What Causes Menstruation Twice a Month?

Experiencing menstruation (periods) twice a month, known as frequent or irregular menstrual cycles, can be caused by various underlying factors. Some of the common causes include:

  • Hormonal imbalances: Fluctuations in hormone levels, particularly estrogen and progesterone, can lead to irregular menstrual cycles. Hormonal imbalances may result from factors such as stress, excessive exercise, weight fluctuations, polycystic ovary syndrome (PCOS), thyroid disorders, or problems with the pituitary or adrenal glands.
  • Ovulation issues: Irregular ovulation or the release of multiple eggs during a cycle can cause more frequent menstruation.
  • Uterine or cervical abnormalities: Structural issues within the uterus or cervix, such as fibroids, polyps, or cervical inflammation, can lead to abnormal bleeding patterns.
  • Birth control methods: Certain contraceptive methods, such as intrauterine devices (IUDs), oral contraceptive pills, or hormonal implants, may cause irregular bleeding as a side effect.
  • Perimenopause: During the transition to menopause (perimenopause), hormone levels can fluctuate, leading to irregular menstrual cycles.
  • Infections or pelvic inflammatory disease (PID): Infections of the reproductive organs can disrupt the normal menstrual cycle.
  • Endometrial issues: Conditions like endometriosis, which involves the growth of endometrial tissue outside the uterus, can cause irregular and often painful periods.
  • Medications: Certain medications or medical treatments may impact the menstrual cycle and lead to frequent periods.
  • Recent childbirth or miscarriage: After giving birth or experiencing a miscarriage, some women may have irregular bleeding as their bodies adjust.

If you are experiencing frequent or irregular menstruation, it is essential to consult a healthcare professional. They can perform a thorough evaluation, including a medical history, physical examination, and possibly some tests (such as blood tests, ultrasound, or hormone level assessments) to identify the underlying cause and provide appropriate treatment or management options. Remember, irregular menstrual cycles can be a symptom of an underlying health issue, so it’s crucial to seek medical advice for proper evaluation and care.