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Is It Normal To Have Long Periods During Menopause

What Are The Long

Irregular Periods During Perimenopause

There are several conditions that you could be at a higher risk of after menopause. Your risk for any condition depends on many things like your family history, your health before menopause and lifestyle factors . Two conditions that affect your health after menopause are osteoporosis and coronary artery disease.

Osteoporosis

Osteoporosis, a “brittle-bone” disease, occurs when the inside of bones become less dense, making them more fragile and likely to fracture. Estrogen plays an important role in preserving bone mass. Estrogen signals cells in the bones to stop breaking down.

Women lose an average of 25% of their bone mass from the time of menopause to age 60. This is largely because of the loss of estrogen. Over time, this loss of bone can lead to bone fractures. Your healthcare provider may want to test the strength of your bones over time. Bone mineral density testing, also called bone densitometry, is a quick way to see how much calcium you have in certain parts of your bones. The test is used to detectosteoporosis and osteopenia. Osteopenia is a disease where bone density is decreased and this can be a precursor to later osteoporosis.

If you have osteoporosis or osteopenia, your treatment options could include estrogen therapy.

Coronary artery disease

  • The loss of estrogen .
  • Increased blood pressure.
  • A decrease in physical activity.
  • Bad habits from your past catching up with you .

What Causes Long Menstrual Cycles

The most common cause of irregular periods is hormone imbalance, especially in perimenopausal women whose egg supply is running low.

However, irregular periods can also be caused by the following factors, to name a few:

  • Stress
  • Medications
  • Cervical or uterine cancer

Though the occurrence of more serious causes like cancer is rare, talking to your doctor about long menstrual cycles will eliminate any questions or concerns as he or she will know which diagnostic tests to run to confirm the underlying cause.

How Long Does A Period Last

One of the frequently asked questions is related to the lengths of periods during the perimenopause state. Before women reach this stage, their cycles take place every 21-35 days and the length of periods is about 2-7 days. The question of how long does a period last for the later years is more important because the perimenopause periods become changeable and unstable.

This is caused because of the loss of estrogen and the aging of the body. A special survey that was conducted by the University of Michigan answered the question of How long does a period last? It commonly lasts for 10 days or longer. However, women have different hormonal flows. Thus, the answer can be divided into the next categories:

  • Less frequent
  • Irregular
  • The change of menstrual symptoms.

As you can see, periods have different intensity and a lot depends on the natural peculiarities of a woman. Its remarkable that the length of your perimenopause periods can be manifested by several categories mentioned above. For example, they may be less frequent and in time, become more durable and heavier. Therefore, its always vital to keep in mind how long does a period last and if you feel that something is abnormal, consult a doctor. For example, you should wonder Is it normal to bleed for weeks during perimenopause? Do periods get heavier before menopause? How long is too long for a period during perimenopause? Too frequent or intensive bleeding isnt normal and safe for your health.

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How Often Do You Get Your Period At 52

I am 52 years old and still have regular periods every 28-30 HI , I am 52 HI , I am 52 years old and still have regular periods every 28-30 days. I started spotting about a week ago. It is 2 weeks after my normal period. It has lasted for 7 days now. Should I be concerned? Submitted: 8 years ago. Category: OB GYN

Should You Get Tested For Perimenopause

Perimenopause: Common Symptoms and Natural Solutions

The short answer: No.

The blood tests that measure your ovarian reserve are rarely accurate during perimenopause. FSH and estrogen change by the day and throughout the day so they are generally not helpful.

We do consider testing these hormones if you experience perimenopausal symptoms under the age of 45. We generally will also check other pituitary hormones, like TSH and prolactin, if you are experiencing these symptoms prematurely.

Keeping a menstrual diary is generally the best test you can do. This will give you and your OBGYN insight into what your body is doing and for how long.

Any time you experience abnormal uterine bleeding , checking in with your doctor is a good idea to make sure it is normal and that no other work-up is needed.

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Two Years Or More Without A Period

There are also a few women that will go for two years or more and find that they get a period back. This is not really very common. And as far as we’re concerned, once you have not had a period for two years, then that’s…you’re well and truly through the menopause.

So if you get any kind of bleeding, either a proper period, or you just get a little bit of smearing, or you get a little bit of spotting, then it really is important that you just get this checked out by your doctor just to make sure that there isn’t anything else going on.

So I hope this has given you a little bit of a better picture of one of the more puzzling aspects of what can happen to your periods as you approach the menopause.

