Menstruation 2 times in 1 month is abnormal or normal?

This is an automatically translated article.

The article was professionally consulted with Specialist Doctor I Nguyen Thi Man - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Danang International General Hospital.
On average, a woman's menstrual cycle will repeat every 25–35 days, and menstrual periods usually last 2–7 days. If the duration of menstruation is shortened or menstruation is 2 times in 1 month, it can be considered an abnormality that needs attention. 40–60% of women will experience this abnormal condition at least once in their life.

1. What is the reason for having periods twice in 1 month?

Many women, when experiencing this condition, often wonder why they have periods twice in a month? What is the cause of continuous menstruation, is there any abnormality in reproductive health? In fact, having periods twice a month can be normal in some cases, but it can be caused by a medical condition.

1.1 When is it normal to have periods twice in a month?

Each woman will have a different cycle length, normally it will range from 21-35 days, but there are still women who have a cycle of as little as 20 days or even shorter (rare). depending on geography. Menstruation that comes 3 to 5 days earlier or later than usual is not a cause for concern if it doesn't last long.
For a woman with a short cycle of about 21 days and suddenly having her period 3-5 days early, it is completely normal to have a period twice a month. However, if the period is constantly coming early, the cycle is erratic, then it is a problem to pay attention to. Certain medical or lifestyle factors can affect your cycle.

1.2 Irregular menstrual cycle due to stress or excessive excitement

Our body is a unified and closely linked block, so the ovulation process is greatly influenced by different central nervous and endocrine systems, including thyroid hormone, region under the hill.
When a woman suffers a big shock in life or experiences excessive excitement, it will also affect the functioning of the ovaries. Ovaries will misrepresent nerve and hormone signals leading to double ovulation. If the cause is influenced by mood, then having periods twice in a month is not a problem.
Women need to readjust their psychological state in combination with rest and reasonable allocation of working time, this phenomenon will not repeat in the next cycle.

1.3 Forgetting to use birth control pills every day

Women who forget to take their daily oral contraceptives can lead to irregular bleeding. The body is used to the daily supplement of hormones to prevent pregnancy, so the blood will flow on its own when the hormone levels are suddenly stopped. If you have two periods in a month and have missed your pill, then the birth control pill is most likely the cause of the disorder.
In addition, taking some emergency drugs can be the cause of 2 times in 1 month.

1.4 Female hormone disorders

Girls who are going through puberty or women going through menopause are most at risk for hormonal disorders. Hyperestrogenic disorder can lead to menstruation 2 times in 1 month, in addition can be accompanied by menorrhagia, heavy menstrual bleeding, ..

1.5 Pathological causes

Women with gynecological infections such as vaginitis, cervicitis, etc. may experience bleeding such as menstruation twice in a month. Uterine fibroids are usually benign tumors, but if not treated in time, uterine fibroids can cause many dangerous complications, including frequent menstruation twice a month as a warning sign. motion. In addition, fibroids can cause back pain, bloating, anemia, pain during sex, and spontaneous bleeding unrelated to the menstrual cycle. Uterine polyps are common in many women and are hormone related. Uterine polyps can cause bleeding between periods (easily mistaken for menstruation), especially when polyps are touched like strong sex. An underactive or overactive thyroid can also affect the menstrual cycle. The thyroid gland is regulated by hormones in the pituitary gland and hypothalamus, along with hormones that control the cycle and ovulation process, causing menstrual disorders. Irregular menstrual periods can be caused by ovarian cancer, so if the cycle is prolonged, women need to see a specialist, ultrasound, uterine biopsy, cervical smear. .. to help diagnose the cause.

2. Menstruation 2 times in 1 month pregnant?

In fact, if a menstrual cycle occurs, it means that a woman is not pregnant, the lining of the uterus sheds and comes out in the form of menstrual blood. During pregnancy, the fetus will implant in the uterus, so the uterine lining will be nourished and maintained, and menstruation will temporarily not occur during pregnancy.
So, if it's really menstruation, the phenomenon of having periods twice in 1 month, for any reason, also proves that you are not pregnant. However, there are many women who do not distinguish between pregnancy and menstrual cycles.
When the fertilized egg will enter the uterus to implant, the implantation process will cause some of the uterine lining to peel off, leading to bleeding. This is completely possible and easy to mistake as a menstrual cycle in the same month. Therefore, to determine whether you are pregnant or not, you should use a rapid test strip or go to the hospital to check.
In order to help customers detect and treat gynecological diseases early, Vinmec International General Hospital has a package of basic gynecological examination and screening, helping customers detect early infectious diseases and help treat Easy, inexpensive treatment. Screening detects gynecological cancer (cervical cancer) early even when there are no symptoms.
Basic gynecological examination and screening package for female customers, has no age limit and may have the following symptoms:
Abnormal vaginal bleeding Having menstrual problems: irregular menstrual cycle, irregular menstrual cycle Irregular vaginal discharge (smell, different color) Vaginal pain and itching Female clients have several risk factors such as poor personal hygiene, Unsafe sex, abortion,... Female customers have other symptoms such as: Abnormal vaginal discharge, itching, pain in the private area, abnormal vaginal bleeding.

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