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What Causes Menstrual Bleeding During Perimenopause?

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Posted on Wed, 25 Jun 2014
Question: I did not have my period for the last 6 months (i am 56) but they started again last thursday and are still going! is this a worry?
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Answered by Dr. Vjollce Mbiarra (38 minutes later)
Brief Answer:
Perimenopause

Detailed Answer:
Hi dear!
Thanks for your query.
I understand your concern .
You are in perimenopause .
Perimenopause, or menopause transition, is the stage of a woman's reproductive life that begins several years before menopause, when the ovaries gradually begin to produce less estrogen.
Perimenopause lasts up until menopause, the point when the ovaries stop releasing eggs.
Perimenopause ends the first year after menopause (when a woman has gone 12 months without having her period).
Irregular periods are common and normal during perimenopause.
But other conditions can cause abnormalities in menstrual bleeding in your stage such as:
fibroids,
polyps,
endometrial atrophia,
endometrial hyperplasia
and rarely cancer.
Please get a check up to exclude any other causes of your bleeding.
To diagnose the cause of abnormal perimenopausal bleeding your health care provider will review your personal and family health history.
Doctors can make the diagnosis of perimenopause based on your symptoms.
You will have a physical exam.
You also may have one or more of the the following tests:
hormone levels
Endometrial biopsy
Transvaginal ultrasound
Dilation and curettage
All the best
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Vjollce Mbiarra

OBGYN, Maternal and Fetal Medicine

Practicing since :2006

Answered : 1572 Questions

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What Causes Menstrual Bleeding During Perimenopause?

Brief Answer: Perimenopause Detailed Answer: Hi dear! Thanks for your query. I understand your concern . You are in perimenopause . Perimenopause, or menopause transition, is the stage of a woman's reproductive life that begins several years before menopause, when the ovaries gradually begin to produce less estrogen. Perimenopause lasts up until menopause, the point when the ovaries stop releasing eggs. Perimenopause ends the first year after menopause (when a woman has gone 12 months without having her period). Irregular periods are common and normal during perimenopause. But other conditions can cause abnormalities in menstrual bleeding in your stage such as: fibroids, polyps, endometrial atrophia, endometrial hyperplasia and rarely cancer. Please get a check up to exclude any other causes of your bleeding. To diagnose the cause of abnormal perimenopausal bleeding your health care provider will review your personal and family health history. Doctors can make the diagnosis of perimenopause based on your symptoms. You will have a physical exam. You also may have one or more of the the following tests: hormone levels Endometrial biopsy Transvaginal ultrasound Dilation and curettage All the best