Table of contents:
- Why Menstruation Twice a Month
- When Menstruation Twice a Month Should Be Checked by a Doctor?
- How to Treat Menstruation Twice a Month?
Women usually only have a menstrual cycle once a month. However, there are times when menstruation occurs twice a month. So, what causes it and how to fix it? Let's find out the answer in the following article
In general, a normal menstrual cycle for adult women ranges from 21–35 days, while for adolescent women it ranges from 38 days or more. However, there are times when the menstrual cycle lasts less than 21 days so that women can experience menstruation twice a month.
If vaginal bleeding occurs outside of a normal menstrual cycle, you will need to determine whether the bleeding is due to menstruation or some medical condition.
Why Menstruation Twice a Month
There are several reasons why a woman experiences menstruation twice a month, including:
1. Short menstrual cycle
Menstruation twice a month is considered normal, if it is caused by a short menstrual cycle or less than 28 days. This menstrual condition is also considered normal, if it only occurs occasionally in 1 year without other complaints, such as pain during intercourse.
However, menstruation twice in a month is considered abnormal if it occurs due to a menstrual cycle that is shorter than 21 days. This condition can be a sign that you have certain he alth problems.
Stress is the most common problem that can cause changes in the menstrual cycle. Not infrequently stress also makes menstruation irregular, menstrual blood comes out more than usual, or menstruation feels painful.
3. Weight increases or decreases drastically
The menstrual cycle can also be disrupted due to drastic weight loss and gain. This can occur due to poor diet, lack of exercise, and stress.
A woman who has just entered puberty usually has not experienced a regular menstrual cycle. Sometimes, menstruation occurs twice a month. However, there are times when the menstrual cycle lengthens so that it occurs once every two months. This condition will usually last for the first 1-2 years of puberty.
5. Uterine fibroids
Uterine fibroids or fibroids are benign tumors on the uterine wall. Usually, these tumors are as small as an apple seed, but can also grow to be large. If not treated immediately, uterine fibroids can cause heavy vaginal bleeding and abdominal pain.
6. Polycystic ovary syndrome (PCOS)
Polycystic ovary syndrome is a hormonal disorder that can cause small cysts to form on the ovaries. This condition can cause menstruation to become irregular, for example, menstruation twice a month.
7. Use of contraceptives (KB pills)
The use of oral contraceptives or birth control pills aims to prevent pregnancy and stop ovulation. One of the effects that women experience when they stop using this contraceptive is irregular menstrual cycles.
8. Thyroid disorders
Excess thyroid hormone (hyperthyroidism) or lack of thyroid hormone (hypothyroidism) can also cause various disorders in the body, one of which is changes in the menstrual cycle.
9. Pelvic inflammatory disease
Pelvic inflammatory disease (PID) is a bacterial infection that attacks the female reproductive system. This infection of the reproductive organs can cause irregular periods or cause vaginal bleeding between menstrual cycles.
Endometriosis is a disorder in the female reproductive system when the inner lining of the uterine wall (endometrium) grows outside the uterine cavity. This condition is one of the causes of vaginal bleeding and irregular menstrual cycles.
In addition to the various conditions above, twice a month menstruation or bleeding between menstrual cycles can also be a sign of menopause, cysts, uterine cancer, sexually transmitted diseases, pregnancy, miscarriage, or due to side effects of certain drugs.
When Menstruation Twice a Month Should Be Checked by a Doctor?
If menstruation occurs twice a month often, consult a doctor immediately, especially if this condition is accompanied by the following symptoms:
- Lower abdominal pain that doesn't go away for several days
- Menstrual blood that comes out a lot
- Pain during sexual intercourse
- Stomach cramps more than usual during menstruation
- Dark blood clots come out during menstruation
- Menstrual cycle more than 35 days or less than 21 days
- Menstrual duration lasts more than 7 days
- Menstrual cycle becomes erratic
You need to remember, the cause of menstruation twice a month can be caused by various things. Therefore, if you experience the symptoms mentioned above, immediately consult a doctor to find out the exact cause.
How to Treat Menstruation Twice a Month?
Menstruation twice a month will be adjusted according to the underlying cause. In conditions of shorter menstrual cycles or women who have just experienced menstruation, treatment measures are generally not needed if there are no disturbing symptoms.
Here are some ways that you can do to help deal with menstruation twice a month:
- Do hormone therapy and estrogen replacement therapy if two menstrual cycles are caused by menopause
- Change your lifestyle and do activities that can relieve stress, such as exercising regularly, doing meditation, and having a he althy and regular diet
- Consulting with a doctor first if you want to go on a diet so that the menstrual cycle is not disturbed
- Change your contraceptive if the hormonal contraceptive you are using makes your menstrual cycle irregular
If there are fibroids or cysts, the doctor will usually give drugs or perform surgery to remove the fibroids or cysts. If menstruation occurs twice a month to cause anemia, you are recommended to take iron supplements according to the instructions for use from your doctor.
Changes in the menstrual cycle can be a sign of disturbances in the body. That's why it's important to consult a doctor if you experience abnormal bleeding between menstrual cycles, continuous periods of twice a month, or sudden disruption of your previously regular menstrual cycle.