obviously a period. Spotting for a day. Something lighter and shorter than usual. Something that arrived a week after the last one ended.

The instinct is to decide — count it or don’t. Resist it. Note it, note what it was like, and mark that you were not sure. An honest record with three question marks in it is worth more than a tidy one where you made three judgement calls months ago and can no longer remember which way you went or why.

This matters more than it sounds. Whether a light two-day bleed counted is the difference between one 62-day gap and two 31-day ones, and those describe completely different situations.

Keep logging in the months when nothing happens

The empty months feel like nothing to record, which is exactly backwards. A 74-day gap is a finding. It is the finding, often — prolonged gaps between periods are one of the three Rotterdam criteria, and the only way to demonstrate one is to have both ends of it dated.

An app that shows nothing for October and November is showing you the most informative eight weeks in the record.

What to log alongside the dates

Cycle dates alone tell you when. The things that make them interpretable are the ones you notice in between:

  • Bleeding character — how heavy, how many days, clots, and whether it differed from the last one.
  • Pain — where, roughly how bad, and which days relative to the bleed.
  • The symptoms you actually get. Bloating, fatigue, mood, skin, sleep. Logged with a date, these can later be laid against the cycle; logged as an impression, they cannot.
  • Anything that changed. A new medication, a run of bad nights, a period of unusual stress, being ill. Six months later this is the context that makes an odd cycle explicable rather than alarming.

About predictions

A prediction from an irregular record is only as honest as its uncertainty. If your last six cycles were 29, 52, 33, 61, 38 and 44, there is no single day that deserves a marker on a calendar — and an app that draws one anyway is not being accurate, it is being confident.

What is legitimate is a range, and a statement of how wide it is. “Somewhere between 15 and 39 days from now, and the last six varied by more than a month” is genuinely useful: it tells you what to plan around and, more importantly, it does not train you to distrust the app when the marked date passes with nothing.

If you are using an app that only offers a date, the practical move is to treat it as decoration and read the actual numbers instead.

Three months, then read it back

The record starts to be worth reading at about three cycles. That is not a rule of nature; it is the point at which a range becomes a range rather than two points and an accident.

When you have it, read the whole thing rather than the last entry. What you are looking for is not a diagnosis — that is not yours to make, and one long cycle is not a syndrome. You are looking for the two or three sentences you can say out loud in an appointment: this many periods since March, gaps of this to that, this symptom on this many days.

Those sentences are what an appointment can act on. “It’s all over the place” is not, however true it is.

If it has been more than three months without a period

That is worth raising with a doctor rather than continuing to log through it. Prolonged absence of periods has several possible explanations and some of them want attention — logging is what makes the conversation precise, not a substitute for having it.

Where this comes from. The medical statements on this page follow the 2023 International Evidence-Based Guideline for PCOS, developed by the International PCOS Network and published simultaneously in three journals. We are not clinicians and this is not medical advice: PCOS Juno is a record-keeping app, and what it is for is making sure the person who is a clinician has your actual data in front of her. Nothing here names a dose or tells you what to take.

Teede HJ, Tay CT, Laven JJE, et al., on behalf of the International PCOS Network. Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome. Human Reproduction 2023;38(9):1655–1679. PMID 37580314