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Doctor insights on: Perimenopause Spotting Instead Of Period

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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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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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I'm 41 yrs old & my periods for the past 2 months are very light spotting. This month is the same but with a large blood clot. Is this perimenopause?

I'm 41 yrs old & my periods for the past 2 months are very light spotting. This month is the same but with a large blood clot. Is this perimenopause?

Unlikely: The average age of menopause is 51, so 41 would be very early to go through menopause. Hormones can wax and wane in the 40's though, and it's possible you're just experiencing some hormonal swings. Definition of menopause is no period for a year. Your having then, just lighter. Cannot explain blood clot but could also relate to hormones. See a gynecologist to discuss and possible ultrasound. ...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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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?

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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I think I am in perimenopause. Had a period in june skipped july had 2 in aug skipped sept started this month for 3 weeks now. Should I go on to dr?

I think I am in perimenopause. Had a period in june skipped july had 2 in aug skipped sept started this month for 3 weeks now. Should I go on to dr?

Although irregular: Periods can be associated with menopause there are also many other more serious conditions that can also present this way. It would be very important to see a health care professional for an evaluation. You would not want to miss a more serious condition. Make an appointment today. ...Read more

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Can my periods become irregular due to perimenopause even if I am on the bc patch? I am 43 years old & just had period a week early & lasted 12 days

Can my periods become irregular due to perimenopause even if I am on the bc patch? I am 43 years old & just had period a week early & lasted 12 days

Yes: If your body is changing with natural aging, and your hormones are fluctuating, and at times you may not be ovulating, then your period can certainly be affected despite the patch you are on. ...Read more

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Why is my period so short. Age 37. Perimenopause?

Why is my period so short. Age 37. Perimenopause?

Time 2 get a checkup: There are a lot of reasons for short periods and it's worth getting it checked out. It could be reflective of thyroid disorders, non-hormonal gynecologic problems such as fibroids, and others. Your OB/GYN should be able to help you sort it out. Pro-tip: when you go, describe exactly how is it short - the number of days of the flow, or the number of days between periods? ...Read more

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Why would I have strong banana cravings a week after I skip a period for the first time in what I assume is perimenopause?

Good Question: I think if anyone can answer your question it should be nominated for some award. Why do we get the cravings we get? I honestly don't think there is a good scientific answer to that question. But, it is a good one. ...Read more

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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.

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

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Why is my period lasting over 2 weeks and what shouls I do? I am 47 and realize it could be perimenopause but I also have polyps

Why is my period lasting over 2 weeks and what shouls I do? I am 47 and realize it could be perimenopause but I also have polyps

See a GYN MD now: Polyps can cause prolonged bleeding and can become cancerous. See a gyn md for removal of the polyps and information about the peri-menopausal period. Two week bleeding is never normal. ...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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I 'm 44... in perimenopause and had a half day of spotting 2 months ago. Been having sporadic pain in right ovarian area. Concerned about ovarian cyst?

I 'm 44... in perimenopause and had a half day of spotting 2 months ago. Been having sporadic pain in right ovarian area. Concerned about ovarian cyst?

Ovarian cyst?: At 44, there will be both menstrual irregularities, and intermittent spotting or bleeding, since although you are probably not in menopause, your ovaries need more stimulation to produce an egg, which raises the estrogen, making the lining of the womb thicker, causing spotting. See your gyn, and ask about low dose oral contraceptives to lower the estrogen and cyst formation. ...Read more

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Is it common to have flu like symptoms before period? Is it a sign of perimenopause?

Is it common to have flu like symptoms before period? Is it a sign of perimenopause?

You could have PMS: Sx's prior to menses. 35 years old would definitely be pretty young for perimenopause. Premenstrual syndrome (pms) symptoms can include pelvic/ abdominal cramping, nausea, bloating, weight gain, moodiness, irritability, pain ; swelling of breasts, feeling tired, insomnia, headaches, ^ acne, food cravings, ^ appetite, swelling of hands ; feet, dizziness, thinking less clearly, urinary sxs ;. ...Read more

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I am 44 years old. My period was 12 days late, but it's now bright red and thin test says not gregnant. Could this be perimenopause?

I am 44 years old. My period was 12 days late, but it's now bright red and thin test says not gregnant. Could this be perimenopause?

Perimenopause: Perimenopsuse is associated with high estrogen levels, low Progesterone levels and irregular periods. You may benefit from progest crea. Rub 1/4 teaspoon into your inner arms daily. ...Read more

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I'm having a sort of grinding feeling during my period in my left ovary. Is it related to perimenopause or a symptom of something else?

I'm having a sort of grinding feeling during my period in my left ovary. Is it related to perimenopause or a symptom of something else?

Grinding feeling: Definitely not a sign of menopause. Possibly it is a cramp from the tube on that side as periods are associated with cramping pain. If the feeling resolves on its own and no other symptoms present and the discomfort is not that bad, i'd just watch it. ...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 37, having dizzy, hot spells occasionally, and my period comes a few days off every month recently. Am I starting perimenopause early?

I'm 37, having dizzy, hot spells occasionally, and my period comes a few days off every month recently. Am I starting perimenopause early?