If any of you have any other questions on this or you’ve had a slightly different combination, then please do get in touch, and I’ll be happy to answer your questions. And I will see you next week for another A.Vogel Talks Menopause.

Is It Normal To Have Your Last Period At 52

The average age of the last period is age 52 in the U.S. Youre just at the upper end of the range. What this really means is that your biologic age is on the young side! Nothing to worry about. Your bones, skin, hair, and vaginal tissue are all getting the benefits of your natural hormones. And yes, you could still get pregnant.

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Is It Normal To Have Heavy Periods During Menopause

If you suspect that there is an underlying cause to your heavy periods, then it is important to consult a doctor to tackle this. It is important to remember, that while heavy periods are unpleasant, they are often a normal part of and one of the symptoms of the menopause, which will eventually cease.

Treatment For Heavy Bleeding In Perimenopause

Period symptoms but no period during menopause

How heavy bleeding is treated will be determined by the diagnosis. If there is no pathologic cause for the bleeding , continued observation and re-evaluation may be the best plan, explains Dr. Bolton.

For growths such as fibroid tumors or endometrial polyps, minimally invasive gynecologic surgery such as hysteroscopic myomectomy, hysteroscopic polyp removal or endometrial ablation may be recommended. The ablation is a heat technique that removes the endometrial lining causing bleeding to slow down or in some cases, stop completely.

For persistent abnormal bleeding, hormone therapy may be an option. Hormone therapy can often help the bleeding problem while also alleviating the associated symptoms of perimenopause, such as hot flashes and night sweats. Oral contraceptives can be offered as treatment in the appropriate patient. Oral progestins can be given cyclically or only when the flow is heavy.

Some women respond well to a progesterone-containing IUD. This provides the endometrial lining with a boost in progesterone while not requiring a dose of hormones to the whole body. Placement of this type of IUD is done in a doctors office with no need for anesthetics. One newer option is a medication called tranexamic acid, a nonsteroidal medication in the same family as ibuprofen. It only needs to be taken at the beginning of the menses for three to five days, when there is a heavy flow.

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Treating Post Menopause Bleeding

If you have postmenopausal bleeding it is important to have it investigated.

You will most likely be referred to a gynaecologist who may:

  • ask you questions about the history of your health
  • examine you
  • do a blood test
  • look at the inside of your vagina and cervix using special tongs . At the same time, they may take a tiny sample of your cervix for testing .

The kind of treatment you have will depend on what is causing the bleeding.

  • Atrophic vaginitis and thinning of the endometrium are usually treated with drugs that work like the hormone oestrogen. These can come as a tablet, vaginal gel or creams, skin patches, or a soft flexible ring which is put inside your vagina and slowly releases the medication.
  • Polyps are usually removed with surgery. Depending on their size and location, they may be removed in a day clinic using a local anaesthetic or you may need to go to hospital to have a general anaesthetic.
  • Thickening of the endometrium is usually treated with medications that work like the hormone progesterone and/or surgery to remove the thickening.

Before treatment there are a number of tests and investigations your gynaecologist may recommend.

All treatments should be discussed with you so that you know why a particular treatment or test is being done over another.

Related information

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.

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How Old Do Women Have To Be To Be In Perimenopause

The age at which women enter perimenopause varies, although for most, it will begin in their mid-40s with 51 being the average age women reach menopause. 1 Accordingly, if women are still having menstrual cycles, they are most likely in perimenopause.

Your periods become irregular. This is the classic sign that you are on your way to menopause. Your periods may come more often or less often, be heavier or lighter, or last longer or shorter than before. When youre in perimenopause, it can be hard to predict when, or if, your next period may come.

How Can You Tell If You Are In Perimenopause Or Menopause

Health Problems that Your Period Indicates

Your periods become irregular. This is the classic sign that you are on your way to menopause. Your periods may come more often or less often, be heavier or lighter, or last longer or shorter than before. When youre in perimenopause, it can be hard to predict when, or if, your next period may come.

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Menopause Symptoms Can Feel Like Pms

Some women develop symptoms of Premenstrual Syndrome for the first time or have more acute levels of their normal PMS. These symptoms can be physical, psychological, or emotional. Most of us will have had some level of PMS during the second half of the monthly cycle over the years. Symptoms may have been getting stronger during your 30s and 40s, approaching menopause. Most common symptoms are irritability, aggression, tearfulness, mood swings, breast pain and fluid retention.

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Will I Still Enjoy Sex After Menopause

You should still be able to enjoy sex after menopause. Sometimes, decreased sex drive is related to discomfort and painful intercourse. After treating the source of this pain , many women are able to enjoy intimacy again. Hormone therapy can also help many women. If you are having difficulties enjoying sex after menopause, talk to your healthcare provider.

