Health Information

Menstruation twice a month, is this possible?


The female body is so arranged that menstruation begins every month. In some women, menstruation goes after 21 days, in others, the cycle is more or less. Normally, spotting should have its periodicity and take place every month. If discharge is not observed on time, then the reason for the absence of such is considered either the onset of pregnancy, or the onset of the disease and the development of pathology. In any case, you need to undergo an examination and consult a doctor. There are frequent cases when menstruation goes 2 times a month. This is a pathology requiring attention. What are the reasons for this? What needs to be done? We’ll talk about this.

The reason is contraceptive

Reason for age

The first reason for this phenomenon should be sought at age. If the girl is just beginning to have her period, then irregular periods during the first year is normal. She is only forming a cycle. Also, in women, before or during menopause, menstruation can go 2 times a month.

Fertilization has occurred.

Attention! Disease…

Considering the causes of violations of the monthly cycle, it should be noted that this may be due to diseases of the genital organs. Doctors call many women's diseases associated with the cycle. This is a myoma, and hyperplasia, and polyps, and malignant tumors. Particularly worried about the question of whether menstruation can go 2 times a month, women who have crossed the line of 35 years. The fact is that it is at this age that it is important to pay special attention to your health. Menopause is still a long way off, but any menstrual irregularities are an alarming signal.

What to do

It is important that you notice a malfunction in your period, be examined immediately. To exclude the development of the disease, you should undergo an ultrasound, and then consult with a gynecologist. The doctor will prescribe the necessary tests and conduct a thorough examination, after which he will begin treatment. Delay with a trip to the antenatal clinic is not necessary. The sooner there is a reason, the more chances to normalize the work of the female body. If irregular periods (2 times a month) are not associated with diseases and contraceptives, then you should make an appointment with a psychologist. Often a failure in the cycle is associated with stress and emotional state. Even a change in climatic conditions sometimes affects the frequency of menstruation. The main thing is that you do not need to self-medicate. It will not lead to anything good.

Menstrual cycle rate

The menstrual cycle is the period from the first menstrual day to the first day of the next menstrual period. It should be with the onset of ovulation, otherwise there will be various kinds of failures. The regular cycle depends on the level of sex hormones (progesterone and estrogen) produced by the ovaries.

The cycle of menstruation itself includes 4 phases:

  • Monthly - the first phase of the cycle begins on the first day of discharge. In case of a failed pregnancy, the uterine mucosa is rejected and leaves the egg. It is recommended during this period, which lasts 3-5 days, to consume iron-containing products, because hemoglobin in the blood is reduced due to secretions. It is advisable to reduce physical activity, give the body peace.
  • The follicular phase is the second in a row, the duration is about two weeks. A hormone develops in the ovaries, due to which a zygote matures. In this phase, there is a large production of estrogens, which renew the uterine mucosa, and it does not respond to sperm.
  • Ovulatory phase. The most important phase of the cycle, which is responsible for the maturation and fertilization of the egg, lasts about 3 days. At this time, the luteinizing hormone is thrown into the mucosa, it makes the uterus sensitive to sperm.
  • Luteal phase. In simple words, the ovum engraftment waiting mode, it occurs 6-12 days after successful fertilization. If it was not successful, then the egg dies off and the body expels it. A new cycle begins.

On average, for many women, the cycle is 21-36 days, this period is considered normal. Each proceeds differently, but there are a couple of schemes.

There are some real life examples:

  • Menstruation first goes in a large volume, in which there are dark blood clots. With each next day, the volume decreases and completely disappears by 5-7 days.
  • Menstruation begins with a daub of a dark color, and by the end of these days, the discharge becomes abundant, this occurs on day 3-4.
  • Menstruation proceeds with changes. For example, at first there were a lot of discharge, and after a few days their volume becomes minimal sometimes up to a daub. On the 5th day of blood again in large quantities, by the end of the week everything ends.

Menstruation repeated twice a month can be either a normal phenomenon or a serious violation - an anomaly.

Repeated menstruation as an exception to the rule

If the periods come in a month repeatedly, this is not correct, then a system failure has appeared and it is necessary to find out the reasons. Failure in the menstrual cycle is the norm, and there is a pathology that needs to be treated.

Repeated monthly periods are considered an exception to the rule in such cases:

  • Cycle violations. Through hormonal disruptions, menstruation can go twice in one month, this may be due to taking medications, abortion, childbirth.
  • Taking oral contraception. Birth control pills can affect the menstrual cycle, the first 3 months from the start of use. If you continue, you need to see a doctor.
  • Establishing a cycle. In young girls with the beginning of the first monthly 2 years, the menstrual cycle is unformed and failures are not ruled out.
  • Climax With the arrival of menopause, a hormonal change occurs, which sometimes affects menstruation.
  • Depression or stress. The result is a hormonal failure.
  • Abrupt weight loss or weight gain leads to hormonal disorders.
  • Intrauterine device. It is put only by a gynecologist, it may not be suitable for a woman and repeated periods will begin, then it is necessary to change the method of contraception.
  • Climate change, adaptation.

