“The first sign of the perimenopause is usually
but not always, a change in the normal pattern
of your periods, for example they become irregular”.1

Umbrella

What may the Periods and Menopause Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Menstrual Cycle Changes/Symptoms
  • Menstrual Periods Changes/Symptoms
  • Monthly Period Changes/Symptoms
  • Period Changes/Symptoms

First Sign of MenopausePeriods and Menopause

What can be the first sign of the perimenopause?

According to the (United Kingdom) NHS:

“The first sign of the perimenopause is usually, but not always, a change in the normal pattern of your periods, for example they become irregular”.2

Skipped Periods

Are skipped periods during perimenopause common?

In Menopause: Symptoms & Causes – Symptoms the (United States) Mayo Clinic explain:

“Skipped periods during perimenopause are common and expected. Often, menstrual periods skip a month and return. Or they skip a few months and then start monthly cycles again for a few months.

Period cycles tend to get shorter in early perimenopause, so periods are closer together. As menopause gets closer, periods get farther apart for months before they end”.3

Normal or Not

Are all period changes normal?

In Symptoms: Changes In Menstrual Periods – Abnormal Uterine Bleeding the Menopause Society (formerly the North American Menopause Society) elaborate on:


Periods and Menopause“What is considered a normal menstrual cycle varies greatly from woman to woman. Still, in the years approaching perimenopause, most women will have a pattern that’s fairly consistent, so any changes in their bleeding pattern may be noticeable. To determine whether these changes are of concern, it is important that a woman consults with a healthcare professional. Keep in mind that it can be useful to track the bleeding on a calendar or app so that it can be easily reviewed and assessed”.4

Menstrual Calendar

Where may I find a menstrual calendar to keep a record of my periods?

In MenoNotes the Menopause Society include:

Pregnant or Not

Can you still get pregnant during this time?

Yes. In Menopause: Symptoms & Causes – Symptoms the Mayo Clinic explain:

“You can still get pregnant during this time. If you’ve skipped a period but aren’t sure it’s due to menopause, think about taking a pregnancy test”.5

Other Causes

What may be other causes of period changes?

In Symptoms: Changes In Menstrual Periods – Abnormal Uterine Bleeding the Menopause Society also note:

“Don’t assume that any abnormal bleeding is simply part of normal menopause. Most of the time, that’s true, but abnormal bleeding can also be a sign of another health condition or even cancer. In cases such as cancer, the earlier that symptoms can be identified and diagnosed, the greater likelihood of successful treatment. Other possible causes of abnormal bleeding include fibroids, infections, thyroid dysfunction, and the use of certain medications or herbal products. Heavy or irregular bleeding, even when not related to cancer, can have a negative effect on quality of life”.6

Health Care Provider

What if my periods are changing?

In Menstrual Calendar the Menopause Society explain:

“Call your health care provider if you experience:

  • Periods that are much heavier than usual
  • Spotting or bleeding between periods
  • Periods that last longer than 10 days
  • Bleeding after sex
  • Frequent periods (fewer than 21 days between periods)
  • Any bleeding after menopause”.7

In Perimenopause: Symptoms and Causes – How Can I Reduce My Risk of Perimenopause Complications? the (United States) Cleveland Clinic note:

“Irregular periods are common and normal during perimenopause, but other conditions can also cause irregular vaginal bleeding. If any of the following apply to you, see a healthcare provider to rule out other causes:

  • Your periods become very heavy or contain large blood clots
  • You change pads or tampons every one to two hours
  • Your periods last several days longer than usual
  • You spot or bleed between periods
  • You bleed after sex
  • Your periods occur less than 21 days apart”.8

In What Is Menopause? When To See Your Doctor the (Australian) Jean Hailes for Women’s Health also note:

“Talk to your doctor if you are worried about:

  • Irregular periods
  • Heavy bleeding
  • Bleeding after menopause
  • Increased premenstrual syndrome (PMS) symptoms
  • Menopausal symptoms, such as hot flushes, that interfere with your daily life”.9

Health Topics A-Z

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In Health Topics A-Z you may find:

Links

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Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Menopause: Symptoms – Changes To Your Periods. Page Last Reviewed: 17 May 2022. NHS https://www.nhs.uk/conditions/menopause/symptoms/#changes-to-your-periods Accessed: 27 November 2024
  2. Menopause: Symptoms – Changes To Your Periods. Page Last Reviewed: 17 May 2022. NHS https://www.nhs.uk/conditions/menopause/symptoms/#changes-to-your-periods Accessed: 27 November 2024
  3. Menopause: Symptoms & Causes – Symptoms. 07 August 2024. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/menopause/symptoms-causes/syc-20353397 Accessed: 27 November 2024
  4. Symptoms: Changes In Menstrual Periods – Abnormal Uterine Bleeding. Menopause Society https://menopause.org/patient-education/menopause-topics/symptoms Accessed: 27 November 2024
  5. Menopause: Symptoms & Causes – Symptoms. 07 August 2024. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/menopause/symptoms-causes/syc-20353397 Accessed: 27 November 2024
  6. Symptoms: Changes In Menstrual Periods – Abnormal Uterine Bleeding. Menopause Society https://menopause.org/patient-education/menopause-topics/symptoms Accessed: 27 November 2024
  7. Menstrual Calendar. 2015. Menopause Society https://menopause.org/wp-content/uploads/default-document-library/menonote-menstrual-calendar-english.pdf Accessed: 27 November 2024
  8. Perimenopause: Symptoms and Causes – How Can I Reduce My Risk of Perimenopause Complications? Last Reviewed: 08 August 2024. Cleveland Clinic https://my.clevelandclinic.org/health/diseases/21608-perimenopause Accessed: 27 November 2024
  9. What Is Menopause? When To See Your Doctor. Last Updated: 31 October 2024 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/about-menopause#when-to-see-your-doctor Accessed: 27 November 2024
Topic Last Updated: 27 November 2024 – Topic Last Reviewed: 27 November 2024