Understanding Irregular Monthly Periods

When experiencing menstrual cycles that occur more than once every 28 days or less, it is considered an irregular menstrual cycle. This article aims to provide clarity on why you might be experiencing a menstrual period twice a month or more frequently, when medical intervention is necessary, and what steps to take to address the issue.

Is Having Periods Twice a Month Abnormal?

Having a menstrual period every two weeks or twice a month is not normal and may indicate a medical concern. Frequent periods can cause iron deficiency anemia due to excessive blood loss. They can also be a sign of underlying health issues such as infections, hormonal imbalances, or other gynecological conditions that require treatment.

Common Causes of Irregular Periods

Irregular menstrual cycles, or periods that occur every two weeks, can be caused by a variety of factors:

Dramatic Weight Changes: Sudden weight loss or gain can disrupt hormone levels, leading to irregular periods. Hormones are key players in directing the start of menstruation. Excessive Exercise: Over-exercising can disrupt hormonal balance and trigger irregular periods. Signs of over-exercise include extreme fatigue and mood swings. Stress: Stress from any life event, such as exams, family arguments, financial worries, or even a holiday, can temporarily affect your menstrual cycle. Illness or Medications: Certain medications, including hormonal contraceptives, can alter your menstrual cycle. Consult your doctor about adjusting or discontinuing these medications if necessary. Uterine Problems: Uterine issues such as polyps, cysts, fibroids, or tumors (both benign and cancerous), can cause abnormal bleeding between periods. Sexually Transmitted Infections (STIs): STIs can cause bleeding between periods, which can be mistaken for a regular menstrual cycle. Thyroid Problems: Thyroid conditions, such as hyperthyroidism, can lead to an increase in menstrual bleeding due to changes in the uterine lining. Contraceptive Methods: Hormonal contraceptives like the pill, Depo-Provera injections, or the copper-only IUD can sometimes cause changes in your menstrual cycle, such as intermenstrual bleeding.

What to Do When You Have Irregular Periods

If you have noticed that your menstrual periods are occurring more frequently, it is important to consult a gynecologist. A healthcare professional can diagnose the underlying cause and recommend appropriate treatment. Here are some steps you can take:

Make an Appointment: Scheduling a visit with your gynecologist is the first step in determining the cause of your irregular periods. Discuss Your Medications and Lifestyle: Provide your doctor with a detailed history of any medications you are taking, including hormonal contraceptives, and discuss any lifestyle changes, such as extreme exercise or stress. Consider Hormonal Imbalances: A hormonal imbalance can be a cause of irregular periods. Blood tests can help identify any hormone levels that might be out of the normal range. Undergo Diagnostic Tests: Your doctor might recommend further tests such as an ultrasound or an endometrial biopsy to look for any uterine abnormalities.

While it is possible that the frequent period might be a temporary issue and not indicative of a serious health problem, it is always best to seek medical advice. Early diagnosis and treatment can prevent potential complications and help you manage your menstrual health effectively.