Repeat periods in one month as an anomaly

Any woman needs to know that in the event of bleeding from the vagina in the middle of the cycle, these are not menstrual periods, but bleeding similar to them.

In addition to the causes that are not pathologies listed in this article, there are diseases that can be life-threatening, for their diagnosis it is necessary to undergo an examination, and immediately begin treatment.

The most common and dangerous deviations from the norm are the following diseases and causes:

  1. Cervical erosion. Promotes the formation of inflammatory processes in the internal genital organs, damages the thin vessels of the mucous wall.
  2. Uterine fibroids are a benign tumor that over time can become too large and disrupt hormone production.
  3. Hyperplasia is an overgrowth of the internal mucous membrane and an increase in the uterus.
  4. Endometriosis of the uterine cavity.
  5. Ovarian inflammation can cause bleeding.
  6. Adenomyosis The inflammatory process in the genitals, which affects the thickness of the mucosa, bleeding occurs, the volume of which is three times more than with menstruation. If untreated, infertility can occur.
  7. Malignant tumor. With this diagnosis, the discharge is watery slightly brown.
  8. Polyps on the neck. They occur with damage to the vessels and uterine mucosa.
  9. Miscarriage. When a woman becomes pregnant, but the fertilized egg has not been able to gain a foothold in the uterus, the body expels it and bleeding occurs. He is considered repeated menstruation, not knowing that there was a pregnancy.
  10. Ectopic pregnancy. When the zygote is fixed not in the endometrium, but in the fallopian tube, there may be discharge with blood. The growth of a fertilized egg can break the fallopian tubes, which threatens life. It is necessary to carry out an operation immediately.
  11. Failure in the hormonal background can occur in women with a violation of blood coagulation.

In addition to the above reasons, menstrual bleeding can be the result of any stressful situation, since they cause a surge in hormones in the blood, and this leads to new secretions. Stressful situations can arise not only because of emotions, they often happen as a result of infectious diseases, because of poor sleep, fatigue.

Often, periods come suddenly on vacation, this happens through the failure of biological rhythms. Changing time zones during the trip also affects women as the appearance of additional periods in the same month.

The menstrual cycle is normal

  1. Doctors say that the menstrual cycle normally lasts from 21 to 35 days - this is an average plus / minus a week when repelled from the average of 28 calendar days.
  2. The duration of the menstruation itself is individual and varies from 2 days to a week, with a loss of blood volume of not more than 80 milliliters. But as statistics show, the menstrual cycle and menstruation itself is longer for women in the northern regions, and a shorter course for women in the southern zones.
  3. In the cycle itself, its regularity is important - during a woman’s menstrual cycle within 35-36 days, her normal course is just such a course, and with a duration of 21-22 days - this is already a pathology.

But as doctors say, a woman can have 2 periods in one cycle, and this is also considered a deviation from the norm in certain cases, and in others - the norm.

What to do if menstruation occurs twice a month?

You should consult a doctor for advice and referral for examination in case of such symptoms:

  • If menstruation came a second time in a month, blood discharge is scarlet, and the color does not change for 4-5 days, this indicates uterine bleeding. Seek medical help immediately. The doctor should prescribe medications to stop bleeding and determine the cause.
  • When 14 days after the end of menstruation, the next one begins and there is pain in the lower abdomen similar to contractions, you need to call an ambulance. Such symptoms are similar to an ectopic pregnancy.
  • Monthly, unusual in color, volume and period, is already an occasion to consult a doctor for medical help.

Menstrual abnormalities

With a delay in menstrual flow - this can be a sign of both a pregnancy and indicate certain deviations in the cyclic nature of menstrual flow.

Among the most common deviations - doctors distinguish the following:

  1. Amenorrhea - lack of menstruation. Doctors do not immediately make a woman such a diagnosis - I diagnose amenorrhea after six months from the date of the last menstruation. Hormonal imbalance and malfunctions due to a malfunction in the ovaries, pituitary gland, or thyroid can provoke the absence of menstruation.
  2. Algodismenorea or painful menstruation - according to statistics, almost every 3 women face such a problem. Menstruation is accompanied by severe bouts of pain and cramping, which are observed 1-2 days before the onset of menstruation or in the first days. The pain is pulling in nature, aching localized in the lower abdomen, extending to the lower back and continues to bother the patient from 1 to 3 days. After childbirth - painful menstruation stops.
  3. Menorrhagia - or, as doctors call them, heavy periods lasting more than a week and in which blood loss is 80 or more milliliters. If you suspect this pathology - check the number of replaceable pads or tampons per day. If you change more than 8-10 and menstruation itself lasts more than a week - it is worth visiting a doctor.

