Doctor insights on:
Normal Perimenopause Stripe
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
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
I have had menstrual bleeding for over 8 wks. If this is perimenopause, is that possibly normal? I'm 45.
What is a normal age for perimenopause, does PMS appear in perimenopause? What are the differences between symptoms?
Surprisingly : 35-55 don't be surprise by quite young age ...Read more
I have had menstrual bleeding (far more than I have ever bled) for over 8 weeks. If this is perimenopause, is that normal?
Is it normal to get peeiods like I was 15 again in perimenopause when I have an all normal in uterine area?
Is body surges normal during the night if your in perimenopause? What causes these? They keep me awake, cant sleep.
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
I am 41 and for the past few years my periods have only lasted for a few days. Is this normal at my age? Is this the beginnings of perimenopause?
Maybe: This could be just normal variation. You should talk with your doc and have some labs drawn. ...Read more
I had three small fibroids, for which I took the coil for a year. Then coil got removed, and perimenopause jumpstarted. Is bellypain sometimes normal?
Not normal: Occasional abdominal pains do happen, but you need evaluation by physician to rule out serious conditions. ...Read more
What causes a fluttering feeling in back of head? I checked BP and it was normal. Can you get them in perimenopause?
I am going through the perimenopause and have had spotting for 17 days since the end of my last period. Is this normal? How long can spotting last?
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
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
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'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
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
What would cause a head rush feeling around 5Am.im in perimenopause, it don't happen every night. Though.it's usually when im trying to drift off to sleep.and always at the same time, ive had blood work and all came back normal. Dr says anxiety but i don't see
If perimenopause symptoms and
hypothyroid symptoms are similar
and all thyroid tests are in normal
range, taking bc pills, then why
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
I'm 31, I have all symptoms of perimenopause but told hormone levels are normal. Some thyroid history. Current 3.5 TSH w/ 25 mcg meds. Other causes?
Be specific: What are your specific symptoms that you are diagnosing as 'perimenopause'? ...Read more
OBGYN says blood hormone levels normal only elevated estrogen, not perimenopausal. Isn't estrogen dominance a sign of progesterone drop=perimenopause?
With one random test!!
Hope this helps!
Dr Z ...Read more
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?
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
Had hysteroscopy/biopsy 11 months ago(normal) have heavier periods with cramps& small clots on day 1& 2 on low dose prometrium (micronized progesterone) is normal perimenopause?
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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