Why menstruation occurs 2 times a month (reasons): more than once a month

One of the indicators of the reproductive health of the female body is a regular menstrual cycle, the period of which is counted from the first day of the onset of menstruation to the first day of the next. Regulations have a certain duration, are repeated monthly and are characterized by a constant volume of blood secreted. The normal cycle time is twenty-one to thirty-five days. Frequent periods are a reason to see a doctor. Consider all the reasons why menstruation occurs 2 times a month, and what to do if the next regulations began earlier than three weeks later.

Causes of frequent menstruation

Polymenorrhea is characterized by the appearance of menstrual bleeding more than once during the menstrual cycle. Most often, this occurs due to violations of the contractility of the uterus, with the inhibition of the regeneration of its mucous membrane.

OK

Menstruation for the second time in one cycle can cause hormonal contraceptives. They are able to provoke a restructuring of the endocrine background in the female body. If, after stopping the intake of OK, the cycle does not return to normal, you should seek the advice of a specialist. Especially in the case of using methods of emergency contraception.

Pregnancy

Changes and imbalances in the female hormonal background, provoked by conditions such as pregnancy, lactation, childbirth and artificial termination of pregnancy (abortion). Usually temporary.

Conception, namely the process of embryo implantation, is another reason for the appearance of scanty bloody discharge from the genital tract. If the girl is not planning a pregnancy, and in the current cycle there was sexual intercourse without use contraception, sudden bleeding should suggest a possible onset pregnancy. Therefore, it is better to immediately contact a gynecologist and undergo a detailed examination.

Juvenile period

Adolescence, when the formation of the menstrual cycle is just beginning. In a situation where less than two years have passed after menarche - the first menstruation for a girl, then there is no reason to worry. Since in puberty, regulations go more often than once a month. This does not mean that there are serious problems. Typically, a teenager's menstrual cycle will stabilize after two years.

Menopause

With the approach of menopause, changes occur in the hormonal background, which leads to the appearance of menstruation twice a month. Such manifestations characterize the extinction of menstrual function. Often from the patient you can hear the following phrase: "Menses rarely go."

Navy

The installation of an intrauterine contraceptive in the form of a spiral is capable of provoking the onset of several menstruation in a row in 1 cycle.

Stress for the body

Negative emotional background, great physical activity, experiences, as well as rapid weight loss, long travel, improper diet and constant lack of sleep. During stressful situations, the adrenal glands produce the hormone cortisol. Too much of it in the blood affects the production of estrogen and progesterone, which are responsible for the onset of critical days.

Infections

The appearance of menstruation for the second time in a month is caused by an infection. Inflammation of the endometrium and ovarian tissue interferes with the physiological production of hormones, and also provokes repeated periods. Diseases such as nonspecific vaginitis and Trichomonas colpitis can cause a lot of discomfort and provoke bleeding of varying intensity. If you do not start the course of therapy on time, the likelihood of infection with more dangerous sexually transmitted diseases (human immunodeficiency virus, chlamydia, and others) increases.

Ovulation

Ovulation in some cases is a provoking factor in the appearance of scanty menstrual discharge from the genitals.

Normally, they should disappear in a maximum of forty-eight hours.

Endocrinological disorders

Exposure to toxins of various natures can lead to the premature onset of critical days.
Various pathologies of the thyroid gland, which controls the production of hormones that cause the onset of ovulation and menstruation. Common symptoms include increased fatigue, sudden changes in body weight, tachycardia, and emotional lability. In such a situation, it would be the right decision to see an endocrinologist.

Erosion

Cervical erosion provokes some inflammatory diseases that affect the female reproductive system. Sometimes it destroys the network of small vessels that penetrate the mucous membrane, provoking intermenstrual bleeding.

Myoma

This is a hormone-dependent benign tumor. However, it can grow to gigantic proportions and provoke the onset of bleeding between the regulations, which women often mistake for the next critical days.

Endometrial hyperplasia

Abnormal proliferation of the inner lining of the uterus. It is a thickening of the endometrium with a violation of the structure of its vascular wall, which leads to the occurrence of internal uterine bleeding. With this pathology, spotting appears before and after regulation, which significantly increases the amount of blood loss.

Pathology of pregnancy

Miscarriage, or aborted pregnancy, is the process of rejection of the ovum or embryo, which is accompanied by uterine bleeding of varying intensity. If this occurs in the early stages, women interpret the appearance of spotting as the onset of extraordinary critical days.

Ectopic pregnancy

The attachment of the ovum outside the uterus is an extremely dangerous and frequent pathology that gynecologists have to meet in their daily work. Embryo attachment occurs most often in the fallopian tubes. As the embryo grows, the organ ruptures. Pathology is often manifested by intermenstrual bleeding.

Oncology

Malignant neoplasms are usually accompanied by scanty discharge from the genital tract, traces of which a lady can find on her underwear two or three times a month. They are brown or watery in color and are independent of the day of the menstrual cycle.

Low blood clotting

Pathology of the hemostatic system, or coagulopathy, is often the cause of recurrent, massive and prolonged uterine bleeding. The causes of blood clotting disorders are liver disease, iron deficiency in the body, as well as hereditary variants of hemophilia and other pathological processes.