The reasons that can provoke a delay or lack of menstruation that are not related to the onset of pregnancy can be very different.

Among the most common reasons - doctors call these root causes:

  1. Stressful situations and experienced negative psycho-emotional experience.
  2. A sharp decrease in body weight subject to an improperly selected diet.
  3. Cold or other infectious nature the origin of the disease and pathology affecting, including the uterine cavity and appendages.
  4. The functional nature of the origin of cysts localized in the ovaries - most often after a delay, a woman has a course of long and heavy menstruation.
  5. Endocrine Disorder and other organs provoked by endocrine disorders - hypothyroidism and polycystic ovaries, increased levels of the hormone prolactin.
  6. Damage to inflammation or trauma of the endometrium of the uterus, for example, after installing a spiral or abortion.
  7. Also, premature wear and exhaustion of the ovaries can also provoke a delay in menstruation.accompanied by symptoms of early menopause.

Monthly twice a month

With a regular cycle lasting from 28 to 33 days, a woman has nothing to worry about, but in the practice of gynecologists there are also cases where menstruation occurs twice. They can be provoked by both external and internal causes.

For external reasons for the appearance of a second menstruation in one cycle, doctors distinguish the following:

  1. The use of contraceptive hormonal drugs as contraception - they can provoke a restructuring of the entire menstrual cycle. If, after stopping the use of contraceptives, the cycle does not return to normal, you should consult a doctor and undergo an examination, pick up other contraceptives. If emergency contraception is used) (Postinor).
  2. Hormonal hormones in the body of a woman - it is the level of female hormones that determines the cyclical course of the normal menstrual cycle. A change in the hormonal background can be triggered by pregnancy or childbirth, abortion.
  3. Adolescence when the menstrual cycle is just forming. If the girl from the first menstruation - the menarche, has not passed 2 years, then you should not particularly worry. During this time, the menstrual cycle normalizes and enters its usual course.
  4. The onset of menopause. When a woman begins menopause, the hormonal background changes, which also affects the frequency of the cycle.
  5. Installation as a means of contraception of the intrauterine device - It is she who can provoke the onset of 2 menstruation in one menstrual cycle.
  6. Strong nervous experience and stressful situation, as well as sudden weight loss or a change in climatic conditions of residence.

Pathologies causing bleeding

Menstruation, going 2 times in one menstrual cycle can be a consequence of developing infectious diseases that provoke bleeding.

Most often, infections that affect the pelvic organs can provoke the onset of the second during the cycle of menstruation and uterine bleeding. Among other things, bleeding can also be caused by toxin poisoning, benign neoplasms.

Uterine inflammation

It is such a diagnosis as inflammation of the uterine cavity that can provoke internal bleeding between menstruation - in this case, a woman may think that she has had a second menstruation.

This, in turn, prevents the normal production of hormones in the body and this can cause the onset of repeated menstruation.

Erosive damage to the cavity and cervix can cause the development of the inflammatory nature of the disease, affecting the reproductive system of women.

Among other things, erosion can destroy the network of small vessels that penetrate the mucous membranes of the cavity and cervix and thus provoke bleeding between menstruation.

Uterine fibroids

The benign nature of the origin of the tumor - fibroids, which affects muscle fibers and tissues in the uterine cavity, can also provoke the onset of bleeding between menstruation.

In its size, uterine fibroids can be very different and provoke repeated spotting between periods - many women mistakenly mistaken them for menstruation between menstruation.

Most often, doctors prescribe a medical course of treatment, but in especially neglected cases, one cannot do without surgical intervention of surgeons.

Endometrial hyperplasia

Doctors call the abnormal proliferation of tissues lining the uterine mucosa endometrial hyperplasia - There can be many reasons for this pathological process. This is a hormonal imbalance and diseases affecting the reproductive system, pathologies of the endocrine glands and previous abortion or medical curettage.

In this case, the endometrium is densified several times and the idea is a violation of the structure of the vascular network, thereby provoking internal uterine bleeding.

This pathological condition is characterized by the fact that bleeding can begin both before menstruation and go after it, and in this case, the volume of discharge will be 2-3 times more than usual.

Polyps that develop in the cavity or cervix will affect and damage the vascular system, the very structure of the entire uterine mucosa.

Показано исключительно медикаментозное или же хирургическое их удаление – как отмечают врачи полипы, поражающие эндометрий выступают разновидностью очаговой формы гиперплазии.

If pregnancy occurs after fertilization, but for all this, the fetal egg could not attach to the endometrium for one reason or another, the body considers it as a foreign body and gets rid of it.

In this case, the rejection process itself is accompanied by uterine bleeding, which a woman can perceive as repeated menstrual bleeding and at the same time are not aware of the failure of her pregnancy.

