What causes periods to occur twice a month?

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Getting your period twice in one month can be alarming. The medical term for this is metrorrhagia. While occasional irregularities in your cycle are usually nothing to worry about, frequent or excessive bleeding between periods requires medical attention. This article explores the common causes, symptoms, diagnosis and kapeefit online ayurvedic treatment for metrorrhagia.

When is Abnormal Bleeding a Concern?

It’s normal for your menstrual cycle to vary somewhat from month to month. Slight fluctuations in length and flow are common. However, if you routinely get your period twice a month, have prolonged or heavy bleeding, or go long stretches without a period, see your doctor. Frequent abnormal bleeding may cause anemia from too much blood loss. Additionally, it can indicate an underlying gynecologic problem.

Common causes

Hormonal Imbalances

Irregular ovulation can lead to abnormal estrogen and progesterone levels and unpredictable bleeding. Common culprits include polycystic ovary syndrome (PCOS), perimenopause, and some methods of birth control.


Blood thinners, chemotherapy drugs, and antidepressants are among medications that may trigger bleeding between periods.

Pregnancy Complications

In some cases, spotting during early pregnancy indicates issues like ectopic pregnancy, miscarriage, or molar pregnancy. Bleeding should always be evaluated during pregnancy.

Uterine Abnormalities 

Abnormal tissues (like polyps or fibroids), inflammation, and some cancers can prompt mid-cycle bleeding. Endometriosis elsewhere in the pelvis may also cause spotting.


Sexually transmitted diseases like chlamydia and gonorrhea can lead to pain, bleeding, and discharge between periods.


Pinpointing the reason behind abnormal bleeding involves reviewing your symptoms and medical history. Diagnostic tests may include:

  • Physical exam – Checks for signs of infection, anatomical abnormalities, or pregnancy issues.
  • Blood tests – Counts blood cells to assess for anemia. It also checks hormone levels.
  • Pelvic ultrasound – Provides images of the uterus and ovaries to identify problems.
  • Biopsy – Takes a small tissue sample to test for infection or cancer.


Treatment depends on the underlying cause but may involve:

Hormonal birth control – Regulates ovulation and menstrual cycles.

Iron supplements – Improves anemia from excessive blood loss.

Antibiotics – Treats uterine infections.

Surgery – Removes problematic tissues or growths causing bleeding.

When to see your Doctor

Schedule an appointment if you:

  • Have periods more often than every 21 days
  • Bleed for longer than 7 days per cycle
  • Need to change pads or tampons more often than hourly
  • Experience heavy clots, flooding, or unmanageable flow

Abnormal bleeding can indicate various problems ranging from hormone imbalances to cancer. Keep track of your symptoms, and don’t hesitate to see your doctor. Schedule an appointment with kapeefit online ayurvedic consultation to get an accurate diagnosis and prompt treatment of metrorrhagia that can remedy the issue and help prevent complications from blood loss or underlying conditions.

Key Takeaways

  • Getting your period twice in one month may signal a hormonal imbalance, uterine issue, or other medical problem requiring evaluation.
  • Common culprits include PCOS, irregular ovulation, uterine growths, perimenopause, IUDs, and various diseases.
  • See your doctor if you routinely have abnormal bleeding to identify potential causes and rule out serious conditions.
  • Treatment targets the specific problem and may include hormone therapy, iron supplements, medications, or surgical removal of problematic tissues.
  • Pay attention to your flow and cycles. Prompt diagnosis of abnormal bleeding can prevent complications.


Occasional spotting between periods can be normal. However, consistently getting your period twice a month is different. Abnormal bleeding should never be ignored. It may indicate erratic hormones. But it can also represent pregnancy complications, infection, uterine issues, or cancer.

Diagnostic testing and proper treatment can remedy the underlying problem. Tracking your cycles and symptoms enables early intervention if abnormal bleeding persists. Contact your doctor so any problems can be identified and managed before they progress.

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