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Is It Normal To Have Heavy Periods During Menopause

Can A Heavy Period Be A Symptom Of Menopause

Heavy bleeding during perimenopause / menopause

The road to menopause comes with many changes. Night sweats, hormonal imbalances, and vaginal dryness are a few of the well-known symptoms of perimenopause. Heavy, painful periods are also a symptom thats quite common roughly 25 percent of women report experiencing them.

Recent research shows that shortened intervals between periods are one of the most common symptoms of irregular periods in early menopause. Many women wonder about their fertility when they begin to experience irregular periods. It is important to remember that pregnancy can occur anytime before menopause, even if a womans periods are irregular.

The disturbance cycle in women 48 years old. One of the main symptoms of menopause in women 48 years old is an irregular menstrual cycle. It is characterized by a different number of allocations and different time intervals between them. This leads to the loss of reproductive function of women.

Though the exact symptoms of irregular periods vary depending on a womans unique cycle, most women will experience irregular periods for three to ten years before periods stop completely.

How Old Do You Have To Be To Have A Period

Im 47 years old. Ive got another period 7 days after my last and they are extremely heavy. Changing pad and tampon every 40 minutes and feeling very exhausted. What can I do?

Then got April & May normal ones. In June of 09 I bleed lightly for 6 weeks, then last week of that one now JULY I poured blood for 5 straight days. No health insurance I went to a friends doctor and had blood work and pelvic Ultra Sound.

What To Expect During Diagnosis

After discussing your symptoms, your provider will perform a pelvic exam.

During the exam, theyll check your vulva for unusual redness, swelling, or other symptoms. Theyll insert a speculum into your vagina so they can inspect inside the vagina and cervix.

Your provider may take a small sample of discharge to send to a lab for testing. The lab technician will likely check the pH level. A high pH level means your discharge is more basic. Its easier for bacteria to grow in a more basic environment. This is a pH level above 4.5.

They may also view the sample under a microscope to look for yeast, bacteria, and other infectious substances. An infection can change the texture, amount, or smell of your discharge.

The results of these tests will help your healthcare provider determine whether treatment is necessary, and if so, which treatment is best.

Fluctuations usually result from changing estrogen levels and dont require treatment.

If your doctor diagnoses DIV, they may recommend topical clindamycin or hydrocortisone to help relieve symptoms.

If your symptoms are the result of a fungal or bacterial infection, your doctor will recommend an over-the-counter or prescription topical to soothe irritation and clear the infection.

Treatment options are also available for symptoms that result from a sexually transmitted infection or other cause unrelated to perimenopause.

Also Check: Heightened Sense Of Smell Perimenopause

Your Age Affects Your Risk

The longer youve been in menopause, the less likely you are to experience postmenopausal bleeding. Women are significantly more likely to have bleeding in the first year of menopause compared to later on, research shows.

But women whove been postmenopausal for a while still need to pay attention to any bleedingendometrial cancer most commonly affects women in their mid-60s.

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How Can I Stop Heavy Periods

Is It Normal to Have Heavy Periods or Spotting During ...

If youve heard that the only options for treating heavy periods are hormone therapy or surgery, thats not true! Just like there are many causes of menorrhagia, there are many treatment options available. Were often able to manage heavy periods with treatments ranging from diet changes to prescription medication.

Menorrhagia can usually be managed with medication and lifestyle changes. In some cases, heavy periods caused by fibroids, growths or endometriosis might be best treated with surgery. The best way to know which treatment options will work best for you is to talk to a doctor.

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When Does Perimenopause Start

The average age of menopause is 51, and perimenopause symptoms typically begin about four years before your final period. Most women start to notice perimenopause symptoms in their 40s. But perimenopause can happen a little earlier or later, too. The best predictor of when your final period will be is the age at which your mother entered menopause .

Abnormal Uterine Bleeding In Peri

When should you see a clinician about excessive or unexpected bleeding?

Abnormal uterine bleeding is a common problem for women of all ages, accounting for up to one-third of gynecologic office visits. The two main types are heavy bleeding that occurs at an appropriate or expected time, such as a heavy menstrual period , and any type of bleeding that occurs unexpectedly . The absence of regular menstrual periods for several months is also considered an abnormal bleeding pattern. AUB can be tricky to identify, because what’s normal depends on a woman’s reproductive age.

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What Is Heavy Bleeding

Heavy menstrual bleeding is excessive and/or prolonged menstrual bleeding. The amount varies from woman to woman and can change at different stages in your life for example, in teenage years or approaching menopause. It is defined as blood loss greater than 80ml per cycle, or periods lasting more than seven to eight days. Heavy menstrual bleeding affects about one in five women and is a common problem in the 30-50-year-old age group.

Heavy bleeding fact sheet

What To Do If You Have Irregular Period During Menopause


This is especially so if you also suffer from irregular periods. Agnus castus is a herb that is best known for treating the symptoms of PMS in younger women, but can also be useful for helping balance the hormones during the early stages of menopause, especially if symptoms such as breast tenderness, bloating or irritability are present.

