Why do menstruation come twice a month? ——Analysis of common causes of abnormal uterine bleeding
Recently, "menstruation occurs twice a month" has become a hot topic in the field of women's health. Many netizens share similar experiences on social platforms and seek answers. This article will combine medical knowledge and hot discussions across the Internet in the past 10 days to conduct a structured analysis of the causes and countermeasures of this phenomenon.
1. Popularity data of related topics in the past 10 days

| platform | Search volume (10,000 times) | Main focus of discussion |
|---|---|---|
| 12.8 | Sudden menstrual disorder in young women | |
| little red book | 9.3 | Distinguish between ovulation bleeding and diseases |
| Zhihu | 5.6 | Preventive measures for endocrine disorders |
2. Analysis of common causes
| Type | specific reasons | Characteristic expression |
|---|---|---|
| Physiological | Ovulation bleeding | A small amount of coffee-colored discharge that lasts for 2-3 days |
| pathological | polycystic ovary syndrome | Accompanied by symptoms of acne and hirsutism |
| Uterine fibroids | Increased menstrual flow with blood clots | |
| Abnormal thyroid function | Sudden weight change + heart palpitations | |
| exogenous | Use of emergency contraceptive pills | Bleeding occurs within 1 week after taking the medicine |
3. Danger signs to be alert to
According to the advice of gynecologists in the Douyin live broadcast, you should seek medical treatment immediately if the following situations occur:
1. Bleeding volume exceeds daily menstrual volume
2. Continuous bleeding for more than 7 days
3. Accompanied by severe lower abdominal pain
4. Anemia symptoms such as dizziness and fatigue
4. Statistics of real cases from netizens
| age range | Proportion | most common reasons |
|---|---|---|
| 18-25 years old | 43% | stress endocrine disorders |
| 26-35 years old | 32% | organic uterine disease |
| Over 36 years old | 25% | perimenopausal symptoms |
5. Scientific response suggestions
1.Record your menstrual cycle:Use APP to record bleeding time, amount and accompanying symptoms
2.Basic check:It is recommended to give priority to six items of sex hormones and B-ultrasound examination
3.Lifestyle adjustments:Weibo health V @Gynecology Dr. Li pointed out that staying up late is the main trigger for young patients.
4.TCM conditioning:Zhihu’s highly praised answer recommends dietary supplements such as yam and wolfberry
6. Special reminder
Recently, hospitals in many places have reported a surge in cases of menstrual disorders caused by "abuse of diet pills." Data from a tertiary hospital shows that abnormal uterine bleeding often occurs after malnutrition-induced amenorrhea caused by excessive dieting, which is manifested as "false menstruation".
To sum up, frequent menstruation may be a warning signal sent by the body. It is recommended that those who continue to observe for 2-3 cycles but still have abnormalities seek medical treatment as soon as possible to avoid delaying treatment opportunities.
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