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Why Does This Happen

Hormones

Now, this can be caused by a variety of factors. Very often it’s just your hormones having one last fling. They go, “I don’t want to stop yet. I want to have one more go at having periods before I calm down for good.” So this is usually the most common reason.

Diet

But another interesting fact is if you decide to overhaul your diet, and a lot of women going through the menopause get to the point where they say, “I need to do something about my diet. I need to eat healthy, or I need to exercise a bit more.” If you are giving your body a lot more extra nutrition, that can very often feed your hormones as well. And that can be one of the primary reasons for getting a period back, if you have decided just to sort everything out.

Prolapses

Now, there can be other reasons as well. There’s something called a prolapse, where the pelvic floor muscles tend to get a little bit weak. And that allows either the womb, or the bladder, or the bowel to slightly shift position. And this could maybe irritate the womb and trigger a bleed as well.

Fibroids

There can be other issues as well such as fibroids, which you might not even been aware that you had. And suddenly because your hormone levels are changing or maybe sometimes the womb starts to get a little bit thinner as you go through the menopause, this could irritate the fibroid. So when you get to this stage, it is really important that you just get things checked out by your doctor as well.

What Are The Symptoms Of Perimenopause

Heavy bleeding during perimenopause / menopause

During perimenopause, you can experience a variety of symptoms. The reason: Your ovaries have been making estrogen since your first period. During perimenopause, the estrogen production decreases substantially. Your body has to adjust to functioning with less of the hormone, putting you into estrogen withdrawals. The type and intensity of symptoms vary greatly among women some just feel a little off or don’t notice anything at all.

Others can experience perimenopausal symptoms including:

  • Trouble sleeping
  • Feeling irritable, anxious or depressed
  • Night sweats
  • Hot flashes

About 80 percent of women will experience some form of a hot flash during perimenopause or menopause. Hot flashes happen when your brain has trouble regulating your internal temperature, which is a common response to having less estrogen. The shift in temperature may not be noticeable. Or, it may feel like someone cranked up the thermostat on your core body temperature. You suddenly feel uncomfortably hot and sweaty, or you may wake up drenched in sweat .

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Is It Normal To Bleed For Weeks During Perimenopause

The issue of how long does perimenopause last is multifaceted. If the early stage of menopause lasts for too long, it may show that a woman has a severe health problem or even several ones. Thus, bleeding during this period is questionable as well.

Another vital question sounds like this Is it normal to bleed for weeks during perimenopause? Of course, its not normal if you bleed for weeks. 10 days is the common length and sometimes, its a bit longer. However, over 2 weeks and more is a sign to be alarmed. Obligatorily turn to a doctor to handle the problem.

How To Manage Bleeding During Perimenopause

Again, if youre bleeding during menopause, youll want to see your doctor, but for women who experience bleeding or spotting during menopause, there are ways to manage.

Pads and/or tampons may still be needed, especially for an unusually heavy menstrual cycle, Dr. Hoppe says.

There is also a procedure called endometrial ablation, which can help with heavy bleeding in perimenopausal women, she adds.

For some postmenopausal women on hormone therapy, sometimes a progestin-IUD can be used to help bleeding, Dr. Hoppe says, but only after a complete workup has been done to rule out any abnormalities.

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Q When Should I Call A Doctor About My Perimenopausal Symptoms

  • If you are experiencing hot flashes and night sweats under the age of 45, contact your OBGYN to see what else might be causing them. When you have abnormal uterine bleeding, it is important to alert us regardless of age as we may recommend an ultrasound or endometrial biopsy to rule out abnormal changes in the uterus.
  • If you have not had a period for 12 months and then experience vaginal bleeding, contact your doctor. It is not normal for bleeding to recur after this period of time. Read our article about when you should see your OBGYN.

    Remember, perimenopause and menopause are natural and normal transitions, but they can be stressful. Many symptoms can be managed which can help you regain a sense of control, well-being, and confidence to thrive in your next stage of life.

    We want you to feel supported, heard, and cared for as you go through this change.

    Sometimes, the biggest help is simply confirmation that what youre experiencing is normal!

    Dr. Ashley Durward has been providing healthcare to women in Madison since 2015 and joined Madison Womens Health in 2019, specializing in high and low risk obstetrics, contraception and preconception counseling, management of abnormal uterine bleeding, pelvic floor disorders, and minimally invasive gynecologic surgery.

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