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.
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The Peri Signals editors keep the site's pages current: they check every health fact against the source it links, update pages when guidance changes, and correct errors readers report.
Last checked 2026-11-01
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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.