What is the reason for having menstruation once every two weeks? What should I do?

Menstruation once every two weeks is usually a manifestation of menstrual disorders, which may be anovulatory dysfunctional uterine bleeding or ovulation bleeding. The former requires medication adjustment, while the latter usually does not require treatment.

1. Anovulatory dysfunctional uterine bleeding: This is caused by abnormal regulation of the hypothalamus-pituitary-ovarian axis function or abnormal target cell effects. Simply put, there is a small malfunction in the "menstrual control center" inside the body. This situation is more common in women in early adolescence and menopause. Six sex hormone tests and gynecological ultrasound can help doctors make a preliminary diagnosis. In treatment, it is usually necessary to adjust the menstrual cycle on the basis of hemostasis. Commonly used methods are estrogen-progesterone sequential method and estrogen-progesterone combined method. For example, drugs such as desogestrel ethinyl estradiol tablets and compound gestodene tablets can help stop bleeding and adjust the cycle. The estrogen-progesterone sequential method helps the endometrium shed periodically by simulating the endocrine changes of the ovaries in the natural menstrual cycle. The estrogen-progesterone combined method is to limit the endometrial growth-promoting effect of estrogen after the use of progesterone, thereby reducing withdrawal bleeding.

2. Ovulation bleeding: This happens during the ovulation period, which is about 14 days before the next menstrual period. For women with a 30-day menstrual cycle, the ovulation period is exactly in the middle of two menstrual periods. Due to the temporary drop in estrogen levels, the endometrium loses hormonal support and falls off, resulting in slight bleeding. This situation generally does not require special treatment because it is a normal physiological response to changes in estrogen levels.

3. Lifestyle adjustment: In addition to medical intervention, it is also important to maintain a healthy lifestyle. Stress, improper diet, excessive exercise or lack of exercise may affect the menstrual cycle. Moderate exercise, a balanced diet and adequate sleep can help maintain a normal menstrual cycle.

4. Regular physical examinations: Regular gynecological examinations can help detect and deal with possible health problems early. Especially if menstrual disorders persist or are accompanied by other symptoms, it is important to seek medical attention in time.

5. Mental health: Mental stress may also lead to irregular menstruation. Appropriate relaxation and psychological adjustment, such as meditation and yoga, can help relieve stress and improve menstrual conditions.

Having a period every two weeks may be a signal from the body that we need to pay attention to our health. Most problems can be effectively solved through medical diagnosis and lifestyle adjustments. If you have any concerns about your menstrual condition, it is a wise choice to consult a professional doctor in time. I hope these suggestions are helpful to you, and I wish you good health!