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Doctor insights on: Normal Perimenopause Stripe

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How long can spotting last during perimenopause and is it normal? I have had 3 colposcapies in the last 10 years and they have all been normal.

How long can spotting last during perimenopause and is it normal? I have had 3 colposcapies in the last 10 years and they have all been normal.

Spotting @ 55: Perimenopause can cause lightened or absent periods with spotting. However, endometrial cancer also presents in the same way. Colposcopies are not the prime way to assess the endometrium as it looks at the endocervical canal and cervix itself and not the endometrium. An endometrial biopsy will tell you and your MD much more about why you are spotting if this is worrisome. ...Read more

Dr. Thomas Lyons
393 doctors shared insights

Perimenopause (Definition)

Period of time when your estrogen levels start to decline, your periods become irregular, symptoms such as hot flashes may begin, along with mood swings and other ...Read more


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Is weight gain normal during perimenopause and wil this weight come off?

Is weight gain normal during perimenopause and wil this weight come off?

Sometimes, yes: Weight gain is a factor of declining estrogen ovarian production, decreased thyroid hormone production and metabolism, and estrogen conversion of androstendione to estrone from peripheral fat storage. Caloric restriction, and exercise is tantamount to reducing weight gain during this transition to menopause. ...Read more

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I have had menstrual bleeding for over 8 wks. If this is perimenopause, is that possibly normal? I'm 45.

I have had menstrual bleeding for over 8 wks. If this is perimenopause, is that possibly normal? I'm 45.

Go see your GYN for: A blood test, pelvic exam, paps smear and a pelvic ultrasound to check for hormonal balance, thickening of the endometrial wall and tumor etc. God bless you! ...Read more

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I have had menstrual bleeding (far more than I have ever bled) for over 8 weeks. If this is perimenopause, is that normal?

I have had menstrual bleeding (far more than I have ever bled) for over 8 weeks. If this is perimenopause, is that normal?

Bleeding: It can be from perimenopause but it still needs to be worked up with thyroid studies, an ultrasound or sonohystogram and endometrial bx. ...Read more

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Is it normal to get peeiods like I was 15 again in perimenopause when I have an all normal in uterine area?

Maybe : Not sure exactly what you mean but it is normal for periods to change as you approach perimenopause. Some get lighter. Some get heavier. Most start to spread out and become infrequent. Endometrial ablations are a popular option during this frustrating time. ...Read more

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Is body surges normal during the night if your in perimenopause? What causes these? They keep me awake, cant sleep.

You will have: To provide more information as to what a "surge" is. There can be various changes in your body's regulation of heart rate, blood pressure, etc. with perimenopause as estrogen levels fall. Discuss w/your doctor. ...Read more

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I'm healthy, active and in perimenopause. Hard time reaching orgasm, new problem. Used lube, still takes long time. Bloodwork normal. Any help?

I'm healthy, active and in perimenopause.  Hard time reaching orgasm, new problem.  Used lube, still takes long time. Bloodwork normal. Any help?

See a doctor: See a primary, gynecologist or urogynecologist. Recommend evaluation of medication conditions such as diabetes, nerve disorders, back disorders....that could be contributing. If no medical issues, then your brain is your largest sex organ. Find things that stimulate your brain. Practice makes perfect. ...Read more

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What causes a fluttering feeling in back of head? I checked BP and it was normal. Can you get them in perimenopause?

What causes a fluttering feeling in back of head? I checked BP and it was normal. Can you get them in perimenopause?

Tough question: To answer. While a fluttering sensation in your head is not really a typical feature of menopause, women do develop strange sensations sometimes during the perimenopausal period. If it doesn't go away you should see your physician. ...Read more

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I am 48. Irregular bleeding for 2014. Exam normal 9-14. Just perimenopause? Off pill 11-13-6-14 per md. Md put me back on 7-14 till now. What to do?

I am 48. Irregular bleeding for 2014. Exam normal 9-14. Just perimenopause? Off pill 11-13-6-14 per md. Md put me back on 7-14 till now. What to do?

Probably perimenopau: At 48 the most likely cause is the perimenopause. Low dose birth control pills are certainly one way to manage this as is cyclic progestational therapy, or even endometrial ablation or a Mirena (levonorgestrel) IUD. The choice depends on you and your particular risk factors and type of bleeding (heavy, light, prolonged, or just unpredictable). Hope this helps. ...Read more

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I'm in perimenopause and my BP is low when I wake up 97/80 and heart rate around 100 as soon as I get up.slows down in a few minutes. Is this normal?

