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Experienced difficulty sleeping, night sweats, back pain, diarrhea. Why mucus discharge?

I am 49 years old. I have experienced difficulty sleeping for about a year. I have night sweats around my period time. My period has been fairly regular every 28-30 days, over the past 3 years. I have always had an irregular period until I hit my mid forties. I would go every 2-3 months in my teenage years, then every 35-40 days in my 20 s and 30 s. After my fourth child at 43 it became for regular. I had my period about a week and half ago. It was normal. Then, five days later I had experienced stomach and back pain . then I noticed my dark spotting again for two days. I had dull headaches , stomach upset and some diarrhea , lightheadedness along with the spotty. Third day I had small amount of bloody discharge and now the dark, thick mucous discharge. Is this my hormones gone crazy?
Asked On : Fri, 12 Oct 2012
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General & Family Physician 's  Response
Hello Good Evening,

According to your description you seems in perimenopause stage i.e. menopause transition years.

Menopause literally means the "end of monthly cycles" and once 12 months have gone by with no menstrual flow at all.

Menopause is an event that typically (but not always) occurs in women in midlife, during their late 40s or early 50s, and it signals the end of the fertile phase of a woman's life.

During perimenopause, estrogen levels average about 20-30% higher than during premenopause, often with wide fluctuations in levels.

These fluctuations cause many of the physical changes during perimenopause as well as menopause.

Some of these changes are hot flashes, night sweats, difficulty sleeping, vaginal dryness or atrophy, incontinence, osteoporosis, and heart disease.

During this period, fertility diminishes, but is not considered to reach zero until the official date of menopause.

The official date is determined retroactively, once 12 months have passed after the last appearance of menstrual blood.

However, rather than being defined by the state of the uterus and the absence of menstrual flow, menopause is more accurately defined as the permanent cessation of the primary functions of the ovaries.

So you are going towards menopause, should have patience and get in touch with your gynecologist for symptomatic treatment.


Dr. Naresh Jain
Answered: Sun, 4 Aug 2013
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