See your doctor: 37 is way early to be peri-menopause, and there are other causes for your symptoms. Other hormones could be involved. Since this is recurrent, you should discuss these concerns with your doctor and have an exam. Good luck. ...Read more

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Cramping last day of really strange period (began 10 days after last one). Highly doubtful I'm pregnant. Possible perimenopause or...? I'm 43.

Cramping last day of really strange period (began 10 days after last one). Highly doubtful I'm pregnant. Possible perimenopause or...? I'm 43.

More info: It's possible but unlikely you're in the perimenopause. Unless early menopause runs in your family, it's likely hormonal or due to lesion in uterus. Average age menopause is 51, so 43 quite early. You may want to see gyn md for consultation. Check thyroid, ultrasound and consider biopsy of uterus. It's unlikely, but at 43 if you have more than 1 period a month biopsy may be necessary. ...Read more

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51 years old perimenopause I am bloated fullness in abdomen cramping and spotting?

51 years old perimenopause I am bloated fullness in abdomen cramping and spotting?

Get checked!: While the symptoms are general and common, they all have serious possibilities that can easily be eliminated to assure your good health. See your doctor to assess your pap smear (cervical cancer) consider a biopsy for irregular bleeding (uterine cancer), an examination, possible ultrasound and blood tests (ovarian cancer). Studies show increased risk for ovarian cancer with your symptoms. ...Read more

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Therap. Told bipolar. Also Perimenopause. Having bipolar rage probs at every period now. How to stop rage w/ meds? Or procedure like hysterectomy?

Therap. Told bipolar. Also Perimenopause. Having bipolar rage probs at every period now. How to stop rage w/ meds? Or procedure like hysterectomy?

Ask GYN this: Bipolar Disorder is more typically diagnosed in a person's mid-twenties. By your question, it was unclear if this diagnosis is new to you. Labile emotions are symptoms of this disorder, but also be symptoms of perimenopause. A woman can certainly have both at the same time. Hysterectomy is an option to explore with your Gynocologist; exploring meds and therapy also appropriate, and faster. ...Read more

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I am 35 and period is late, my hubby had vasectomy done in 2004. Could I be pregnant or in perimenopause? My periods have been regular 4 a long time.

I am 35 and period is late, my hubby had vasectomy done in 2004. Could I be pregnant or in perimenopause? My periods have been regular 4 a long time.

Various reasons: There are many reasons for skipping periods besides pregnancy or menopause. Stress can do it. Other common reasons include eating disorders, thyroid disease, medications, excessive exercise, elevations in prolactin hormone and a few others. It's ok to watch for now but if it repeats, evaluation would be helpful. ...Read more

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No period for 3 months, urine test 1 month ago was negative, breasts have been swollen. I'm 43, is this perimenopause?

No period for 3 months, urine test 1 month ago was negative, breasts have been swollen. I'm 43, is this perimenopause?

Possibly-see GYN: I think you need to have female hormone levels, thyroid function and blood sugar function tested in addition to a blood pregnancy test (HCG). I assume you are sexually active and if unprotected, pregnancy must be evaluated by a GYN exam, ultrasound and blood testing. ...Read more

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43-yr old female. Breasts and nipples sore. Period 6 days late. Husband has had a vasectomy. Could this be a symptom of perimenopause?

43-yr old female. Breasts and nipples sore. Period 6 days late. Husband has had a vasectomy. Could this be a symptom of perimenopause?

May be pregnant: No contraceptive is 100% effective. You are describing symptoms of pregnancy. Take a test. If negative then you may be having pms symptoms. ...Read more

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43-yr old female. Sore breasts and nipples. Period 6 days late. Husband has had a vasectomy. Could this be perimenopause symptom?

Yes: During the perimenopause your reproductive hormones fluctuate much more than previously. The highs and lows can lead to various symptoms including significant changes in the timing of your periods, breast tendernes, and others. Your gynecologist can help sort this out if you have continuing symptoms. ...Read more

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Could it have been an ovarian cyst? 47 yo female, in perimenopause. Been experiencing dull pressue in left lower abdomen for about a week, beginning right after ending a period. Last evening, experienced a small amount of pink (blood) upon wiping after u

Could it have been an ovarian cyst? 47 yo female, in perimenopause. Been experiencing dull pressue in left lower abdomen for about a week, beginning right after ending a period. Last evening, experienced a small amount of pink (blood) upon wiping after u

Yes,: Yes, that could very well be an ovarian cyst. Cysts often cause pressure, then a sudden pain. Taking advil (ibuprofen) can often help. They usually resolve on their own. If there is any chance of pregnancy, then the patient should take a pregnancy test to rule out other causes. Be sure and tell your doctor about your symptoms or see them earlier if your symptoms worsen. Cysts are also more common during peri-menopause. ...Read more

Dr. Dennis Higginbotham
912 Doctors shared insights

Spotting (Definition)

Spotting (vaginal spotting) is a symptom in which a woman has light bleeding from the vagina between menstrual cycles. Spotting is usually very light and may be just a ...Read more