Managing Perimenopause Bleeding
Perimenopause is a transitional stage our bodies go through in preparation for menopause. Several signs and symptoms that point to this stage are very common. One of the most common signs of perimenopause is probably perimenopause bleeding. This is one of the most disturbing signs a woman can experience and it usually warrants a visit to the doctor to rule out other medical conditions.
As we age, it is only normal to expect our body functions to change and diminish. In perimenopause, the ovaries' capacity to produce a consistent amount of hormones is impaired until eventually, it ceases to ovulate altogether. During this adjustment stage, the fluctuating levels of hormones causes various signs and symptoms to manifest.
This hormone imbalance is the main source of all of the symptoms and signs of perimenopause and is specifically to blame for a woman’s irregular menstrual period.
During perimenopause, a period may last for a couple of days or it may go on for more than a week. Sometimes you have 2 periods in one month, while sometimes you have none for 3 or more months.
Sometimes your menstrual flow is so light it could be considered spotting, but sometimes it may seem like you’re already bleeding to death. You may experience menstrual cramps while having a heavy period, or maybe sometimes you won’t.
Perimenopause bleeding is characterized by profuse and heavy bleeding which lasts for more than a week and sometimes occur together with shorter cycles. It is one of the signs that accompany perimenopause.
Every woman's experience is different. But there are cases where perimenopause bleeding should be a cause of major concern. Very abnormal bleeding may be described as the following:
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the bleeding is very heavy and comes with clots (clumps of blood, isn’t free-flowing like in regular, usual menses);
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the bleeding lasts longer than 7 days;
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you have spotting or bleeding in between periods, giving you the impression that you have an almost never-ending period;
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you bleed from the vagina after having sex.
If you experienced any one of these, then talk to your doctor or your health care provider immediately and have yourself checked. This is to eliminate the possibility of having serious medical conditions like ovarian cancer or even something less serious like fibroids (these are benign masses that grow anywhere in the muscle of the uterine wall. Scary as it may sound, fibroids are in reality not cancerous; some doctors prefer to call them myomas or leiomyomas).
If the tests show that you are negative for anything, then it's safe to conclude (for you and your doctor) that it is just a normal part of perimenopause and that everything is just due to the hormone imbalance created by decreasing levels of estrogen (or sometimes progesterone).
If you are experiencing irregular periods and heavy bleeding, there are several conventional treatments which can be recommended by a doctor like oral contraceptives, progestin therapy, HRTs (hormone replacement therapy), endometrial ablation, etc.
Natural remedies to regulate your bleeding are also available – usually in the form of herbs such as black cohosh, panax ginseng and other helpful herbs.
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