Your duration may look unusual twice a month, but for some women, this is a regular phenomenon. While a topical irregular cycle may not cause anxiety, frequent or unexpected bleeding can sometimes indicate a health issue. Director of maternity and gynecology at CK Birla Hospital, Gurugram. Ethics Dayal, explain the possible causes behind it and when is the right time to seek medical advice.

Why are you doing menstruation twice a month?

Dr. Dayal gives possible reasons why you are getting a period twice a month:

1. hormonal imbalance – If your ovulation is irregular, it can cause inconsistent duration. Conditions such as stress, poor diet, excessive exercise, thyroid disorder, and PCOS (polycystic ovary syndrome) are common criminals.

2. Low menstrual cycle – Women with lower cycle of 21 days naturally experience two periods in a calendar month. If this has always been a case for you, it is likely to be normal.

3. Ovulation bleeding -Some women experience light spotting around the middle-cycle due to a temporary decline in estrogen levels. This can often be wrong for the early period.

4. Birth control pills and contraceptives – Starting or stopping birth control pills, using hormonal IUDs, or taking emergency contraceptives can lead to success bleeding outside your normal period.

5. Perimenopause – In the late 40s, women may experience inconsistent menstrual cycle due to hormonal shifts because their bodies are prepared for menopause.

6. Endometriosis – This condition causes tissue similar to the lining of the uterus, which is to grow outside the uterus, causing irregular and painful periods.

7. uterine fibroids Or polyps-quarry growth can cause excessive or prolonged bleeding, often leading to two periods a month.

8. Thyroid disorder – An over active or underactive thyroid can interfere with hormone production, disrupt regularity of menstruation.

9. Changes in stress and lifestyle – high stress, excessive weight ups and downs, excessive exercise, and poor sleep habits can all throw your menstrual cycle. Dr. Dayal says that stress is often the most common cause Irregular period,

10. Pregnancy-related bleeding-actopic pregnancy, chemical pregnancy, or early miscarriage complications can cause unexpected bleeding that may be incorrect for a period.

11. Post-cutal bleeding-If you notice bleeding after intercourse, it can be caused by cervical polyps, infection, or, in rare cases, cervical cancer.

When should you be worried? Dr. According to Dayal, all irregularities do not require medical attention, but some red flags warrant a visit to the doctor:

– Period longer than normal.

– Severe cramps or pain that disrupts daily life.

– Bleeding between periods or after intercourse.

– Suddenly, unexplained changes in the length of the cycle.

– Recurring two periods a month for several cycles.

– Other abnormal symptoms with fatigue, significant weight change, or irregular periods.

How is it diagnosed?

Dr. Dayal Share, if you experience constant irregular periods, your doctor may recommend such tests:

– Blood tests to check hormone levels and thyroid functions.

– Ultrasound to detect fibroids, polyps or other uterine abnormalities.

– For cervical health issues on pap smear to screen.

Treatment options Dayal shares depend on the underlying cause. Some common approaches include:

1. Lifestyle modification – Management of stress, maintaining a balanced diet, regular exercise and proper sleep can regulate your cycle.

2. Hormonal therapy – Birth control pills or hormone treatment may be recommended to stabilize the irregular period.

3. Medical treatment – conditions such as thyroid disorders or fibroids may require medication or, in some cases, surgical intervention.

“If your cycle has always been on the small side, it may be no problem to experience two durations in a month. However, if this pattern is new or with other symptoms, it is necessary to seek medical advice. It is necessary to take medical advice. Your monthly Keeping an eye on the Dharma Chakra and understanding the possible causes can help you take better care of your reproductive health, “Dr. Dayal said.

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