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Is Spotting Between Periods A Sign Of Menopause

Perimenopause Spotting Before And After Periods

Menopause Symptoms: Bleeding

Hi, I posted this under general health earlier:I’m 43 and have had heavy periods causing anaemia for the past few years. My mother starting having heavy periods in her early 40s and went through the menopause at around 46/48, so I assume I will follow a similar pattern. I’ve been to the Doctors about the heavy periods and she thinks it’s my age. I had a smear a year ago, all fine, and an abdominal ultrasound and transvaginal ultrasound 6 months ago, both fine. My GP also had a look at my cervix and said it looked fine.My periods have always been very regular and normal, although has become shorter in the past few years, since I’ve had children, every 23/24 days instead of every 28.6 months ago I had 4 days of spotting before a period and 4 days of spotting after it finished. So from start to finish was 2 weeks. I checked with my GP and she said it was fluctuating hormones and not to worry about it. She said that spotting for a few days before or after a period is quite normal . Since then I’ve had a couple of normal periods with just a few days of spotting before. However this month I had an afternoon of spotting mid-cycle and then with my last period had 4 days of spotting before and after, so 2 weeks altogether.Sorry this is long!!! Do you think these symptoms could be the perimenopause? Thanks.

Thanks again purplepeony, it’s very reassuring. I don’t feel so worried now but will keep an eye on it.

What Happens At Menopause

Women are born with about a million eggs in each ovary. By puberty about 300,000 eggs remain, and by menopause there are no active eggs left.

On average, a woman in Australia will have 400-500 periods in her lifetime. From about 35-40 years of age, the number of eggs left in your ovaries decreases more quickly and you ovulate less regularly until your periods stop. Menopause means the end of ovulation.

Can Menopause Affect My Sex Life

After menopause, your body has less estrogen. This major change in your hormonal balance can affect your sex life. Many menopausal women may notice that theyre not as easily aroused as before. Sometimes, women also may be less sensitive to touch and other physical contact than before menopause.

These feelings, coupled with the other emotional changes you may be experiencing, can all lead to a decreased interest in sex. Keep in mind that your body is going through a lot of change during menopause. Some of the other factors that can play a role in a decreased sex drive can include:

  • Having bladder control problems.
  • Having trouble sleeping through the night.
  • Experiencing stress, anxiety or depression.
  • Coping with other medical conditions and medications.

All of these factors can disrupt your life and even cause tension in your relationship. In addition to these changes, the lower levels of estrogen in your body can actually cause a decrease in the blood supply to the vagina. This can cause dryness. When you dont have the right amount of lubrication in the vagina, it can be thin, pale and dry. This can lead to painful intercourse.

Recommended Reading: Why Is Menopause Called The Change

Can You Have Pink Discharge With A Yeast Infection

Yeast infections dont usually cause a pink discharge.

According to Dr. Trina Pagano on WebMD, a vaginal yeast infection usually causes a thick, creamy white vaginal discharge. Along with the thick white discharge, you might have swelling around the vaginal opening as well as itching and pain.5

Pink discharge along with a yeast infection is usually caused by one of the reasons mentioned in this article.

If you suffer from a yeast infection , there are many natural ways to get rid of a yeast infection. For example, coconut oil is a natural remedy for candida because it contains antimicrobial properties that can help to kill off candida pathogens. Other natural treatments for candidiasis include apple cider vinegar and applying natural yogurt to your vagina.

Other Bleeding During Perimenopause And Menopause

How Does Perimenopause Affect your Periods & What You Can ...

Sometimes spotting can occur due to vaginal dryness and/or pain with intercourse and a woman may notice spotting after sexual intercourse, says Dr. Hoppe.;

If bleeding occurs with/after sex for perimenopausal women, Dr. Hoppe explains that this may be due to vaginal atrophy. A gynecological exam should be done to make sure there are no vaginal lesions, lacerations or cervical polyps, which might be causing bleeding with sexual intercourse.;

Another thing to be aware of? Thinning of the vulvar and/or vaginal tissue is very common during menopause, and even during perimenopause, says Dr. Swica.;

During this time, she explains, the tissue can become more fragile and, therefore, more vulnerable to injury from contact that previously caused no injury. This can be treated with estrogen, Dr. Swica notes, as well as other non-hormonal options.;

This is notable because, as Dr. Hoppe explains, Sometimes a woman may experience vaginal bleeding or spotting when starting hormone therapy. This should be managed by a physician well-versed on types, routes, and dosages of hormone therapy to help adjust for correct dose, she adds.;

Read Also: What Is The Average Age Of Menopause In India

Understanding The Menopausal Transition

Menopause is a point in time 12 months after a womanâs last period. The years leading up to that point, when women may have changes in their monthly cycles, hot flashes, or other symptoms, are called the menopausal transition, or perimenopause.

The menopausal transition most often begins between ages 45 and 55. It usually lasts about 7 years but can last as long as 14 years. During the menopausal transition, the bodyâs production of estrogen and progesterone, two hormones made by the ovaries, varies greatly. Bones become less dense, making women more vulnerable to fractures. During this period, too, the body begins to use energy differently, fat cells change, and women may gain weight more easily.

