I posted several mos ago. I had missed 2 periods, then heavy for 2 weeks. Dr put me on mononessa for 3 mos. This is cycle 2. Both started on time, last period was pretty normal. This one normal started 12/24/23... it started tapering off, but now just a minor flow/spotting. Yesterday had a 10-12 hour break of nothing and this morning blood when I wipe w a few drops when I stood up. Is this normal? I'm freaked out something is wrong w me. Never had weird periods, ever! I am about to turn 41... dr believed missed periods for 2 mos was stress. Pap came back fine. For more info read my other question from like August 2013.
Have you had bloodwork done to check your thyroid? Our bodies change as we get older. It could be hormones. It could be something like endometriosis or cysts. It could even be vitamin deficiencies. I have started to have irregular periods over the last year. They wanted to put me on BC but I am still hoping to have another baby so I declined. I have added a B complex vitamin to my regimen and so far my periods have been regular. I am also getting laproscopy done to help with my endometriosis. These are some things to look into if you have not already. Most doctors want to hand you that prescription for BC because that is the easiest thing. But you can get more testing done.
This is normal for starting the Pill. Irregular bleeding is not uncommon but being you are in your 40's, it is not uncommon to be starting pre-menopause. I have been doing this since about your age. I am 47 now. Once a year or so I skip a period, or two or three then I have a really heavy one then I'm fine for a while then it happens again. When did your mother go through menopause? you can ask them to check your hormone levels. A good gynecologist should be able to tell if you are in pre-menopause (also called perimenopause) From Mayo clinic:
Perimenopause means "around menopause" and refers to the time period during which a woman's body makes its natural transition toward permanent infertility (menopause). Perimenopause is also called the menopausal transition.
Women start perimenopause at different ages. You may notice signs of progression toward menopause, such as menstrual irregularity, sometime in your 40s. But some women notice changes as early as their mid-30s.
The level of your estrogen — the main female hormone — rises and falls unevenly during perimenopause. Your menstrual cycles may lengthen or shorten, and you may begin having menstrual cycles in which your ovaries don't release an egg (ovulate). You may also experience menopause-like symptoms, such as hot flashes, sleep problems and vaginal dryness. Treatments are available to help ease these symptoms.
Once you've gone through 12 consecutive months without a menstrual period, you've officially reached menopause, and the perimenopause period is over.
During the perimenopausal period some subtle — and some not-so-subtle — changes in your body may occur. Some things you might experience include:
Menstrual irregularity. As ovulation becomes more unpredictable, the length of time between periods may be longer or shorter, your flow may be light to heavy, and you may skip some periods. If you have a persistent change of seven days or more in the length of your menstrual cycle, you may be in early perimenopause. If you have a space of 60 days or more between periods, you're likely in late perimenopause.
Hot flashes and sleep problems. Many women experience hot flashes during perimenopause. The intensity, length and frequency vary. Sleep problems are often due to hot flashes or night sweats, but sometimes sleep becomes unpredictable even without them.
Mood changes. Some women experience mood swings, irritability or increased risk of depression during perimenopause, but the cause of these symptoms may be sleep disruption caused by hot flashes. Mood changes may also be caused by factors not related to the hormonal changes of perimenopause.
Vaginal and bladder problems. When estrogen levels diminish, your vaginal tissues may lose lubrication and elasticity, making intercourse painful. Low estrogen levels may also leave you more vulnerable to urinary or vaginal infections. Loss of tissue tone may contribute to urinary incontinence.
Decreasing fertility. As ovulation becomes irregular, your ability to conceive decreases. However, as long as you're having periods, pregnancy is still possible. If you wish to avoid pregnancy, use birth control until you've had no periods for 12 months.
Changes in sexual function. During perimenopause, sexual arousal and desire may change. But for most women who had satisfactory sexual intimacy before menopause, this will likely continue through perimenopause and beyond.
Loss of bone. With declining estrogen levels, you start to lose bone more quickly than you replace it, increasing your risk of osteoporosis — a disease that causes fragile bones.
Changing cholesterol levels. Declining estrogen levels may lead to unfavorable changes in your blood cholesterol levels, including an increase in low-density lipoprotein (LDL) cholesterol — the "bad" cholesterol — which contributes to an increased risk of heart disease. At the same time, high-density lipoprotein (HDL) cholesterol — the "good" cholesterol — decreases in many women as they age, which also increases the risk of heart disease.
When to see a doctor
Some women seek medical attention for their perimenopausal symptoms. But others either tolerate the changes or simply don't experience symptoms severe enough to need attention. Because subtle symptoms may come on gradually, you may not realize at first that they're all connected to the same thing — rising and falling levels of estrogen and progesterone, another key female hormone.
If you do experience symptoms that interfere with your life or well-being, such as hot flashes, mood swings or changes in sexual function that concern you, see your doctor.
As you go through the menopausal transition, your body's production of estrogen and progesterone rises and falls. Many of the changes you experience during perimenopause are a result of decreasing estrogen.
Menopause is a normal phase in a woman's life. But it may occur earlier in some women than in others. Although not always conclusive, some evidence suggests that certain factors may make it more likely that you start perimenopause at an earlier age, including:
Smoking. The onset of menopause occurs one to two years earlier in women who smoke, compared with women who don't smoke.
Family history. Women with a family history of early menopause may experience early menopause themselves.
Cancer treatment. Treatment for cancer with chemotherapy or pelvic radiation therapy has been linked to early menopause.
Hysterectomy. A hysterectomy that removes your uterus, but not your ovaries, usually doesn't cause menopause. Although you no longer have periods, your ovaries still produce estrogen. But such surgery may cause menopause to occur earlier than average. Also, if you have one ovary removed, the remaining ovary might stop working sooner than expected.
Irregular periods are a hallmark of perimenopause. Most of the time, this is normal and nothing to be concerned about. However, see your doctor if:
Bleeding is extremely heavy — you're changing tampons or pads every hour or two for two or more hours
Bleeding lasts longer than seven days
Bleeding occurs between periods
Periods regularly occur less than 21 days apart
Signs such as these may indicate the presence of an underlying problem with your reproductive system that requires diagnosis and treatment.
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