Perimenopause Answers

Perimenopause – Spotting Episodes that Leave You Worried … and Late

Alone, spotting is not exactly known as one of the major signs of perimenopause. But it is usually categorized with the main symptom – irregular menstrual periods. The frequency of the period can last between two days to more than two weeks (for some, it’s even longer than that), and the blood flow can be very heavy (yes, just like a flood, with you ending up using a pad every two hours) or just normal, or light (just like the usual spotting we have before having our regular period), or very, very light (as if there’s nothing there at all).

Spotting is also related to another medical condition which, if we’re not ready, will scare us to no end. Spotting is usually a signal that you may be pregnant. It is light bleeding similar to your period (but it’s usually very light – almost brown but doesn’t look like red blood for most women) and is most common during the first trimester of the pregnancy, especially if it’s just beginning. For pregnancy, spotting occurs because it may be the result of the fertilized egg just burrowing into the uterine lining and it sometimes prompts the uterus to shed a bit of its lining.

A day or two of spotting is usually just normal if you’re in perimenopause. But if it’s the other case, then it may be a big cause for concern as it is sometimes a prelude to a possible miscarriage and can also be a sign of premature labor for an expecting mother.

Abnormal spotting can also cause minor or temporary infertility. Uterine fibroids are also another possible reason. Although usually benign and harmless, you may need to keep an eye on them if you’re having “regular” spotting episodes. Birth control pills, believe it or not, can also be a cause of spotting. Some infections (like Chlamydia, a sexually transmitted disease) can result to spotting.

Perimenopause spotting is very normal if you’re already in the zone – perimenopause and early menopause. But each woman is different, so one woman’s case may be different from another woman. You can be given traditional treatments such as hormone replacement therapy and estrogen creams to balance out your hormones. You can also be given some homeopathic remedies (like black cohosh, St.John’s Wort, cinnamon, ginger and red raspberry among others).

So to rule out the aforementioned reasons, you should first have yourself a thorough checkup. Make an appointment with your doctor now, just to be sure. And next, check if you are pregnant (there are some over-the-counter pregnancy tests). Only then will you be able to breathe freely and not worry too much about your spotting incidents.

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