Is It Normal to Have Menstruation Twice a Month?

Health / Life

A woman feeling shy of her period. / Photo by: Getty Images


Menstrual cycles are a normal part of every woman’s life. From adolescence, women’s bodies are constantly changing to prepare for reproduction, childbearing, and childbirth. Menstrual cycles are just a part of all these changes.

However, while it is such a normal occurrence in our daily lives, it can often leave us confused. There are just so many things we have yet to understand about our menstrual cycles, so much so that we often don’t realize that our menstrual cycles aren’t normal until we talk to our doctors or other women who may be experiencing similar difficulties.


What are the causes of having menstruation twice a month?

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A menstrual cycle normally lasts for 21 to 35 days. For adolescent women, a menstrual cycle can normally last for 21 to 45 days.

In some cases, people experience menstrual bleeding more frequently than every 21 days or menstrual bleeding that lasts longer than 8 days. This is called an irregular menstrual cycle.

Sometimes, women may also experience menstruation twice a month. This is because one cycle may end earlier during the month and the next one ends just before the month is over. In this case, it’s not really a cause for concern.

However, it can also be caused by underlying medical conditions like pregnancy, sexually transmitted infections, and miscarriage. These conditions can cause spotting or even heavy bleeding that can be mistaken for a menstrual period.

It can also be caused by a shorter menstrual cycle which can be due to factors like anovulation, hyperthyroidism, hypothyroidism, menopause, puberty, uterine fibroids or cysts, stress, extreme weight change, birth control, and illness.

What are the causes of irregular menstruation?

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There are many possible causes of irregular menstruation, but most cases are related to anovulation. This is a condition wherein severe hormonal imbalances prevent you from ovulating, which disrupts your menstrual cycle.

In some cases, it can also be caused by subtler cases of hormonal imbalances. This can cause your ovulation period to vary from cycle to cycle, which can make your menstrual cycles irregular.

Factors like extreme exercise or diet, stress, anxiety, birth control pills, polycystic ovary syndrome (PCOS), and age can also cause irregular menstruation. It may also be due to an underlying medical condition like thyroid disorders, sexually transmitted diseases, diabetes, eating disorders, endometriosis, and fibroids.

What is the treatment for irregular periods

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It’s important to figure out what’s causing your irregular periods before you seek out treatment for it. In cases where stress may be related to your irregular periods, treatments may include stress management methods like meditation, yoga, and biofeedback.

In some cases, making lifestyle changes may benefit you most. This is especially true in cases wherein excessive exercising or dieting may be to blame for the irregular menstrual cycle.

However, if it’s caused by an underlying medical condition, it would be of utmost importance to treat that condition, which would also be the best treatment for irregular periods in that case.

Can you experience ovulation twice a month?

A woman having ovulation. / Photo by: Getty Images


It was previously believed that women cannot ovulate more than once a month, but a 2003 study by researchers from the University of Saskatchewan in Canada published in the journal Fertility and Sterility found that women can actually ovulate twice or thrice a month.

The researchers conducted daily ultrasounds scans on 63 women who reportedly had normal menstrual cycles. This led them to ultimately find that all 63 women underwent at least two waves of follicular development.

The findings baffled the researchers as well. Dr. Roger Pierson, the director of the reproductive biology research at the University of Saskatchewan and the lead researcher of the study, explained that the results were far from what they expected to find.

“This really isn’t the result we expected, and if it’s confirmed we’ll have to rewrite the textbooks,” Pierson said. “It explains why natural family planning often doesn’t work, why hormonal contraception sometimes fails, and why we see fraternal twins with different conception dates.”

What is menstrual induction?

Pregnancy is also one of the factors of menstrual induction or amenorrhea, / Photo by: Getty Images


In cases where a woman experiences irregular menstrual cycles or delayed periods, menstrual induction is the process she can do to induce her menstrual period.

Amenorrhea is a condition wherein women who should have been menstruating misses three or more periods in a row. It can caused by several factors like stress, extreme weight changes, polycystic ovary syndrome (PCOS), hormonal contraceptives, thyroid issues, menopause, pregnancy, and chronic conditions like diabetes or celiac disease.

In menstrual induction, people use substances called emmenagogues but these are also abortifacients, which means that they can cause miscarriages in case of pregnancy. Therefore, it’s important to consult your doctor first before trying menstrual induction.

What happens to your body when you get your monthly menstrual blood

A depiction of menstrual blood. / Photo by: Getty Images


On the first half of the menstrual cycle, the estrogen levels in your body rise. Estrogen is also called the “female hormone”, which helps build strong bones and keep them that way when you get older.

Estrogen is also responsible for making the uterine lining grow and thicken. The uterine lining, in turn, is responsible for nourishing the embryo in cases of pregnancy. If the egg is not fertilized, the hormone levels drop and the thickened uterine lining is shed. This is when you’ll get your monthly menstrual blood.