Malignant tumors

The appearance of discharge that is scarce between menstruation can be a sign and a consequence of the development of malignant neoplasms in the uterine cavity and the reproductive system of women.

As noted by gynecologists - malignant neoplasms, cancer can trigger the onset of 2-3 spotting between periods.

Most often, discharge during the development of malignant oncology - spotting is brown and watery, appear regardless of the date of menstruation.

Blood clotting disorder

Blood diseases, a low level of coagulability can provoke bloody discharge between menstruation - it is a violation of blood hemostasis and leads to repeated and more intense, prolonged uterine bleeding.

A pathological disease can develop, blood clotting may occur due to liver diseases or iron deficiency in the body and a hereditary form of hemophilia and other pathological processes.

When is menstruation 2 times a month the norm?

In some cases, according to doctors, a woman’s menstrual flow 2 or more times a month is considered not a pathology, but a normal, natural process.

Doctors call these reasons:

  1. The course of taking hormonal contraceptives - the onset of repeated menstruation is the normal reaction of the body to a change in the level of hormones in the blood. Such violations most often bother a woman for no more than 2-3 cycles, when the hormonal background stabilizes. In the absence of positive changes - it is worth choosing a different contraceptive.
  2. Inflammatory process affecting the uterine cavity or ovaries - It is such a pathological process that provokes an abnormal decrease in progesterone and, as a result, a failure in the growth of the endometrium. With its rejection, they will show themselves between menstruation with spotting.
  3. Hormonal imbalance caused by labor or abortion. In addition, the puberty of a teenage girl can provoke a restructuring of the hormonal background and the appearance of 2 or more bloody secretions between menstruation. Such a process will last until a normal hormonal background and the course of menstruation are established and established.
  4. Menopause and premenstrual period - It is the natural aging of the body and the extinction of reproductive functions, the restructuring of the hormonal background can also trigger the appearance of 2 or more bloody secretions between menstruation.
  5. Attaching a fetal egg to the wall of the uterine cavity, implanting it into the mucous layer - in this case, minor bleeding between menstruation may also occur.
  6. Intrauterine device installation - Also, the cause of bleeding between menstruation and for the most part in 2-3 cycles everything comes back to normal.

By natural processes, the causes of bleeding between periods can be a lot of physical activity and emotional experience, stress.

When should I see a doctor?

When to sound the alarm and immediately consult a gynecologist:

  1. First of all, take into account the color of the selections themselves, taking into account the day of the cycle - at the very beginning, they have crimson hues, and closer to completion, they are brown.
  2. If the menstruation again went between menstruation, and they have a bright scarlet shade - you should immediately visit a gynecologist. In this case, the course of uterine bleeding is highly likely - it will be accompanied not only by abundant scarlet secretions, but also by pulling pain localized in the uterus and appendages.
  3. When uterine bleeding, which appeared almost immediately after menstruation and is accompanied by contractions, a pulsating type of pain, a feeling of fullness - An ambulance is needed immediately. This indicates the course of an ectopic pregnancy.

The value of emotional state

Each of the women should understand - frequent bleeding between menstruation can be triggered by negative emotional states.

The thing is that sharp emotional experiences and stressful situations can provoke bloody discharge between periods. In addition, a long journey and a change in climatic zones and time zones can also cause a pathological process.

Therefore, it is important to consider the following tips and tricks:

  • minimize or eliminate any shocks altogether.
  • control the intake of medications and drugs.
  • monitor hormone levels and the general state of the hormonal background through regular testing.

This will minimize the negative consequences.

Repeated menstruation

First of all, it is worthwhile to see a doctor and undergo a laboratory and hardware examination, to establish the root cause of the pathological process.

Most often, doctors carry out diagnostics not only by passing laboratory tests on the level of hormones, but also by examining on a gynecological chair, ultrasound and MRI. Based on the results, he prescribes treatment, in conjunction with a consultation of a psychologist and other narrowly specialized specialists.

In addition, for its part, a woman can take a number of measures:

  1. Lead and study a personal calendar for the flow of menstruation - sometimes the date of the onset of menstruation can be shifted due to an abortion or a cold. But if the cycle time is less than 21 days - this is considered a pathology.
  2. If a woman is not protected - menstruation ahead of schedule may begin due to pregnancy. In this case, it is worth using a pregnancy test and a negative result should serve as a signal and an occasion to visit a doctor.
  3. Hormonal birth control pills also knock down the menstrual cycle and provoke the appearance of secretions between menstruation. In this case, it is worth choosing a different contraceptive.
  4. The menstrual cycle can also change due to the course of many diseases - diabetes mellitus or obesity, thyroid lesions or liver problems.

In each case, you should not practice self-diagnosis and prescribe treatment for yourself. It is best to consult a doctor and undergo an examination, if necessary, undergo a course of treatment.

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