At the age of 45, menstruation twice a month may be caused by physiological factors, endocrine disorders, gynecological diseases and other factors.
1. Physiological factors: women have menstruation at the beginning of the month, due to the menstrual cycle of about 28 days, at the end of the month may again have menstruation, only occasionally such a situation, there is no other abnormalities, it may be a normal phenomenon.
2. Endocrine disorders: polycystic ovary syndrome, pituitary tumor, etc., may lead to endocrine disorders, which may affect the menstrual cycle, resulting in short menstrual cycles, and may also cause excessive menstrual blood, menstrual bleeding and other symptoms.
3. Gynecological diseases: For example, cervical cancer, uterine fibroids and other gynecological diseases may lead to irregular vaginal bleeding, which may be mistaken for menstrual flow, and may be accompanied by symptoms such as lower abdominal cramps and increased vaginal discharge.
The 45-year-old menstruation twice a month can also be seen in other reasons, it is recommended that patients seek medical attention in a timely manner, improve the relevant examination, under the guidance of the doctor to clarify the cause of the disease, targeted treatment, to avoid delay in the condition.