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Irregular bleeding, had spotting during periods, later blood only on wiping. Could it be menopausal symptoms?

I have had a regular cycle for the past 3 years without any concerns but the last two months I have been experiencing irregular bleeding. I had unprotected sex and thought I was pregnant but the HPT and blood pregnancy test were both negative. I know last month I was on my cycle it lasted 4 days and then stopped and this month the first 2 days I only spotted on the sanitary napkin but lately I only see blood when I wipe. I know that vaginal bleeding has a lot to do with hormonal balance and since I am 47 years old could I be experiencing menopausal symptoms? The irregular cycles did not start until after I had sex. I was wondering do I need to make an appointment to my ob/gyn to have my symptoms checked to see if it could be something worse or wait to see if my monthly cycle ends to check things out?
Asked On : Fri, 11 Jan 2013
Answers:  1 Views:  94
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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.


Dr. Naresh Jain
Answered: Tue, 30 Jul 2013
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