Menopause may be triggered by a hysterectomy or surgical removal of the ovaries, which produce hormones. If you have surgery to remove your ovaries or uterus and are not taking hormones, you will experience the symptoms of menopause immediately.

This time in a womanâs life is often full of other transitionsnot just physical ones. Women may be caring for aging parents or relatives, supporting their children as they move into adulthood, or taking on new responsibilities at work.

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Is Perimenopause Normal When Should You See A Doctor

Perimenopause is a normal transitional phase during a womans aging process. Whether you need to see a doctor or not depends on the symptoms of perimenopause youre experiencing.;

If you notice any of the following serious signs of perimenopause, urgently consult a medical professional or gynecologist:

  • Heavy bleeding or blood clots
  • Short pan between menstrual cycles
  • Spotting after period ends or sex
  • Periods lasting for longer days

Additionally, women are at high risk of breast cancer during the perimenopausal phase.

Make sure you go for yearly health check-ups and get your annual mammograms. Dont forget to do monthly self-exams of your breasts at home to look out for any breast cancer symptoms.

Read More: How to Do Your Breast Self-Exam at Home

Recommended Reading: When Does Menopause End In A Woman

What Causes Spotting Between Periods

Menstrual irregularities, including spotting between periods, are generally caused by natural hormonal fluctuations as a woman nears the end of her fertile years.

During premenopause, her levels of estrogen fluctuate in a predictable fashion alongside progesterone. These two principal reproductive hormones regulate the menstrual cycle and reproduction from puberty until menopause.

However, as she approaches menopause, her estrogen begins to decline more drastically as ovarian hormonal production comes to a halt, oftentimes causing bleeding between period. These hormonal fluctuations occur in an erratic manner until hormone levels reach a consistently low level with postmenopause.

Q What Can I Do About Perimenopausal Weight Gain

What are the early signs and symptoms of menopause?
  • As you age, your metabolism naturally slows down. You may also lose muscle mass and gain unwanted fat. Its important to maintain a healthy diet and shoot for 30 minutes of exercise each day. Carrying excess weight increases your risks of heart disease, Type 2 diabetes, and even various types of cancers. Talk to your doctor about ways you can obtain a healthy body weight.
  • Recommended Reading: What Is The Male Version Of Menopause

    Do Stds Cause Pink Discharge

    Sexually transmitted diseases dont usually cause pink discharge.

    According to doctors from the Centers for Disease Control and Prevention, STDs usually cause yellowish or green discharge that has a distinct fishy odor. Along with the unusual vaginal discharge, an STD will cause itching, burning, and discomfort around the vulva.17

    Irregular Periods During The Perimenopause

    In light of your fluctuating hormones, your cycles may be irregular and fall outside the traditional 28-35-day window. The time between your periods may also vary on a month-by-month basis.Though this can be disconcerting and make everyday life difficult, try to remember these changes eventually cease.You may consider investing in period underwear or wearing black knickers to reduce the risk of spoiling clothing. Disposable panty liners can also help to protect from irregular leaks, and some women find period tracking apps useful.

    Recommended Reading: How Much Weight Gain In Menopause

    Irregular Menstrual Cycle And Pink Spotting

    If you have an irregular menstrual cycle, you might experience light pinkish bleeding when you dont expect it.

    Dr. Trina Pagano on WebMD says that women who have irregular menstrual cycles often have brownish spotting between periods.5 Depending on the amount of blood in the discharge or if it is new blood, the discharge could look pink.

    In fact, in some cases, an irregular menstrual cycle could be a reason for having black or very dark period blood during your menses.

    Missed Periods Intermittent Spotting Heavy Bleeding And Flooding

    Periods And Menopause Month Two Causes What One

    Changes in periods vary widely as hormones adjust. As mentioned in other parts of this site this is a time to really tune into your body and trust your instincts. As you can see from this list it’s hard to define what perimenopause periods are like:

      Periods can disappear for a year and then return.

    My Second Spring E-book

    The Best Friends Guide: Anxiety – A Practical Toolkit For Moving Beyond Anxiety at Menopause – 12

    Thanks Girls another great book ! Well done My Second Spring, the advice is practical, down to earth and Im already working on my toolkit. Thank you so much

    Also Check: How To Increase Breast Size After Menopause

    Perimenopause: Rocky Road To Menopause

    What are the signs of perimenopause? You’re in your 40s, you wake up in a sweat at night, and your periods are erratic and often accompanied by heavy bleeding: Chances are, you’re going through perimenopause. Many women experience an array of symptoms as their hormones shift during the months or years leading up to menopause that is, the natural end of menstruation. Menopause is a point in time, but perimenopause is an extended transitional state. It’s also sometimes referred to as the menopausal transition, although technically, the transition ends 12 months earlier than perimenopause .

    What Are The Symptoms Of Perimenopause

    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 .

    Also Check: Why Does Menopause Cause Hot Flashes

    When To See A Doctor

    If vaginal bleeding between periods is heavy or persistent, a woman should seek medical advice.