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Heavy Bleeding Flooding And Perimenopause

Very heavy bleeding occurs when your oestrogen levels are high relative to progesterone causing the lining of your womb to thicken more than usual. During perimenopause, your body’s main systems are working hard to adjust to the changing hormone levels that are taking place in advance of full menopause. The most difficult situation to handle is probably very heavy, extended bleeding, or flooding cycles. Some women find they are changing tampons every hour, sometimes having a very heavy bleed during inopportune times for example, at a formal dinner. This often happens at night as well as during the day. Make sure to wear liners and change tampons or pads very regularly.

If you have recurrent heavy and prolonged periods you may become anaemic as the body doesnt have time to make up for blood loss before the next period. You can end up feeling weak, exhausted, and maybe even depressed as a result of the anaemia, which then becomes associated with the menopause. Make sure to get help early on and don’t the situation develop.

Very heavy bleeding can also be caused by fibroids. If you experience prolonged heavy bleeding, seek professional advice from your GP, homoeopath or another health expert. Vaginal bleeding is not normal after the menopause so again get professional advice if this occurs.

Are There Herbal Remedies To Help Me

Heavy periods at the start of the menopausal phase in your life can be treated using the herb Agnus castus which has the ability to stablise your hormones. This is especially so if you also suffer from irregular periods.

Agnus castus is a herb that is best known for treating the symptoms of PMS in younger women, but can also be useful for helping balance the hormones during the early stages of menopause, especially if symptoms such as breast tenderness, bloating or irritability are present.

If you have been experiencing heavy and prolonged periods for some time, and if you are beginning to feel fatigued and weak, it is important to seek the attention of your doctor.

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Why Are My Periods Closer Together During Perimenopause

The first sign that youve started the menopause is usually a change in the normal pattern of your periods.

Your menstrual cycle starts on the first day of your period and ends the day before your next period starts but its length differs from person to person. A menstrual cycle of 21 to 40 days is considered a normal range, but often, around 28 days is seen as more usual. However, the latest research suggests that fewer than 20% of women tend to have a 28-day cycle. This is why you need to get to know your own body to work out whats normal for you.

When you have irregular periods, the length of your menstrual cycle keeps changing, either starting earlier or later than it normally would have.

During perimenopause, your oestrogen levels go down as you start ovulating less frequently, which makes the lining of your womb thinner than usual. This oestrogen deficiency can cause your periods to become lighter than normal and shorter , so your menstrual cycle may last 2 or 3 weeks rather than the 4 or 5 weeks it usually does, for example. As a result, your periods can become closer together.

These hormonal changes can also cause heavier periods, or you may not have them at all for months on end.

Read more about unusual menopause symptoms to look out for, menopause brain fog and menopause joint pain.

When To See A Doctor

Is It Normal to Have Heavy Periods or Spotting During ...

Speak with your healthcare provider if youre experiencing any of these:

  • Abnormal length of period
  • Spotting
  • Bleeding with intercourse

While these are common during perimenopause and usually not a cause for concern, its best to keep your doctor in the loop and notify them of any changes. Anytime youre unsure or concerned about perimenopause symptoms, speak with your doctor.

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What Other Changes Should You Expect

Your period evolves in a number of ways once youve entered perimenopause. While some women have perimenopausal periods closer together, others might notice them occurring further apart. Further changes in your menstrual cycle after 40 often include:

  • Heavier periods: Your flow may become more intense over time. If bleeding is unusually heavy, however, be sure to consult your doctor.
  • Lighter periods: Inversely, a lot of women experience decreased flow for up to a year before their periods stop completely.
  • Skipped periods: Anovulatory cycles are another possibility during perimenopause. Keep in mind, though, that youre still fertile at this stage. So if youve recently had sex and missed your period, consider taking a pregnancy test.
  • Longer or shorter periods: Perhaps your period has always lasted for 4 days, but now its 2 or 6 days. You might even experience a random combination of both shorter and longer cycles while in perimenopause. This, too, is a fairly common occurrence.

Summary Of How Long Is Too Long For A Period During Perimenopause

How long does perimenopause last? You already know the answer to this important question. Besides, you know what symptoms it may cause. Menopause is an inevitable and pretty complex time for every woman. Its necessary to face many health inconveniences induced by the transformation of your body. Thus, you should always remember about such questions as:

  • Is it normal to bleed for weeks during perimenopause?
  • How long does a period last on average?
  • What frequency categories are for perimenopause periods?

Each question is vital and must be studied. Obligatorily consult your doctor if you doubt is it normal to bleed for weeks during perimenopause? or how long is too long for a period during perimenopause? Clarifying them on time, you prevent possible health complications due to unstable perimenopause periods.

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When Should I See A Doctor For Heavy Periods

Many women have come to accept heavy bleeding as a normal part of their cycle. This helps explain why over half of women with menorrhagia dont know they have it, or know that heavy periods are treatable. If left untreated, heavy periods can cause other health concerns like anemia, a red blood cell condition that makes it difficult for your organs to get the oxygen they need.

