Two Periods In One Month For The First Time
People with short menstrual cycles frequently have periods at the beginning and the end of a month. For someone with a typical menstrual cycle usually about 28 days or so having a period twice a month may be a bit surprising and seem unusual. Its important to remember that irregular bleeding can indicate a medical concern, and its easy to mistake for a period. In some cases, bleeding could indicate one of the following:
The treatment for two periods in one month depends on the cause of the bleeding. People who have a short menstrual cycle naturally or who are in the early stages of puberty typically dont require treatment.
Health care providers may suggest hormonal birth control as a possible treatment for multiple periods in a month, as it can help regulate periods and resolve anemia that occurs due to heavy and frequent bleeding. If youre already taking hormonal birth control and you think it might be causing you to have a period twice in one month, then be sure to talk to a health care provider.
For hypothyroidism, a health care provider may prescribe thyroid hormone replacement therapy. For hyperthyroidism, several treatment options are available, and health care providers will suggest the one that is best for each condition.
During perimenopause, health care providers may suggest menopausal hormone therapy to regulate periods until they cease with menopause.
What Is Abnormal Uterine Bleeding
Abnormal uterine bleeding is the name doctors use to describe when something isn’t quite right with a girl’s periods. Doctors also sometimes call AUB “dysfunctional uterine bleeding” . Like lots of medical names, it can sound worse than it is. Most of the time, AUB isn’t something to worry about.
Abnormal uterine bleeding means that periods may be heavier or last longer than normal or not come at all. Bleeding between periods is also a sign of AUB. AUB isn’t usually a major problem, but it can lead some girls to develop anemia .
If a girl has AUB, it might mean her periods last longer or have more bleeding than normal. Or, it might mean the opposite that her bleeding is light and her periods aren’t coming as often as they should.
Because AUB isn’t usually a problem, doctors often don’t do anything about it. But sometimes they take action if a medical condition is causing AUB. Doctors also might treat AUB if it is causing another problem. For example, doctors may worry that a girl could get if she is bleeding more than she should.
You Have A Sexually Transmitted Infection
Sexually transmitted infections like gonorrhea or chlamydia may cause bleeding in between periods. However, the bleeding is usually lighter than a period.
When your period comes early, take note of how heavy the flow is in comparison to your other periods. You may have to wait a day or two. If the flow is normal, you probably don’t have an STI. If, however, you have spotting every couple of days, regularly have spotting after sex, or your period comes every two weeks, Dr. Millheiser notes that is more concerning and could indicate an underlying issue, in which case, you should contact your doctor.
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When To Call Your Doctor Or Midwife
If your period seems weird or off in any way, the first thing to do is take a pregnancy test. If it is negative, wait to see how your next period goes. If you have another period that feels or seems off, it might be time to make an appointment with your doctor or midwife.
They can perform an exam to figure out what is causing the irregularities in your cycle and answer any questions you have about your menstrual cycle.
There are certain situations where it can be especially helpful to seek the advice of your doctor or midwife, such as:
- The length of your menstrual cycles is erratic
- You are trying to get pregnant and you notice that your cycle length is shorter than 25 days
- You are under 35 years old and have been trying to conceive for over a year OR you are over 35 and have not conceived in six months
What Is Considered Normal Menstrual Bleeding
Most woman have a definition of what normal looks like for them. Many women already know that on average, menstrual periods last four to seven days, with a normal cycle occurring every 21 to 35 days. But did you know this interesting fact? Blood loss during a period averages about 40 ccs, or the equivalent of only three tablespoons.
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How Can Birth Control Or Menopause Affect The Duration Of Your Period
Birth control pills generally help with prolonged menstrual bleeding, but on occasion may cause it. IUDs, especially copper IUDs, sometimes cause prolonged bleeding, especially in the first year after insertion.
Women in perimenopause, the years leading up to menopause, frequently find their periods changing. Still, even if youre perimenopausal, you want your doctor to check things out. Long or irregular bleeding may just be from perimenopause. But it is also often our first clue of endometrial cancer or cervical cancer, she says.
How Is Hemophilia Treated
Your doctor can treat hemophilia A with a prescription hormone. This hormone is called desmopressin, which they can give as an injection into your vein. This medication works by stimulating the factors responsible for the process of blood clotting.
Your doctor can treat hemophilia B by infusing your blood with donor clotting factors. Sometimes, the factors may be given in the synthetic form. These are called recombinant clotting factors.
Your doctor can treat hemophilia C using plasma infusion. The infusion works to stop profuse bleeding. The deficient factor responsible for hemophilia C is only available as a medication in Europe.
You can also go to physical therapy for rehabilitation if your joints are damaged by hemophilia.
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Not Sure What To Do Next
If you are still concerned about bleeding between periods, check your symptoms with healthdirect’s online Symptom Checker to get advice on when to seek medical attention.
The Symptom checker guides you to the next appropriate healthcare steps, whether its self-care, talking to a health professional, going to a hospital or calling triple zero .
You Have Uterine Polyps Or Fibroids
“Uterine abnormalities, such as polyps or fibroids, can cause prolonged periods because they distort the endometrial cavity which can lead to increased blood flow,” Dr. Toth explains. Basically, your body senses something in your uterus that isn’t supposed to be there, and tries extra hard to get rid of it.
Polyps and fibroids sound scary, but they’re pretty commonup to 80 percent of women will have at least one before they’re 50, per the OWH. On their own, they don’t indicate a serious disease, like cancer. Important to note: Black women are two to three times more likely to have fibroids than white women, and the reasons for their increased risk are not well understood or well studied due to lack of representation of Black women in research, notes Dr. Horton. Black women are also more likely to be hospitalized due to fibroids due to heavy, prolonged vaginal bleeding, pain, and symptoms from anemia.
