Having two menstruations in the month, is not abnormal, because if your period or rule are of short duration, it is possible that you menstruate at the beginning and another at the end, since the normal period lasts two to seven days and occurs in the twenty-one and thirty-five days of the ovular calendar, that is why the vast majority of women who know their menstrual cycle are easy to identify when something does not, He is fine and they go to his trusted gynecologist.
What does it mean if I get my period down or menstruation twice a month?
As discussed before, the normal period is 28 days, but this can vary from about 24 to 38 days, so if your period cycle is short, you can have another period during the month.
On the other hand, changes in the menstrual cycle are not usual, as this can lead to other ovular problems. Therefore, today we are going to present you some possible causes that could cause the period to come to you twice.
Single anomaly (only once); This means that it will only happen once in your menstrual cycle and will not cause you any harm, since after this the period will return to normal; That is why gynecologists before giving an accurate diagnosis, look for whether the bleeding pattern is frequent or occurs once.
Early ages: usually when the woman is in her puberty stage, they tend to have shorter or even longer periods; which causes them to have two periods a month; Some research suggests that young people can last up to 6 years to regulate their menstruation.
Endometriosis: this condition occurs because a tissue similar to that of the cervix, tends to grow in other areas of the body, which causes cramping, abdominal pain and irregular bleeding, and is sometimes confused by the period.
Uterine fibroids: they are growths that occur in the uterus, these are usually not carcinogenic, but can cause heavy bleeding; The most common symptoms of this are; feeling of fullness or pressure in the pelvis, frequent urination, pain in the spine and when having sex; Although it is not known for sure why these fibroids occur, if it is known that they tend to be hereditary and sudden changes in hormone levels, they could affect you a lot.
What are the different menstrual cycles that occur in women?
During the menstrual period, the brain sends hormonal signals that it acts on the inside of the female genitals; such as the ovaries and uterus, whose objective is ovulation, and therefore the possibilities of gestation; So, in the calendar we can observe the days in which we are fertile and non-fertile.
First phase menstruation: this occurs when the unfertilized egg is shed, which causes menstrual flow or bleeding, this lasts 3 to 7 days; You will only lose between 4 to 12 tablespoons of blood during the month; That’s why always have a towel or tampon handy nearby.
Second phase (preovulation): in this phase the brain sends messages to the ovaries and uterus, in order to produce hormones called estrogen and progesterones, these will begin the release of the egg and make the lining of the uterus or endometrium thick.
Third phase (ovulation): this occurs 14 days before your next menstruation occurs because there releases a mature egg from one of your ovaries to the uterine tube, which is called ovulation, if this egg becomes fertilized by a sperm, it will be placed in the endometrium, and a pregnancy will begin; But if it is not fertilized, the endometrium is not necessary and will begin to decompose, which will lead to the next phase which is premenstruation.
Fourth phase (premenstruation): during this phase, women experience cramping, or cramps in the lower abdomen, you will begin to feel a little more sensitive, with a feeling of swelling, appearance of pimples, or more sensitive breasts, and is known as premenstrual syndrome or PMS and can be relieved with exercise, healthy diet, or a warm bath.
Fifth phase (menstruation): in this phase the unfertilized endometrium is already detached, and it is expelled through menstruation, and that is where your menstrual period begins again.
Main causes why menstruation occurs twice in the same month
As already mentioned, the cause of menstruation appearing twice in the month, is because you have short periods so it can occur one at the beginning of the month and another at the end; However, there are other factors that we are going to tell you next, so that you take into account that it is not only for short periods.
Pregnancy
Vaginal bleeding during the first trimester of pregnancy is normal if present within 15 days of pregnancy and is called implantation bleeding; because it is one of the first symptoms of pregnancy and many of us confuse it with menstruation, so it is advisable to take the pregnancy test to confirm that you are actually pregnant, but when it occurs in large quantities it is not considered normal especially if it is an intense red color and is usually accompanied by colic or nausea, If you have these symptoms, go to the emergency room soon.
Spotting in the 2nd and 3rd trimester of pregnancy if it is mild, may be due to having sex with your partner and is not worrisome; But as in the other case if you have abundant and reddish bleeding, accompanied by abdominal pain, fever or decreased movement of the baby, which leads to a placental abruption, or a miscarriage, in this case what you should do is go to the hospital as soon as possible, so that the doctor on duty evaluated the cause of this bleeding and the most convenient treatment.
In the last trimester that is the last 3 months, it is normal to have a small bleeding after having an intimate encounter with your partner, but if this lasts more than an hour it is advisable to go to the gynecologist, however this bleeding also means that you are about to give birth, so it is important not to stop overlooking these symptoms; Well, they can have complications in childbirth.
