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Menopause Bleeding: To Bleed or not to Bleed.

heavy menopause bleeding

Abnormal menopause bleeding is one of the most frequent complaints of women during the perimenopause. It can be lighter, heavier, or the cycle may be quite erratic in intensity and/or duration.

Some people miss their periods for a while only to be hit hard with heavy bleeding later. Others find that their periods come on much too early, or much too late.


However, there may be other causes. This is why it’s so important to talk with your family physician, and that you shouldn’t just assume that what you are experiencing is because of perimenopause.

• Changes in ovulation (normal)
• Polyps
• Fibroids
• Cancer
• Changes in the Uterus
• Lesions on the genitals, vagina or cervix

Your doctor will perform a physical examination, take a careful medical history, and may order certain investigations such as blood tests, pelvic ultrasound, sonohysterogram, endometrial biopsy, and hysteroscopy if she/he suspects abnormal uterine bleeding unrelated to perimenopause.

When is heavy bleeding too much?

Heavy bleeding that soaks through more than one pad in an hour or if it is prolonged, meaning it is more than 7 days, should be investigated by your doctor. Don't mess with this.

Healthy perimenopause and normal bleeding

Usually, in normal and healthy perimenopause, the changes in your bleeding pattern are a result of your hormone fluctuations and anovulation (you skipped an ovulation) so the next period may be heavier than normal. If you have ruled out other possibilities, then this is nothing to be concerned about.

Keep a menstrual calendar. Mark the days you are bleeding and spotting and how heavy or light it is. Bring this calendar to your doctor.

At what point is this abnormal bleeding?

You should seek medical assistance if your periods are extremely heavy, or they last longer than 7 days, or 2 days longer than usual. Also seek medical attention if your periods are shorter than 21 days from the start of one period to the start of the next, or you are spotting between periods, or if you are bleeding from the vagina after intercourse.

Go to Other Signs and Symptoms of Menopause.

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