Perimenopausal : The difference between your top and bottom numbers on your blood pressure makes me concerned that you're not getting an accurate reading, but it's not uncommon for pressure to be low first thing in the morning and the pulse may be up slightly just from you getting up, the fact it returns to normal is reassuring, and unlikely has no relation to your perimenopausal status ...Read more

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Is nipple discharge normal during perimenopause?

Is nipple discharge normal during perimenopause?

Talk with your doc: Different things can cause nipple discharge, some more concerning than others. It's important to check this out with your provider soon. Good job on being aware and taking care of this! ...Read more

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I am 52 and believe I am in perimenopause. I have had a period for 11 days and this morning had very heaving clot like bleeding. Is this normal?

I am 52 and believe I am in perimenopause. I have had a period for 11 days and this morning had very heaving clot like bleeding. Is this normal?

It is common: Since ovulation becomes less frequent, it is not uncommon to have irregular bleeding at times.if this continues though, you may want to see your gynecologist to get some meds to control the bleeding,so you don't become anemic ...Read more

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I'm currently on CD62. Usually my cycle is 60. I experienced small spotting last night, but no period as per normal. I'm very worried. Perimenopause?

I'm currently on CD62. Usually my cycle is 60. I experienced small spotting last night, but no period as per normal. I'm very worried. Perimenopause?

Unlikely: Your cycles are abnormally long at 60 days and I think someone should look into that but you are very young for this to be perimenopause at 28. The perimenopause is usually the 5 years before and the 5 years after your last period (when you run out of eggs). Menopause before age 40 is considered premature and is abnormal. Check a pregnancy test and see a doctor to help explain the long cycles. ...Read more

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Is it normal @ 46 for periods to come every 3 mos? Until yr ago always had normal periods every 28 days. I'm also very irritable. Is this perimenopause

Is it normal @ 46 for periods to come every 3 mos? Until yr ago always had normal periods every 28 days. I'm also very irritable. Is this perimenopause

Irregular menses: As women approach menopause, the menstrual cycle can and usually does become irregular. Excessive bleeding ("gushing" or "flooding") should be evaluated by a Gynecologist. Hot flashes remain the hallmark symptom of menopause, indicating the decline of ovarian response to FSH (a hormone produced by the pituitary gland). Emotional changes are also very common, including irritability. ...Read more

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If perimenopause symptoms and hypothyroid symptoms are similar and all thyroid tests are in normal range, taking bc pills, then why still symptomatic?

If perimenopause symptoms and
hypothyroid symptoms are similar
and all thyroid tests are in normal
range, taking bc pills, then why
still symptomatic?

Not all tests done: I would bet your doctor never tested a reverse t3 (liothyronine). Must test free t3 (liothyronine), reverse t3 (liothyronine), free t4. Can almost promise your reverse T3 (liothyronine) will be in the high end of the range and your free T3 (liothyronine) in the low end. Proof of functional hypothyroidism. Treat possibly with armour thyroid. Also, may have some adrenal farigue. ...Read more

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Spotting and 10 day late period. Then normal period for 5 days but went to light bleeding (scant) for 4 days now. I'm 47. Hormones or perimenopause?

Evaluation: Menstrual changes are quite common as one approaches the perimenopausal years as the hormonal production starts to slow. One should not assume this is the cause until a proper evaluation has been done ...Read more

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What are the symptoms of estrogen dominance/low progesterone? I am 44 possibly perimenopause. Spotting btw periods/clotty periods. Tsh & pap normal.

What are the symptoms of estrogen dominance/low progesterone? I am 44 possibly perimenopause. Spotting btw periods/clotty periods. Tsh & pap normal.

See below: In women struggling through peri-menopausal transition, cycles where you do not ovulate are common. This is similar to being stuck in the first half of your cycle where estrogen is the dominant hormone. This can be balanced by either taking birth control pills, or using Progesterone (provera (medroxyprogesterone) for example) during the latter half of each cycle. Talk to your doctor. ...Read more

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Is dizzy spells normal for women going thru perimenopause, not sure if pregnant also starting bleeding after no period since oct 2011, pain in stomach?

Is dizzy spells normal for women going thru perimenopause, not sure if pregnant also starting bleeding after no period since oct 2011, pain in stomach?

No: Dizzy spells are not a usual symptom of perimenopause. You should be checked by your doctor, especially if there is a chance of pregnancy. A tubal pregnancy can cause internal bleeding and stomach pains that can lead to feeling faint or dizzy. It is a very serious, potentially life-threatening condition, so if your pregnancy test is positive, you should be seen in the er. ...Read more

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What is perimenopause?

Timearound menapause: Perimenopause is the menopause transition years in a woman;s life. That is to say, it is the time in a woman's life where her periods are starting to change and will eventually stop. ...Read more