Perimenopause Answers

Perimenopause Bleeding: What’s Normal and What’s Not

Find out if your heavy periods are a cause for concern

Perimenopausal bleeding is possibly the single most common symptom of perimenopause. It is characterized by heavier-than-usual bleeding and menstrual cycles that are shorter than normal, sometimes even accompanied by severe PMS. For women who experience this, they know how it can drastically impair their ability to carry out normal activities during that time of the month.

It can be disconcerting to see yourself lose so much blood and you may even wonder if your heavy periods still fall within the normal range. Here’s what you can do to help yourself determine if your irregular period is typical for perimenopause or if it’s something that requires prompt medical attention:

  1. Keep a journal. It helps to always document when your period started, how heavy or light it is, and when it ended. Have a notebook or list ready so that you don’t forget. Your notes will be the basis if you need to go to the doctor or if you can still defer it.

  1. If the cycle (the time between your periods) has lengthened, then weigh if it’s time for a visit to the doctor. Four to six weeks in between periods is considered normal since you are going through a transition. But if your cycles are less than 21 days, you need to check with your doctor.

  1. Very heavy bleeding should be a sign that you need to go to the doctor especially if it lasts longer than your usual period. If the bleeding lasts for more than a week or if bleeding occurs after being period-free for 6 months, then a trip to the doctor is a necessity you cannot ignore anymore.

  1. If you are experiencing perimenopause spotting or bleeding every week or 2 weeks or in between periods, then you may need to go to your health provider to discuss possible reasons and solutions for it.

The bleeding could be caused by existing but unknown-to-you medical conditions. Medications being taken at the time of the bleeding can also contribute to an extended period.

If your doctor feels the need to, he will recommend that you take more tests just to rule out other serious medical conditions that could be causing you to have irregular periods. An ultrasound can be done to check for polyps or fibroids in your uterus.

An endometrial biopsy (sampling of the lining of the uterus) is sometimes done to rule out cancer. But the best test that gives the most conclusive result is hysteroscopy where a doctor will use a thin telescope called a hysteroscope to look directly into the uterus.

If the bleeding is indeed a normal consequence of perimenopause, then your doctor may ask you to consider the following to help ease further discomforts:

  • Low-dose birth control pills. The pill is used to regulate your cycle by increasing the amount of estrogen hormones in your body. However, these cannot be taken by a woman with hypertension or diabetes. Smokers are not allowed to take them as well.

  • Monitor your symptoms. This would help your doctor in prescribing the proper medicine or supplement for you. If you bleed too much, tell your doctor or healthcare service provider as he may need to prescribe iron supplements to prevent anemia.

  • Progestogen. This is similar to birth control pills, except that it only contains the hormone progestin, instead of estrogen. Taking this medication would increase the bleeding, but the period would be more regular. This is usually prescribed for 10 to 14 days.

  • Clean, healthy living. Exercise. Decrease, if not eliminate your amount of alcohol consumption. Maintain a healthy weight. Make sure that your calcium intake is sufficient to reduce the risk of osteoporosis. Gradually quit smoking. Take multivitamins to help supplement a healthy and balanced diet.

Solve Perimenopause Bleeding and Other Perimenopause Symptoms!

Learning more about perimenopause is essential to conquering it. Join our FREE mini course and get the answers you are looking for. Find out:

  • What Perimenopause is and how it affects your body's functioning
  • How to tell when Perimenopause begins and when it will end
  • What symptoms to expect now that you are in Perimenopause
  • How to treat Perimenopause symptoms (including irregular periods and heavy bleeding) using medicine and natural remedies found in your home
  • How to have the right diet and how to make the correct lifestyle changes that will help you overcome Perimenopause symptoms

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