Oligomenorrhea is infrequent periods, with cycles longer than 35 days or fewer than eight periods a year.
Why it matters for PCOS
Oligomenorrhea usually signals irregular or absent ovulation, a core feature of PCOS. When ovulation does not happen on a regular schedule, the womb lining does not shed on time, so periods come late or are missed. Infrequent periods are one of the three Rotterdam criteria used to diagnose PCOS, alongside signs of high androgens and polycystic ovaries on ultrasound.
Although common in PCOS, infrequent periods can also stem from thyroid problems, high prolactin, stress, or significant weight change. For that reason, a doctor usually runs blood tests to rule out other causes before confirming PCOS.
This glossary is education, not diagnosis. For your own situation, ask a doctor or pharmacist.