If a 48-year-old woman has two periods a month, it may be due to endocrine disorders caused by mental factors or ovarian function, or it may be a clinical manifestation of other diseases, such as ovarian tumors, uterine fibroids, endometritis and so on. 1. When psychological stress and lifestyle disorders, such as staying up late and eating irregularly, endocrine disorders can occur, resulting in the appearance of 48-year-old twice a month menstruation, at this time, you can adjust the mood, maintain a happy mood and improve the routine, which will help to reduce the phenomenon of frequent menstruation. 2. 48-year-old women twice a month menstruation, may also be in the menopause, ovarian dysfunction, menstrual cycle disorders, which is often accompanied by hot flashes, excessive sweating and other symptoms, need to consult a doctor to clarify the condition, under the guidance of the doctor to choose estrogen and progesterone drugs to adjust the menstrual cycle. In addition, causing 48-year-old women to have two periods a month may also be ovarian tumors, uterine fibroids, endometritis and other diseases. It is recommended that women with the above symptoms go to the hospital in time to see a doctor to clarify the cause of the disease, so as to avoid delaying the condition and triggering adverse consequences.