But for many people, these benign growths don’t have any symptoms, and if they do, it’s usually prolonged periods, says Dr. Toth. Most likely your doc will just recommend keeping an eye on them, but if they cause pain or grow very large they can be surgically removed.
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What Is Placenta Previa
Placenta previa occurs when the placenta covers the opening of the cervix during the last months of pregnancy. This condition can cause severe bleeding before or during labor.
The placenta develops in a pregnant persons uterus during pregnancy. This sac-like organ provides the developing baby with food and oxygen. It also removes waste products from the babys blood. The placenta is also referred to as afterbirth because it exits the body after the baby is born.
During pregnancy, the uterus stretches and grows. Its normal for the placenta to be low in the uterus in early pregnancy. As the pregnancy continues and the uterus stretches, the part of the uterine the placenta was stuck to moves, usually away from the cervical opening.
By the third trimester, the placenta should be near the top of the womb. This position allows the cervix, or the entrance to the womb at the bottom of the uterus, a clear path for delivery.
If the placenta attaches instead to the lower part of the uterus, it can cover part or all of the internal opening or os of the cervix. When the placenta covers the cervical os during the last months of pregnancy, the condition is known as placenta previa.
Most pregnant people with placenta previa will require pelvic rest. This typically includes abstaining from having sexual intercourse, limiting any procedures like an obstetrical check for dilation, and possibly restricting any exercises that may strain the pelvic floor.
- cramps or sharp pains
How Is Abnormal Uterine Bleeding Treated
Doctors treat AUB based on what’s causing it.
If a girl has very heavy bleeding, her doctor might test for anemia and prescribe iron pills or other treatments. For very light or irregular bleeding that goes on for a long time, medical professionals often prescribe birth control pills. Birth control pills contain hormones that can help balance a girl’s menstrual cycle.
Most girls just need time for their bodies to adjust to their hormones. Eventually, their menstrual cycles get regular naturally. If you’re ever worried that your period might not be normal, talk to your doctor.
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You Have Gynecological Or Medical Conditions
If you have any problems with your uterus or ovaries, your period may stop or become irregular. Visit a gynecologist if you’re experiencing any abnormal changes.
If you’ve made any recent lifestyle changes and your period comes a little early, then you probably don’t need to worry. In the end, âYou have to think about whatâs normal,â Dr. Millheiser says. âWhen periods come a little bit earlier, especially if it’s in the context of a couple days or a week, we generally don’t get concerned about that.â You generally donât have to worry about small changes in the timing of your period unless it starts occurring more frequently than every 21 days.
Instead of being worried that your period came early, be happy your body is responding to external factors and itâs aware of what’s going on in your life.
Can Excessive Menstruation Be Treated
If your doctor finds stress or birth control pills as the cause of your excessive menstruation, you will be advised or other contraceptive methods used. Also, vaginal infections and other causes will require further testing. Vaginal infections gonorrhea and chlamydia, can be treated with antibiotics. If your bleeding is due to a polyp, a curettage or polyp forceps is used with good success rate.
Also, vaginal infections and other causes will require further testing. Vaginal infections gonorrhea and chlamydia, can be treated with antibiotics. If your bleeding is due to a polyp, a curettage or polyp forceps is used with good success rate.
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You Have Just Changed Your Birth Control Method
Change in your birth control method is a common reason for prolonged periods. There are many birth control methods available including hormonal birth controls like pills and implants such as IUD.
In both cases, it is normal to have some change of hormone after introduction until your body gets adjusted. This hormonal imbalance may lead to prolonged periods. Even the use of progestin IUD can eliminate your periods completely. So, if you have just started using an IUD or pills then your periods are likely to last longer then what is normal. Though it is common, it should settle down after three consecutive cycles.
My Period Is 4 Days Early What To Expect
If your period is four days early, then its likely due to implantation. Implantation can cause you to have spotting or slight vaginal bleeding that last for hours or days. You should wait for some days then take a pregnancy test. Other causes like stress, eating disorders, emergency contraception can affect your period too.
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Uterine Polyps Or Cervical Polyps
Uterine polyps can be the cause of your prolonged menstrual flow. These are masses attached to the wall of the uterus and can sometimes extend down into the cervix. They cause irregular spotting between periods and can be visualized with a hysteroscope or ultrasound.
Uterine polyps are a common cause of bleeding after menopause. If you are below 4o years, then you may have pain and prolonged periods.
If your doctor finds uterine polyps as the cause of your prolonged periods, a D& C will be advised.
How The Procedure Is Done
In an endometrial ablation, your healthcare provider first inserts a slender instrument through your cervix and into your uterus. This widens your cervix and allows them to perform the procedure.
The procedure can be done in one of several ways. Your healthcare providers training and preferences will direct which of the following procedures theyll use:
Freezing : A thin probe is used to apply extreme cold to your uterine tissue. Your healthcare provider places an ultrasound monitor on your abdomen to help them guide the probe. The size and shape of your uterus determines how long this procedure lasts.
Heated balloon: A balloon is inserted into your uterus, inflated, and filled with hot fluid. The heat destroys the uterine lining. This procedure typically lasts from 2 to 12 minutes.
Heated free-flowing fluid: Heated saline liquid is allowed to flow freely throughout your uterus for around 10 minutes, destroying the uterine tissue. This procedure is used in women with irregularly shaped uterine cavities.
Radiofrequency: A flexible device with a mesh tip is placed into your uterus. It emits radiofrequency energy to eliminate uterine tissue in 1 to 2 minutes.
Microwave: An inserted probe and microwave energy is used to destroy your uterine lining. This procedure takes 3 to 5 minutes to complete.
Electrosurgery: This procedure requires general anesthesia. A telescopic device called a resectoscope and a heated instrument is used to see and remove uterine tissue.
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