Hello dear Understand your concern I think it is due to hormonal imbalance or perimenopausal state. Also note other causes: Hyperthyroidism Brain disorder like acromegaly, Change in life style, Late ovulation, Excessive exercise Drugs: Birth control pills, thyroid medication, Excessive tea and caffeine Thyroid problem: hypothyroidism Hormonal imbalance For diagnosis consult the gynecologist and undergo Pelvic examination USG Hormonal analysis: E2, P, FSH, LH, HCG, GH, Prolactin CBC, ESR Thryoid profile Advice: Take regular relaxation exercise like yoga and breathing excercise Avoid smoking and alcohol Avoid excessive exercise Take healthy diets Hope this may help you Best regard Dr. Sagar