If your period affects your daily life by causing you to miss work or school, cancel social activities or plan your day around bathroom breaks, you might have menorrhagia. Heavy bleeding can cause other physical symptoms that can make you dread getting your period like extreme fatigue, very painful cramps, lightheadedness, anxiety and depression.

We recommend making an appointment with one of our womens health doctors if you experience any of the above symptoms. A doctor will be able to diagnose whats causing your heavy periods and recommend treatment options. If youre not sure whether your period is normal, just ask!

Our womens health doctors at HealthPartners and Park Nicollet are here to answer your questions. Well help you put an end to planning your life around heavy periods.

What Are The Stages Leading Up To Menopause

Heavy Bleeding after 40: Changes in menstrual cycle after 40, heavy clots, flooding and more!

After puberty, there are three other phases of female fertility:

  • Pre-menopause: Women have full ovarian function, regularly produce estrogen and ovulate.
  • Perimenopause: The ovaries begin to fluctuate in their ovulation and production of estrogen, which can result in unpredictable menstrual cycles and symptoms.
  • Menopause: When the ovaries have shut down. Someone would be in menopause after 12 months without menses.

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Thank You Second Springers For Commenting

Have a read of the very useful comments and discussions below to gain an understanding of the variety of women’s’ experiences of periods around the time of perimenopause. Many thanks to these fabulous Second Spring women for taking the time to comment and share their experiences. We all learn so much from each other. This menopause conversation needs to be louder and clearer to stop women from suffering in silence and feeling very isolated.

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Ht Forms And Regimens

HT comes in several forms:

  • Oral tablets or pills
  • Vaginal ring
  • Topical gel or spray

HT pills and skin patches are considered âsystemicâ therapy because the medication delivered affects the entire body. The risk for blood clots, heart attacks, and certain types of cancers is higher with hormone pills than with skin patches or other transdermal forms.

Vaginal forms of HT are called âlocalâ therapy. Doctors generally prescribe vaginal applications of low-dose estrogen therapy to specifically treat menopausal symptoms such as vaginal dryness and pain during sex. This type of ET is available in a cream, tablet, or ring that is inserted into the vagina.

âBioidenticalâ Hormones

âBioidenticalâ hormone therapy is promoted as a supposedly more natural and safer alternative to commercial prescription hormones. Bioidentical hormones are typically compounded in a pharmacy. Some compounding pharmacies claim that they can customize these formulations based on saliva tests that show a womanâs individual hormone levels.

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When To Get Help

As always, you know your body best, and you should never hesitate to get professional help if you think you need it. If you experience any of the following, you should consult your doctor right away:

  • Bleeding that soaks a maxi-pad or tampon in an hour and lasts for more than four hours
  • Clots larger than a quarter
  • Accompanying dizziness, breathlessness, or fatigue
  • Bleeding that lasts more than two weeks
  • How Long Is Too Long For A Period During Perimenopause

    Perimenopause and Pregnancy

    The road to menopause comes with many changes. Night sweats, hormonal imbalances, and vaginal dryness are a few of the well-known symptoms of perimenopause. Heavy, painful periods are also a symptom thats quite common roughly 25 percent of women report experiencing them. Read on to learn the basics of perimenopause bleeding and how to manage extended perimenopause periods.

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    What If Your Irregular Periods Are Not From Perimenopause

    While irregular periods are a normal part of perimenopause, the American College of Obstetrics and Gynecologists recommends that you contact your doctor to rule out other causes if you have bleeding that is:

    • Very heavy
    • Lasting longer than what is normal for you
    • Occurring more often than every three weeks
    • Happens after sex or in between periods

    Other Causes For Period Changes

    The regular monthly period is not the only reason why people may bleed.

    Because a persons periods are often irregular during perimenopause, they should pay extra attention for any abnormal symptoms particularly as some uterus-related conditions are more common during and after perimenopause.

    People may bleed because of:

    • Endometrial atrophy. Low estrogen in perimenopause and menopause can cause the tissue of the uterus to get very thin, which can cause irregular bleeding.
    • Uterine polyps. These are benign growths that can grow inside the uterus and cervix. Polyps do not always cause symptoms, but some people notice bleeding after sex.
    • Endometrial hyperplasia. Hormonal shifts can cause the lining of the uterus to thicken in perimenopause. When the body has too much estrogen without enough progesterone, this thickness may cause bleeding. Bleeding is its most common symptom. Endometrial hyperplasia is treatable but can increase a persons risk of cancer.
    • Uterine Cancer. Uterine cancer happens when abnormal or atypical cells progress into cancer. Though rare, it generally presents with heavy bleeding or postmenopausal bleeding.

    Perimenopause is not a disease and does not require treatment. It can, however, increase peoples risk of developing certain diseases. Moreover, the menstrual cycle can change for reasons other than perimenopause.

    Anyone experiencing changes in their menstrual cycle should see a doctor for a diagnosis.

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