Menstruation is an integral part of a female reproductive system. It refers to the monthly discharge of blood and mucosal tissue from the inner lining of the uterus through the vagina. Generally, menstrual bleeding occurs every 21–35 days and normally lasts 2–7 days. However, in certain cases, women experience menstruation twice every month. We asked an expert whether or not it was normal.
Can Women Have Periods Twice A Month?
In an interaction with the OnlyMyHealth team, Dr Sangeeta Gomes, Consultant Obstetrician and Gynaecologist, Motherhood Hospital, Sarjapur, Bengaluru, describes “normal” periods as menstrual cycle that follow a healthy and consistent pattern that is unique from one individual to another.
Also Read: How Menstrual Symptoms Change In Your 20s, 30s, And 40s
"For instance, the length of each cycle should be relatively consistent and fall within the same day range of each month. The flow pattern during the cycle should start out heavier and gradually become lighter towards the end of the period. Symptoms such as cramping, bloating, and slight back pain are normal and to be expected, but excessive amounts may require medical aid. In essence, periods can be considered “normal” if they follow a regular pattern that is unique to each individual without disruptions or changes," the doctor explains in detail.
So what does it mean if a woman has her period two times in a month?
Dr Gomes says, "There are several factors that can lead to periods occurring twice in a month. This may indicate underlying health issues. However, at times, hormonal imbalances, stress, significant weight loss or gain, thyroid disorders or other reasons, or short menstrual cycles, which may lead to more frequent period occurrences, could be the factors causing the issue."
She adds, "For some women, the transitional period before menopause, known as perimenopause, may also lead to irregular menstrual cycles."
But apart from the natural causes, medical conditions like endometriosis or adenomyosis can also cause abnormal bleeding, according to the doctor.
When Should You Be Concerned?
It is important to note that menstrual cycles can vary among individuals. Sometimes experiencing menstrual bleeding twice in a cycle can also be caused by natural bodily changes that are harmless. However, certain signs and symptoms may indicate a health issue that requires medical attention, says Dr Gomes. These include:
- Irregularities in cycle length or abnormal bleeding due to an infection or even the passing of blood clots.
- Certain conditions, like dysmenorrhea, may induce tremendous amounts of pain that disrupt daily activities.
- Pain that lasts longer than the first few days of one’s period.
- Unusual discharge, such as a foul odour or abnormal texture, i.e.., a different consistency or regular blood clots.
According to the doctor, such symptoms could be signs of medical conditions such as endometriosis, fibroids or polyps, Polycystic Ovary Syndrome (PCOS), or thyroid disorders. Therefore, one should seek immediate medical aid in cases of sudden, severe bleeding or abnormalities in flow patterns.
Also Read: Menstrual Health: Expert Decodes 5 Menstrual Disorders
Treatment Options
Menstrual irregularities and symptoms can be managed with proper and effective strategies in consultation with a medical professional.
Dr Gomes shares a few scenarios and discusses ways to ease menstrual problems:
“In the case of heavy bleeding, also known as menorrhagia, the use of Nonsteroidal Anti-Inflammatory Drugs or NSAIDs, can be prescribed by medical experts for the alleviation of painful cramps.”
“For irregular periods, stress management through lifestyle changes such as regular exercise and a healthy diet is helpful to regulate cycles.”
“Lifestyle changes can be made by consuming healthier food, such as fruits and vegetables, and fixing a daily schedule for exercise. Following a hobby can also be useful in stress management.”
“In cases of thyroid disorders, antithyroid medications are helpful, as is surgery in worst-case scenarios.”
In conclusion, it is important to note that following a healthy diet and working out regularly, as well as regular check-ups, can help mitigate the risk of irregular menstrual problems.
Dr Gomes signs off by saying that treatment can vary based on the related medical condition, and it is important to understand the symptoms that lead to a particular disorder.