Is It Heavy Perimenopause Bleeding or Something Else?


One of the most common concerns during perimenopause is heavy and irregular bleeding, which can vary from an annoyance to a significant hindrance in your daily life. Read on to learn how to handle heavy perimenopause bleeding and when to seek professional advice to ensuring your health and well-being. 

Is Heavy Bleeding Normal in Perimenopause?

Perimenopause is the transitional period leading up to menopause when the ovaries gradually decrease their production of estrogen and progesterone. This hormonal shift can result in a variety of symptoms, including irregular menstrual bleeding. It’s not uncommon for women to experience heavier or lighter periods than they’re used to.

How Much Bleeding is Too Much?

When in doubt, it’s always best idea to seek medical care if you’re concerned about the heaviness of your menstrual bleeding. It’s especially important to consult a healthcare provider if your menstrual flow changes significantly from your normal experience. 

Characteristics of Heavy Perimenopause Bleeding:

Duration: Heavy perimenopause bleeding typically lasts longer than your usual periods. It might continue for more than a week and be accompanied by spotting before and after.

Flow: Heavy perimenopausal bleeding will be significantly greater than your normal flow. If your bleeding is increasing, you’ll probably notice that you need to more frequently change your menstrual hygiene products than you’re used to.

Clots: Blood clots are common in heavy perimenopausal bleeding. They can range in size and might be a cause for concern if they are consistently large.

Consistency: Bleeding can be inconsistent. You might experience a few heavy days followed by lighter ones, making it hard to predict when your period will end.

Frequency: The time between periods may become irregular. You might have shorter or longer cycles than you did in your earlier reproductive years.

How to Stop Heavy Perimenopause Bleeding

If you’re experiencing heavy perimenopause bleeding, consult a healthcare professional. This is especially important if you notice any of the following:

  •    Blood clots larger than a quarter.
  •    Bleeding that lasts for more than a week.
  •    Frequent changes of tampons or pads in a short time.
  •    Bleeding that occurs between periods.

Heavy menstrual bleeding can also lead to symptoms of anemia—lower than normal levels of red blood cells in your blood. Seek medical care if you’re experiencing symptoms of anemia like:

  • Fatigue
  • Shortness of breath with physical exertion
  • Elevated heart rate 

Other Potential Causes of Heavy Bleeding in Perimenopause

While changes in your menstrual cycle length and flow are normal in perimenopause, other medical conditions can also lead to heavy menstrual bleeding.  

Fibroids: Uterine fibroids are noncancerous growths that can lead to heavy bleeding. They are more common during perimenopause.

Polyps: Uterine polyps can cause irregular bleeding, and they may need medical attention.

Infections: Infections of the reproductive organs can result in abnormal bleeding. It’s essential to rule out this possibility.

Endometrial Hyperplasia: This condition involves the thickening of the uterine lining and can lead to heavy bleeding.

Bleeding Disorders: Some women have underlying bleeding disorders that become more evident during perimenopause.

Your healthcare provider can perform necessary tests, such as ultrasounds or biopsies, to determine the cause of your heavy bleeding and treat it. They can also address any symptoms related to excessive blood loss, such as anemia. 

Heavy perimenopause bleeding is a common symptom, but it’s vital to differentiate it from other potential causes. By staying informed and seeking medical advice when necessary, you can ensure your health and well-being during this transition.

Remember, you’re not alone, and there is support and guidance available to help you through this phase of your life. For more information and support around your menopause journey, including a range of options for menopause symptom relief, download Midday from the App Store or visit us at Midday.Health.

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