Menstrual cycle

Hello Anonymous,

Welcome to EmpowHER and thank you for reaching out to us with your concern. Having two periods in one month is abnormal and the prolonged bleeding can put you at risk for iron deficiency anemia.

The menstrual cycle is regulated by a precise balance of hormones. Anything that can disrupt the delicate hormonal balance that produces ovulation can lead to either skipped periods or periods that come too often. Hormonal imbalance as a cause of frequent periods is often seen as a woman nears menopause. Thyroid dysfunction may also be a factor.

Another reasons for twice-a-month periods is abnormal thickening of the uterine lining. This thickening can be due to hormonal imbalance or to taking estrogen without a progesterone medication as well; estrogen causes the uterine lining to proliferate and become thick and lush, while progesterone thins out the lining; a balance between these two hormones is necessary to ensure regular, moderate periods.

Polyps, which are projections of tissue that protrude into the uterine cavity, or fibroids in the uterine cavity may also cause irregular periods. In this case, the uterine lining tissue that overlies these projections is less stable, increasing the chance that it will be shed at an inappropriate time. Also, fibroids and polyps increase the surface area of the uterine lining, often leading to prolonged and heavier bleeding.

Anonymous, please find a gynecologist and schedule an appointment.

Regards,
Maryann