Endometriosis

Endometriosis of the uterine body is an inflammatory process that involves the wall of the uterus. Endometriosis indirectly affects the functioning of the endocrine system, which explains why menstruation often occurs in women with this disease.

Polycystic

Polycystic ovary disease is characterized by the appearance of many small cysts and is the cause of the appearance of discharge from the genitals between the regulations, acne, weight gain, increased hair growth (hirsutism) and problems with conception, so do not expect the problem to be solved by itself yourself.

Menses 10 days after the previous ones

The reasons for the appearance of menstruation 3 times a month is a sharp hormonal disruption that occurs within twenty-four months after menarche or before the onset of menopause, less often this condition can provoke the presence of an intrauterine device or a malignant neoplasm in uterus.

Metrorrhagia is a dysfunctional uterine bleeding that usually occurs every ten days, that is, those that come the third time in one cycle. Their character can be both meager smearing and very abundant.

Most often, this condition requires medical intervention:

• the appointment of high doses of hormones;
• taking medications that activate the coagulation system or strengthen the walls of blood vessels;
• carrying out surgical hemostasis (stopping bleeding).

Frequent bleeding after 40 years

In the age group of women from 40 to 45 years, a number of changes in the reproductive system begin:

• the supply of eggs in the ovaries decreases;
• the endocrine background is changing;
• the chances of pregnancy in the natural cycle are reduced.

The reasons why menstruation can go 2 times a month after 40 years include:

• the above physiological age characteristics;
• changes in the concentration of various hormones;
• pathology of the female genitals.

Signs of pathological menstruation in women of this age are considered:

1. Duration over a week. It often indicates the pathology of the coagulation system, the development of inflammatory reactions, side effects from hormonal contraception and diseases of the female reproductive organs.
2. Frequency more than once a month. It is the result of a gradual decrease in the production of the hormone estrogen by the ovaries, less often this phenomenon can be provoked by the formation of a cyst, endometriosis, other inflammatory diseases - up to cervical cancer uterus.
3. A menstrual flow of less than eighty milliliters is one of the first signs that natural menopause is approaching.
4. Abundant regulation. A change in the course of menstruation can be a clinical manifestation of uterine fibroids, cancer, or adenomyosis.

IMPORTANT! A delay in the onset of menstruation in women over 40, as in any other age group, can be a sign of pregnancy.

Situations requiring immediate attention to a gynecologist

A bright scarlet color of discharge that appeared between two periods may indicate the occurrence uterine bleeding in combination with symptoms such as pulling pain, localized in the area of ​​the appendages and uterus.

Normally, at first, the regulae are of a purple hue, and towards the end they turn brown.

Uterine bleeding, accompanied by cramping pulsating pain and a feeling of fullness in the lower abdomen, immediately after the next menstruation requires an immediate call to an ambulance, as it signals a rupture of the fallopian tube with ectopic pregnancy.

Medical help is necessary for women who regularly have regularity earlier than twenty-one days.

Diagnostic steps

If the critical days came before the due date, pregnancy should be ruled out or confirmed by doing a standard urinary test.

To begin with, the following set of studies is carried out:

• gynecological examination;
• a smear on the flora of the discharge from the vagina, cervix and urethra;
• Pap smear.

Further, according to the indications, the following examinations are prescribed:

• blood and urine tests;
• Ultrasound of the pelvic organs;
• tests for the content of hormones in the blood;
• cytological studies of aspirate from the uterine cavity;
• colposcopy;
• infection screening by enzyme immunoassay and polymerase chain reaction;
• MRI.

If pathological symptoms are observed, it is recommended to immediately seek qualified medical help.

The therapy is carried out on the basis of the results obtained, comments on which are given only by a specialized specialist.

If large blood clots and a strong odor or purulent discharge from the genitals appear, you should immediately seek gynecological help.

Emergency specialist intervention will be required when severe pain and a feeling of weakness join frequent menstruation.

Treatment methods

Treatment should be aimed at eliminating the factor that provoked polymenorrhea. So, with hormonal imbalance, you should undergo a course of hormone replacement therapy. For a number of diseases, conservative treatment may not be enough and surgical intervention is required.

Prevention recommendations

In order to avoid a malfunction of the menstrual function, experts advise not to self-medicate, follow certain rules, and also have some information:

• The age of onset of menarche should be between ten and fourteen years old.
• You need to come to a scheduled appointment with an obstetrician-gynecologist once six months.
• It is important to follow the diet, maintain water balance and adhere to the basic canons of a healthy lifestyle.
• Minimize any emotional distress.
• Monitor the level of hormones in the blood and the general condition of the endocrine system by regularly taking tests and visiting a specialized specialist.
• Maintain a personal menstrual calendar.
• Give up bad habits (alcoholic beverages, tobacco smoking, drug use).
• Take any medication only with the agreement of your doctor.

A normal menstrual cycle is the main indicator of the correct functioning of the female reproductive system. That is why every lady needs to keep track of the timing of the arrival of the next regulations, fix their volume and other characteristics in a special calendar.

The problem cannot be ignored, as this will aggravate the current situation and lead to the progression of the pathology. You should not practice self-diagnosis on the Internet and take medications without prescription.