Two periods in one month in perimenopause
Why periods can come twice a month in your 40s, how short cycles fit perimenopause, what else causes it, and which signs mean you should see a doctor soon.
Perimenopause symptoms and tracking
About
Nora Whitfield
Perimenopause symptoms and tracking
Nora Whitfield writes Peri Signals' guides to perimenopause symptoms, period changes and keeping a symptom record. She works from NHS, ACOG, NICE, MedlinePlus and peer-reviewed studies, links each one where it is used, and leaves treatment decisions to readers and their doctors.
Last checked 2026-11-01
Sources reached for first: NHS, ACOG and NICE guidance pages, MedlinePlus, peer-reviewed studies.
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What this byline never does:
Every article on Peri Signals links the health guidance it relies on, and none gives treatment advice. The rules are in our editorial policy. If you spot a mistake in anything signed Nora Whitfield, send the page and the source and it will be checked and corrected.
Why periods can come twice a month in your 40s, how short cycles fit perimenopause, what else causes it, and which signs mean you should see a doctor soon.
Tiredness, weight gain, low mood and period changes fit both perimenopause and a thyroid problem. The clues that point one way, and when a thyroid test is used.
PMDD and perimenopause both bring irritability, low mood and anxiety. How timing against your cycle tells them apart, and why PMDD can get worse in your 40s.
Is spotting normal in perimenopause? Why light bleeding between periods happens in your 40s, the other causes, and when to report it to a doctor.
When heavy bleeding, flooding and clots in perimenopause are expected, the measurable signs that a period is too heavy, and when to see a doctor.
How cycles change in perimenopause: periods closer together, longer periods, skipped months and long gaps, what is expected, and which changes to report.