Does irregular menstruation affect pregnancy?

Patient's question:

I have always had irregular periods. Recently, I haven't had one for three months. I went to see a doctor, and she said to wait for it to come on its own. The ultrasound showed that it should come soon, but a month has passed and it still hasn't arrived. I'm so anxious because I really want to get pregnant. Can irregular periods affect a woman's ability to get pregnant normally?

Doctor's answer:

Hello,
1. Most women develop regular and normal menstrual cycles. Regular and normal refers to a menstrual cycle of approximately 28-30 days, a period of about 5 days, normal red menstrual flow, moderate flow, without abnormal blood clots, and without severe abdominal pain, lower back pain, etc.
2. Many women experience menstrual irregularities due to various reasons such as their physical constitution, work and living environment, diet, personality, and other factors. Common conditions include: dysmenorrhea (painful menstruation), early or delayed periods, ovulatory bleeding, excessive menstrual blood clots, excessive or insufficient menstrual flow, etc. If these conditions do not affect work, study, or daily life, many young women often do not take them seriously or seek treatment, which may lead to infertility in the future.
3. However, menstrual irregularities are generally not

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