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Having periods twice in a month: Causes and Treatment

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When females are experiencing bleeding after they have received their first period, it is important to check if it is menstrual bleeding or spotting. One can differentiate with the color of the discharge since spotting is dark red/brown and menstrual blood is bright red in color. If the bleeding is able to soak up an entire tampon/pad, then it could be a second period in the same month. There are several factors responsible for causing two periods in a month, some of which are as follows:

Weight gain/weight loss: Gaining or reducing weight affects the hormones responsible for controlling the frequency and duration of the periods.

Weight gain/weight loss affects the hormones responsible for controlling the frequency and duration of the periods.

PCOS: PCOS (Polycystic ovary syndrome) is a condition under which small cysts are formed on the ovaries due to an imbalance in the hormones — the result of which is irregular periods.

Birth control pills: The consequence of eating birth control pills irregularly on the body can be a surprise bleeding which can happen in between the periods.

Birth control pills

Endometriosis: Endometriosis is a condition in which the tissue lining the uterus grows beyond the uterus in the abdominal wall – leading to painful and irregular periods.

Other factors responsible for causing two periods in a month are pregnancy, sexually transmitted infections, puberty, excessive, uterine issues, etc. Irregular periods are sometimes curable if the lifestyle is changed and the medical conditions are treated properly. Let us look at the measures that should be taken for dealing with the problem:

  • Females should avoid the consumption of refined carbohydrates and junk foods. One should also avoid the intake of caffeinated and carbonated drinks to treat the problem of irregular periods. Including fruits and leafy vegetables in the diet is suggested. Being hydrated by drinking plenty of water can also help in dealing with the problem.
  • One should drink herbal drinks such as Aloe Vera juice and ginger juice to handle the problem of irregular periods. The intake of powdered jaggery and sesame seeds in the diet is also suggested.
  • Stress leads to irregular periods and treating the problem of stress through measures like yoga, meditation and listening to music can be helpful in regulating the irregular periods.
  • Females should avoid excessive drinking and smoking in order to avoid the problem of irregular periods.

Apart from following these measures, one should try and maintain a proper period calendar. Keeping a record of the last period and the nature of the bleeding will help the doctors in detecting the underlying issue. The doctor can suggest in case any medicines/surgery is required for the treatment of irregular periods and to prevent the development of anemia.

 

FAQ’s

Common causes include hormonal imbalances, thyroid disorders, uterine fibroids or polyps, stress, significant weight changes, and certain medical conditions like polycystic ovary syndrome (PCOS) or endometriosis.

Hormonal imbalances, particularly involving estrogen and progesterone, can disrupt the regular menstrual cycle. This may cause the uterine lining to shed more frequently, leading to periods occurring twice in one month.

Yes, stress can impact hormone levels, particularly cortisol, which can interfere with the balance of reproductive hormones. This disruption can cause irregular periods, including having periods more than once a month.

Thyroid disorders, such as hypothyroidism or hyperthyroidism, can affect the production of hormones that regulate the menstrual cycle. An underactive or overactive thyroid can lead to irregular periods, including having two periods in one month.

Yes, lifestyle factors such as extreme weight loss or gain, excessive exercise, poor diet, and lack of sleep can affect hormone levels and lead to irregular menstrual cycles, including periods occurring twice in a month.

Uterine fibroids are non-cancerous growths in the uterus that can cause heavy bleeding, spotting, or irregular periods. They may lead to periods occurring more frequently, sometimes twice in a month.

Yes, changes in birth control methods, such as starting or stopping hormonal contraceptives, can cause temporary irregularities in the menstrual cycle, including having periods more frequently than usual.

Treatment options depend on the underlying cause. They may include hormonal therapy, such as birth control pills to regulate the cycle, lifestyle changes to reduce stress and improve diet, or medical treatment for conditions like thyroid disorders, fibroids, or PCOS.

You should consult a doctor if you frequently experience periods twice in a month, especially if it is accompanied by other symptoms like severe pain, heavy bleeding, fatigue, or signs of anemia. Medical evaluation is necessary to identify and treat any underlying conditions.

About Author

Dr. Kanika Jain

Dr. Kanika Jain is a highly qualified and experienced medical professional specializing in Obstetrics and Gynaecology. She holds an MBBS degree from Kasturba Medical College, Manipal, and further pursued DGO from Stanley Medical College. She completed her DNB in Obstetrics and Gynaecology at Chanandevi Hospital, Delhi.

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