Updated on: 21 July 2020, 14:12 pm IST Show
Imagine a situation where your periods have just ended and within a span of just 10 days, you start bleeding again. Yes, we are talking about getting your periods twice in a month. Don’t be alarmed because this situation is quite rare. In fact, when we asked Dr Bilsi Mittal, a gynaecologist at Wockhardt Hospital, Mumbai, whether a woman can get her periods twice in a month, she promptly replied YES. But, she also added that “Nowadays it is a little normal due to many factors but if it continues to happen for months altogether, then you must get yourself checked as this could be an indication of a bigger problem.” According to Dr Mittal, there are multiple reasons that can lead to this problem and the age of the woman also has a major role to play. No points for guessing, hormones are the biggest culprits here. Here are 10 reasons why you might be getting your period twice in one month: 1. You might be pregnant 2. You might have PCOS 3. You might have polyps or fibroids issues 4. Your thyroid is not functioning the way it should 5. You might have missed a dose of your oral contraceptive pills Also read: Forgot to take your birth control pill? Here’s some important advice from a gynaecologist 6. You might have an infection down there 7. You might be hit by a premenopause 8. You might be stressed out Heavy stress can screw up your period cycle. Image courtesy: Shutterstock 9. You might be exercising too hard 10. You might be travelling way too much Normal menstrual cycles range from 21 to 35 days (and you can predict when your next period will arrive with our online period calculator). However, it’s not uncommon to experience monthly variations in menstrual cycles. Some cycles may be shorter and others longer, which means it’s possible to have 2 periods in a month. In most cases, getting a period twice a month has a simple explanation. If it happens repeatedly, however, it’s important to take notice of any signs and symptoms. Read on to learn why two periods may happen in the same month. Two periods in one month for the first timePeople with short menstrual cycles frequently have periods at the beginning and the end of a month. For someone with a typical menstrual cycle — usually about 28 days or so — having a period twice a month may be a bit surprising and seem unusual. It’s important to remember that irregular bleeding can indicate a medical concern, and it’s easy to mistake for a period. In some cases, bleeding could indicate one of the following:
Period every 2 weeks or spotting? Know the differenceSome of these tips may be able to help you determine if bleeding outside an expected period is due to an irregular period, ovulation, or a reproductive issue:
What causes two periods in one month? It may be due to a short menstrual cycle or a health condition that results in vaginal bleeding. Some of the things that could cause a period twice in one month are: 1. Perimenopause — Perimenopause can be an underlying cause of having two periods in one month. It’s the phase that leads up to menopause, during which the body’s hormones begin to change. The duration of perimenopause varies from person to person and may last for up to ten years. During these years, shorter or longer menstrual cycles, lighter or heavier bleeding, or even skipping periods completely are all common. Menopause officially starts after 12 consecutive months of having no periods. 2. Uterine fibroids — These are growths in the uterus. They are usually not malignant or cancerous, but may cause particularly heavy or irregular bleeding. Additional symptoms of uterine fibroids include:
Health care providers can diagnose uterine fibroids by performing a pelvic exam or ultrasound. 3. Thyroid issues — Thyroid issues like hyperthyroidism and hypothyroidism may also cause 2 periods in one month, as they can cause irregular cycles. In hypothyroidism, the thyroid gland is underactive and isn’t able to make enough thyroid hormone. Signs and symptoms of hypothyroidism include:
With hyperthyroidism, the thyroid gland is overactive and makes too much thyroid hormone. Signs and symptoms of hyperthyroidism include:
See your health care provider if you have symptoms of either thyroid condition, as both of them are treatable. Stress, using birth control, extreme weight gain or loss, and bleeding disorders can also cause menstrual cycles to suddenly become shorter, resulting in 2 periods in one month. Take a quiz. Find out what you can do with our Health Assistant Risk factors and complicationsPeople with a family history of early onset menopause or uterine fibroids may be more prone to having two periods in one month. One of the complications of having frequent vaginal bleeding is anemia, which is an iron deficiency that’s common among women. Some of the signs and symptoms of anemia include:
Do you need treatment for multiple periods in a month?The occasional double period in a month is usually not a reason for concern. However, it’s important to see a health care provider if you experience any of the following:
The treatment for two periods in one month depends on the cause of the bleeding. People who have a short menstrual cycle naturally or who are in the early stages of puberty typically don’t require treatment. Health care providers may suggest hormonal birth control as a possible treatment for multiple periods in a month, as it can help regulate periods and resolve anemia that occurs due to heavy and frequent bleeding. If you’re already taking hormonal birth control and you think it might be causing you to have a period twice in one month, then be sure to talk to a health care provider. For hypothyroidism, a health care provider may prescribe thyroid hormone replacement therapy. For hyperthyroidism, several treatment options are available, and health care providers will suggest the one that is best for each condition. During perimenopause, health care providers may suggest menopausal hormone therapy to regulate periods until they cease with menopause. For uterine fibroids, health care providers may recommend different therapies, including an intrauterine device, uterine artery embolization, or surgery. Certain lifestyle changes can also help reduce stress, which certainly impacts the menstrual cycle. Possible changes include exercising regularly, practicing meditation, reducing caffeine intake, and listening to soothing music. While having a period twice a month may be somewhat normal for people with a short menstrual cycle, it can be surprising for those who tend to have a cycle that’s longer. In many cases, there’s no reason to worry about having a period twice a month, but sometimes it can indicate an underlying medical issue. Since there are many different reasons for having two periods in one month, the best course of action is to mention it to your health care provider. They can help figure out the reason behind it and determine an action plan. Updated on September 3, 2020
NHS Choices, NHS, www.nhs.uk/common-health-questions/womens-health/what-causes-bleeding-between-periods/. “The Experts Discuss Abnormal Uterine Bleeding.” Medscape, 27 May 2004, www.medscape.com/viewarticle/475437_3. “Abnormal Uterine Bleeding.” ACOG, www.acog.org/patient-resources/faqs/gynecologic-problems/abnormal-uterine-bleeding. |