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Doctor insights on: Perimenopausal Menstrual Cycle

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Menstrual Cycle (Definition)

The menstrual cycle begins with the shedding of the uterine lining, resulting in bleeding from the vagina. A few weeks later, one ovary releases an egg and the uterine lining thickens in preparation for a potential pregnancy. Pregnancy can occur at this stage if sperm fertilizes the egg. If the egg is not fertilized, the egg will leave your body and ...Read more


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I am 38 & obese. I'm having serious issues with my menstral cycle. First it was absent, now I've been bleeding for 3 months. Is this perimenopausal?

I am 38 & obese.  I'm having serious issues with my menstral cycle.  First it was absent, now I've been bleeding for 3 months.  Is this perimenopausal?

Probably not: The more likely cause is a hormonal imbalance due to your obesity or a pathological issue. Have a GYN MD assess your condition for more in depth answers with an exam and testing. ...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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54, perimenopausal. I have heard that women use shepherd's purse for premenstrual problems, heavy or long periods, and menstrual cramps. Is it safe?

54, perimenopausal. I have heard  that women use shepherd's purse for premenstrual problems, heavy or long periods, and menstrual cramps. Is it safe?

Answer: You will need to choose a route of treatment to alleviate your symptoms: conventional medecine or alternative medecine, all medication either chemical or botanical have side effects, . ...Read more

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Period usually 5-6 days. Last 3 cycles has been 8 days. 32 years old had 7 kids, also started menses at age 10. Is this possibly perimenopause?

Period usually 5-6 days. Last 3 cycles has been 8 days. 32 years old had 7 kids, also started menses at age 10.  Is this possibly perimenopause?

Longer periods: Abnormalities of your menstrual cycle can be caused by a number factors. Metabolic causes such as thyroid disease, diabetes and menopause are easy to screen with a thorough history, physical exam, and blood work. Anatomic causes exist as well such as uterine polyps, uterine fibroids and endometrial hyperplasia. An endometrial biopsy along with a pelvic ultrasound are useful diagnostic tools. ...Read more

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Could I have perimenopause symptoms i wake up sweaty and rapid heartbeat. Right before menses. I get hot and sweaty first then the palpitations come?

Could I have perimenopause symptoms i wake up sweaty and rapid heartbeat. Right before menses. I get hot and sweaty first then the palpitations come?

Interesting: At 41 a premenopausal state would be premature, unless you started menstruating at an early age. Now, there could be other causes. Off the cuff, i would put carcinoid syndrome, panic attacks, and pheochromocytoma in my differential diagnosis list. Talk to your doctor. Keep a log of the timing of your episodes and associated foods and activities. Good luck. ...Read more

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What's a 32 day menstrual cycle?

What's a 32 day menstrual cycle?

Time to menses: A 32 day cycle refers to the amount of time between the first day of flow to the next first day of flow ...Read more

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Can i shorten my menstrual cycle?

Yes: If your periods are long and/or heavy, various medications may help, such as birth control pills (even though you've had a tubal ligation). Other options for long heavy periods sometimes include lysteda, the Levonorgestrel iud, or an endometrial ablation. It's worth talking to your gynecologist about. ...Read more

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Define menstrual cycle in detail?

Define menstrual cycle in detail?

Vaginal bleeding: The menstrual cycle is monthly vaginal bleeding which occurs when the woman is fertile and ovulates (produces an egg, which takes about 2 weeks) but does NOT then get pregnant. The uterine lining will build up for a couple of weeks to prepare for a possible pregnancy. This will shed away in the form of bleeding when pregnancy has not occurred and then the process will start all over again. ...Read more

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No menstrual cycle for two months?

No menstrual cycle for two months?

At 48 okay: At 48 it's normal to have some increased fluxuations in your cycle. The average age of menopause is 51, so you're getting closer. Many women in late 40's begin to miss periods. If you're not too heavy or too thin, and you don't have a thyroid disorder then i wouldn't worry. Of course, pregnancy needs to be ruled out (i know, i know!), but that's highly unlikely. Hope that helps. ...Read more

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How to figure out my menstrual cycle?

How to figure out my menstrual cycle?

Chart cycles on: a calendar. Day 1 is first day of bleeding Ovulation is 14 days prior to period. ...Read more

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How could i figure out my menstrual cycle?

How could i figure out my menstrual cycle?

Track it with a: calendar. How many days long is it? First day you bleed is day 1. Last day is day before you bleed again. Ovulation is 14 days before period. ...Read more

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Why is my menstrual cycle getting shorter?

Why is my menstrual cycle getting shorter?

Menses: Many women have changes in their cycles after age 35. They can be heavier, shorter or you can skip them. Often times this is due to ovulation issues. However, its always important to rule out other things too like pregnancy, low thyroid, hyperprolactinemia. Your provider can do this with blood work. ...Read more

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What is considered a normal menstrual cycle?

Variable: The textbook cycle is 28 days but a "normal" cycle varies from 21 to 35 days in length. ...Read more

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The menstrual cycle did not come this month?

The menstrual cycle did not come this  month?

Enjoy: It's going to come eventually especially if you are not pregnant. If you continue to not get for few months or get irregular talk to your pcp for thyroid and other check up like severe anemia etc. ...Read more

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Possible reasons for a 45day menstrual cycle ?

Long cycle: Stress, hormone irregularities, or an early miscarriage could all be reasons. You're a little young for perimenopause. Keep track of your cycles and see your ob/gyn if things don't get back in line. ...Read more

Menstrual (Definition)

Menstrual refers to the monthly cycle in women which prepares the female for ovulation, generally once per month, which is that time of month that the egg can be fertilized by the male sperm, for the purpose of reproduction. Menstrual cycles start at the first day of menstruation. (it's always been curious to me that 'menstrual' and ...Read more


Dr. Thomas Lyons
388 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