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Polymenorrhea is a condition when the menstrual cycle lasts less than 21 days until the next menstruation. One of the typical signs of this condition is menstruation which can occur more than 2 times in 1 month. Although it can occur due toa condition that is not dangerous, several causes of polymenorrhoea need to be watched out for and receive appropriate treatment.
Polymenorrhea is one of the menstrual cycle disorders. Normally, the menstrual cycle lasts in the range of 21-35 days. However, women with polymenorrhea will experience menstruation in less than 21 days. When the cycle is shorter, menstruation can occur more than once a month.

If polymenorrhea is accompanied by a large amount of menstrual blood, especially if it is not treated properly, the sufferer is susceptible to anemia.
Signs of Polymenorrhea
Polymenorrhea is a type of abnormal uterine bleeding (AUB). This means that a woman is said to be experiencing polymenorrhea if there is a disturbance in the frequency, duration and amount of blood that comes out during menstruation. Some of the signs are:
- The period from the first day of menstruation to the next menstruation is faster, it can even only last 8–10 days or more, but less than 21 days
- The duration of menstruation can last more than 8 days
- Menstrual blood comes out very much, more than usual
Causes of Polymenorrhea
This condition can be a sign of hormonal adaptation for women who have just started puberty. This is because the menstrual cycle is normally not regular for 1-2 years after the first menstruation. However, if it occurs in adult women, polymenorrhea is closely related to problems with hormones or reproductive organs, including:
1. Hormonal disorders
Polymenorrhea is common in women who have thyroid disease, especially conditions where thyroid hormone is too low (hypothyroidism). In addition, women who experience ploycystic ovarian syndrome (PCOS) can also experience menstrual cycle disorders, including polymenorrhea.
2. Stress
When stressed, the body responds by releasing the hormone cortisol or stress hormone. This hormone can interfere with the function and work of the endocrine system which produces reproductive hormones, one of which is estrogen. As a result, the menstrual cycle becomes irregular, including shorter ones as occurs in polymenorrhea.
3. Drug side effects
Consumption of drugs, such as corticosteroids, blood thinning drugs, contraceptive pills, or drug therapy containing hormones is known to disrupt the menstrual cycle, making it irregular. The use of hormonal contraception in the form of an IUD is also known to have the risk of irritating the uterus, thereby triggering bleeding or polymenorrhea.
4. Drastic weight loss
Drastic weight loss, either for no apparent reason or due to an eating disorder, can also disrupt the menstrual cycle. This is because being too thin can disrupt the function and work of hormones in the menstrual cycle, thereby triggering polymenorrhea.
5. Transition to menopause
Women aged 30-40 years will generally experience a transition to menopause, which is also called perimenopause. During this period, the hormones that play a role in menstruation will fluctuate. This is why menstrual cycles can be shorter such as polymenorrhea, although some women can also experience longer cycles.
6. Sexually transmitted infections (STIs)
Polymenorrhea can also be triggered by sexually transmitted infections, such as gonorrhea or chlamydia. This is because STIs can spread and infect the uterus and the tubes connecting the ovaries and uterus (fallopian tubes).
7. Diseases of the reproductive organs
Health problems with the reproductive organs are often the cause of polymenorrhea. Some conditions include polyps on the cervix or uterine wall, benign uterine tumors, endometriosis, and cervical cancer or uterine cancer.
Shorter menstrual cycles can also be triggered by pelvic inflammation, which generally starts from sexually transmitted infections without proper treatment.
Managing Polymenorrhea
Before providing treatment, the doctor will determine the cause of polymenorrhea. The doctor will ask questions about previous menstrual cycles, history of illness, history of sexual activity if any, and medications consumed.
Supporting examinations can be carried out if necessary, such as an ultrasound to see the condition of the uterus and pelvis, or a complete blood test to check hormone levels. Later, polymenorrhea will be treated according to the cause, for example:
- Giving antibiotics to treat sexually transmitted infections
- Hormone drug therapy for thyroid disorders or PCOS
- Suggestions for exercise, eating healthy food, meditation, or counseling with a psychologist to deal with stress
- Choose alternative contraception that is more suitable and has minimal side effects
Therefore, it is important to check with a doctor for signs of polymenorrhea so that the cause can be ascertained. So, the treatment given is more appropriate. The condition of polymenorrhea should also be checked immediately if it is accompanied by severe stomach cramps, foul-smelling menstrual blood, high fever, diarrhea, vomiting, or dizziness to the point of fainting.
Label : Health
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