Taking the pill twice in a month may be a normal menstrual cycle, or it may be a side effect of the pill such as withdrawal bleeding, menstrual disorders, etc., or a contraceptive failure followed by preterm abortion, ectopic pregnancy, etc., or a combination of other diseases that cause abnormal vaginal bleeding such as fibroids, other than the normal menstrual cycle, other than the abnormal appearance of the vagina. Common causes and treatments I. Normal menstruation The time to take the pill is on the day of or the day before the first menstruation. The normal menstrual cycle is about 28 days and the period is 3-5 days, if it is 1 week earlier, it is also normal, there are usually no special symptoms and no special treatment is needed. Second, the side effects of the pill 1, withdrawal bleeding: the sudden rise and fall of hormone levels after the pill leads to, usually occurs in the 5-7 days after taking the pill, for drip bleeding, patients will be mistaken for menstrual blood, but the amount is small and the duration is shorter than normal menstruation, the second time for normal menstruation, no special treatment; 2, menstrual disorders: long-term use of the pill will lead to hormonal disorders appear menstrual disorders, the normal menstrual period many times The pill should be discontinued in time, the use of other contraceptive measures such as male condoms, bleeding large amount of timely medical attention. The ectopic pregnancy: the fertilized egg is laid outside the uterus, the earliest vaginal bleeding can occur within 4 weeks after pregnancy, which can be accompanied by abdominal pain, sweating, shock, etc. The pregnancy can be confirmed by checking the human chorionic gonadotropin in the blood, and the ectopic pregnancy can be diagnosed by ultrasound, which should be terminated in time, using methotrexate and surgery if necessary to avoid life-threatening hemorrhage; 2. Miscarriage: abnormal vaginal bleeding within 28 weeks of pregnancy, accompanied by abdominal pain and back pain, mostly with a history of miscarriage, can be treated with oral progestin to preserve the fetus, and when miscarriage is unavoidable, perform a curettage. 4, combined gynecological diseases 1, fibroids: the cause is unknown, can be related to abnormal hormone metabolism, generally no abnormal, fibroids increase can appear irregular vaginal bleeding, abdominal pain, anemia, etc. Mifepristone, tamoxifen can reduce fibroids, inhibit growth, too large or cause serious bleeding or infertility fibroids, need timely surgery to remove; 2, chronic cervicitis: pathogenic bacterial infection can cause, accompanied by The treatment should be carried out with antibiotics after blood culture to identify the infectious agent, with freezing, microwave infrared, etc. Pay attention to perineal cleanliness and good lifestyle habits. 30 years old and above women need to scrape the uterus for pathological examination to determine the absence of cancer. Precautions 1. suffer from tumor diseases, such as breast tumor or uterine tumor, etc. There are a lot of hormones added in the contraceptive pill, and the onset of gynecological tumor disease is directly related to the disorder of hormone secretion in the body, the use of contraceptive pill during the disease will lead to the aggravation of the disease and increase the difficulty of treatment; 2, suffering from diabetes, nephritis, hypertension, heart disease and other diseases, the contraceptive pill will increase the burden on the organs and make the disease more serious.