    Being aware of any other symptoms related to spotting between periods can help a doctor to diagnose an underlying medical issue.

    If a woman has recently begun taking a hormonal contraceptive, bleeding may settle after 3-6 months. If it does not, see the prescribing doctor. It may be possible to change contraceptive methods to avoid this problem.

    STIs are contagious and can cause long-term health problems. If a person suspects an STI is causing vaginal bleeding, they should see a medical professional for testing and treatment. Most STIs are curable, usually with antibiotics.

    Treatment will depend on the underlying cause. Keeping track of when bleeding happens, how often it lasts, and how much blood is lost can help a doctor diagnoses a cause.

    Cervical cancer testing, known as screening or a pap smear, checks for anything unusual in the tissue of the cervix. The American Cancer Society recommend that women should begin attending cervical screening at the age of 21.

    Small tears and bleeding can be caused by damage to dry skin in the vagina. Using an artificial lubricant and ensuring arousal before sex can prevent damage to the vagina during sexual activity.

    There is no cure for PCOS, but it is possible to manage the symptoms. Treatment can include losing weight, taking hormonal contraceptives, and using metabolic treatments.

    Vaginal And Vulvar Atrophy

    What can cause bleeding between periods?

    Postmenopausal atrophic vaginitis, or vaginal and vulvar atrophy , is the thinning of the walls of the vagina caused by decreased estrogen levels during menopause. As a result, the lining of the vagina may be more likely to bleed.

    Vaginal and vulvar atrophy is caused by cellular changes during menopause. Changes in estrogen levels also cause a decrease in blood flow to the vaginal area, which further contributes to vaginal dryness and discomfort. Spotting during and after intercourse is a common symptom of VVA.

    At least half of those who enter menopause have signs and symptoms of VVA, but only 20% to 25% seek medical attention from their doctor.

    Read Also: What To Do For Thinning Hair During Menopause

    Calcium And Vitamin D

    A combination of calcium and vitamin D can reduce the risk of osteoporosis, the bone loss associated with menopause. The best sources are from calcium-rich and vitamin D-fortified foods.

    Doctors are currently reconsidering the use of calcium and vitamin D supplements. The U.S. Preventive Services Task Force advises that healthy postmenopausal women donât need to take these supplements. According to the USPSTF, taking daily low-dose amounts of vitamin D supplements , with or without calcium supplements , does not prevent fractures. For higher doses, the USPSTF says there is not enough evidence to make a recommendation. In addition to possible lack of benefit, these supplements are associated with certain risks, like kidney stones.

    However, calcium and vitamin D are important nutrients. Supplements may be appropriate for certain people including those who do not get enough vitamin D through sunlight exposure and those who do not consume enough calcium in their diet. They are also helpful for people who have been diagnosed with osteoporosis. Talk with your doctor about whether or not you should take supplements.

    The National Osteoporosis Foundation recommends:


    Vitamin D

    Vitamin D is necessary for the absorption of calcium in the stomach and gastrointestinal tract and is the essential companion to calcium in maintaining strong bones.

    When Should I Contact My Doctor

    Contact your healthcare provider if you experience vaginal bleeding:

    • More than a year after your last menstrual period.
    • More than a year after starting hormone replacement therapy .

    A note from Cleveland Clinic

    Its normal to have irregular vaginal bleeding in the years leading up to menopause. But if you have bleeding more than a year after your last menstrual period, its time to see your healthcare provider. It could be the result of a simple infection or benign growths. But in rare cases, bleeding could be a sign of uterine cancer.

    Last reviewed by a Cleveland Clinic medical professional on 05/26/2021.


    Read Also: How Do You Get Rid Of Menopause Belly

    When Spotting Happens During Menopause

    If bleeding or spotting occurs at any point during menopause, a woman needs to be seen by her doctor. During your visit, there will likely be a pelvic ultrasound and a possible biopsy of the uterine lining . Dr. Hoppe explains that this is to rule out any precancerous conditions.;

    If a woman is menopausal, she should not have spontaneous bleeding, Dr. Hoppe says, adding, Sometimes might be due to a thyroid abnormality. Signs of anemia and fatigue, along with spotting or bleeding, is also cause for concern and lab tests should be performed.;

    Spotting During Menopause: Is It Normal

    How Does Perimenopause Affect Your Period?

      Menopause and perimenopause are a time in a womans life marked by endings and beginnings.;

      While menopause technically starts 12 months after a womans last menstrual cycle, there are other factors to consider. As San Diego-based OB-GYN Dr. Diana Hoppe explains, menopause is when a woman goes from a reproductive stage to a non-reproductive one, with the average age around 51.;

      Perimenopause, Dr. Hoppe notes, is the 2-8 years before menopause when a woman is still experiencing a menstrual cycle. During this time cycles can become more irregular, i.e. they can happen twice a month or they can skip altogether.;

      She says both perimenopausal and menopausal women can experience shared symptoms including hot flashes, night sweats, mood swings, insomnia, and . So, how exactly does spotting factor in when it comes to menopause, and when should there be cause for concern?;

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