Benign tumors
A benign uterine tumor are called fibroids, they are tumors in the extracellular matrix; and come from myocytes, which are present in the myometrium, these are quite common, but many women have these tumors, although they do not have symptoms; They usually originate from smooth muscle cells; which are located within the wall of the uterus; Since in large part these are presented in multiple ways, but it can also occur in a unique way, on the other hand, since the late 60s, it is believed that these come from a single myocyte, because it suffers a mutation that helps them expand, but it is not known for sure if only the fibroids come out due to these alterations; that occur in utero.
Some of its symptoms are: abnormal bleeding in the period or disorders in it, pelvic pain or in the lower abdomen, feeling a pressure in the stomach and even constipation with some manifestations of very annoying pulsating pain.
Vaginal infections
Vaginal infections (cervix, vagina, ovaries, and fallopian tubes); can cause vaginal bleeding, especially when having sex or washing in the vagina; since sexually transmitted diseases; they are usually the cause of these alterations; however, inflammation of the uterus, ovaries or fallopian tubes can also cause bleeding.
Thyroid problems
The problems derived from the thyroid, are those that can cause changes in the period, because the thyroid is a hormonal regulator of the body, this gland that has a butterfly-like shape, is located just in front of the throat, and is responsible for controlling the temperature and metabolism of the body, so many times irregular periods have to do with it; This is just like underactive thyroid hyperthyroidism thyroid.
Cancer cells
Cervical cancer is a cancer that originates in the cells of the cervix, especially in the inner part of the uterus, which communicates with the vagina, however, the human papillomavirus, is the main cause of the appearance of this cancer in women, so, to reduce the risk, you should get early detection tests and get the vaccine against this sexually transmitted disease to avoid problems.
However, cervical cancer usually has no symptoms or warning signs, but when it has spread outside the cervix; These symptoms are, vaginal bleeding that is not the period, spotting or abnormal vaginal discharge, pain when having sex, so your doctor will ask you several questions to determine if it is cervical cancer and in turn prescribe appropriate treatment.
Lack of ovulation
The lack of ovulation is also called anovulation, which can be associated with some factors such as; stress, very important weight loss or gain, too much production of prolactin (hormone that is responsible for producing breast milk), polycystic ovaries; However, 35% of women had this absence from the period at some time in their lives.
Onset of menopause
Perimenopause: this occurs when the person is about to enter their menopause period and hormones are usually altered, this lasts at least 10 years; During this period people usually experience irregular periods, and even shorter or longer periods, sometimes they do not have menstruation or have stronger or slightly lighter periods, another fact if menstruation does not reach you in 12 months is menopause.
Contraceptives
When you forget to take the contraceptive pill or ampoule, it causes abnormal or irregular bleeding, since there is a sudden change in hormones, even if it is something very annoying, rest assured that it will not hurt you; However, if you follow the recommendations of your gynecologist to the letter, the blood flow will decrease; Just try to be more thorough and careful with your contraceptive method from now on, and thus avoid more discomfort more advanced.
What are the consequences of having menstruation twice a month?
As explained before, the consequence of lowering your period twice a month, is because you have short periods of menstruation and it is normal; so you can experience one at the beginning of the month and another at the end; since a normal cycle usually lasts about 24 and 31 days; which means that this is the stipulated time for a new menstruation to occur, so the cycle of the period on average lasts 28 days; But it can reach 21 to 45 days in adolescents and young people, so if you have short cycles you do not have to worry, but if you have doubts, or confusion consult the gynecologist.
What treatment is recommended if you have menstruation or menstruation twice a month?
The treatment for these cases will depend on the root problem of frequent bleeding; if you have short periods or just start menstruation is normal; But if what you have is anemia your doctor will recommend supplements rich in iron; so the most recommended treatment is the use of contraceptives, in order to regulate periods of menstruation and in turn help control anemia problems derived from heavy bleeding, on the other hand periods of stress, can impact your menstrual cycle a lot, to relieve this you can exercise; But if you feel overwhelmed by many problems, try to do things to relax and say no to certain tasks that you cannot perform.
When should I go to the gynecologist?
If you have family members who have suffered from fibroids, cysts or are in the early onset of menopause, you are exposed to having two periods in the month; However, there are some signs to be aware of.
These signs are: experiencing pain in the lower abdomen, which does not disappear after several days, having spots or bleeding several times a month, which is often confused with a period twice a month, having pain when you have sex, having more cramping in the period than normal, you notice dark blood clots on your periods in your underwear or towel; Therefore, if you present any of these symptoms, set aside an appointment as soon as possible with your doctor; with the aim of finding an effective solution together.
