“One of the first signs of perimenopause is usually
a change to your periods. They may happen more often
or less often, and bleeding may get heavier or lighter”.1
Umbrella
What may the Periods Pattern Umbrella include?
Depending on the Source (DotS) this Umbrella may include:
- Menopause and Periods
- Perimenopause Periods
- Periods Pattern
First Sign of Menopause
What is usually the first sign of menopause?
In Menopause and Perimenopause Symptoms: Symptoms of Menopause and Perimenopause – Changes To Your Periods the (United Kingdom) NHS explain:
Perimenopause Menstrual Cycle Changes
What are some menstrual cycle changes during perimenopause?
In Menopause: How Do You Know You Are In Perimenopause? the (Australian) Jean Hailes for Women’s Health (JH) explain on:
- Irregular
- Shorter or longer than usual
- Lighter or heavier than usual
- Absent for a few months”.3
In Can Perimenopause Cause Your Periods To Be Closer Together? updated on 22 May 2026, the author elaborates on:
- Irregular…
- Closer together or further apart…
- Absent…
- Heavy…
- Light…
- Short or long…”.4
Look for A Pattern
How may I Look for A Pattern with my periods?
The (United States) Mayo Clinic explain:
In Menstrual Cycle: What’s Normal, What’s Not – How Can I Track My Menstrual Cycle? the Mayo Clinic also elaborate on:
- End date…
- Flow…
- Bleeding changes…
- Pain…
- Other changes…”.6
In Heavy Periods: When To Get Medical Advice the (Scottish) NHS Inform explain:
If you’re seeing your doctor, there are some useful pieces of information to think about beforehand:
- The first day of your last period (when it started)
- How many days your period usually lasts
- What was the shortest time between your periods (from the first day of one period to the first day of the next)
- What was the longest time between your periods (from the first day of one period to the first day of the next)
- How often you need to change your period products on a heavy day
- If you are over 25, when you had your last smear test”.7
Menstrual Calendar
Where may I find a menstrual calendar to keep a record of my periods?
The Menopause Society’s website (formerly the North American Menopause Society) includes:
Pregnant or Not
Is it possible to become pregnant when skipping periods?
Yes. In Menopause: Symptoms & Causes – Symptoms the Mayo Clinic explain:
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.
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”.8
Health Care Provider
What if I would like help with my periods pattern?
In Menstrual Cycle: What’s Normal, What’s Not – How Can I Track My Menstrual Cycle? the Mayo Clinic note:
In Perimenopause: Symptoms and Causes – How Can I Reduce My Risk of Perimenopause Complications? the Cleveland Clinic elaborate on:
- Your periods become very heavy, or contain large blood clots
- Your 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”.10
Health Topics A-Z
Where may I find Health Topics A-Z related to Periods Pattern?
In Health Topics A-Z you may find:
Links
Where may I find Links related to Periods Pattern?
Your Country may have Links similar to:

Links
This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.New or Updated
- Bleeding on HRT: What’s Normal and What’s Not [14 April 2026]
- Can Perimenopause Cause Your Periods To Be Closer Together? [22 May 2026]
- Let’s Talk About Heavy & Painful Periods [22 May]
- Menstrual Hygiene Day [28 May]

- Period Symptom Checker

- Periods (Menstruation) [Other Languages and Formats] [07 January 2026]
- ACOG Explains: Bleeding Changes In Perimenopause
- Absent Periods
- Are My Periods Too Heavy?

- Askearlymenopause.org [Ask EM] [+ Video: What Is Early Menopause?]
- Bleeding Between Periods
- Bleeding Between Periods? How To Tell If It’s A Problem
- Bleeding Disorders In Women
- Bleeding Disorders In Women: About Heavy Menstrual Bleeding

- Bleeding During Menopause | Dr Louise Newson
- Bleeding on HRT Explained | Dr Louise Newson Live
- Bleeding on HRT: What’s Normal and What’s Not
- Blood Clots During Menstruation: A Concern?
- Can HRT Stop Your Periods?
- Can Perimenopause Cause Your Periods to Be Closer Together?
- Consumer Video and Podcast Series: 2023 Consumer Videos and Podcasts – Premature and Early Menopause
- Consumer Video and Podcast Series: 2024 Consumer Videos and Podcasts – Preparing for Your Menopause Healthcare Visit
- Consumer Video and Podcast Series: 2025 Consumer Videos and Podcasts – Abnormal Uterine Bleeding—When To See A Clinician
- Early Menopause: Women’s Experiences: Women’s Profiles
- Endometriosis [Multiply Languages]
- Everything You Need To Know About Endometriosis | Dr Louise Newson
- FAQs: Abnormal Uterine Bleeding
- FAQs: Perimenopausal Bleeding and Bleeding After Menopause
- Find A Menopause Practitioner [United States and Other]
- Find A Practitioner [Australasian Menopause Society i.e. Australia and New Zealand]
- Find Your Nearest BMS Menopause Specialist [British Menopause Society]
- First Symptoms of Menopause
- Health Information In Your Language
- Heavy Periods
- Heavy Periods
- Heavy Periods (Menorrhagia) [Multiply Languages]
- Heavy Periods: Signs and Treatment | NHS
- How To Prepare for Your Doctors Appointment

- International Menopause Society (IMS) Recommendations and Key Messages on Women’s Midlife Health and Menopause
- Irregular Periods
- Just A Period – Let’s Talk Heavy And Painful Periods Webinar
- “Just a period” [+ Video: Ever Been Told That It’s “Just A Period?”]
- Let’s Talk About Heavy & Painful Periods
- Let’s Talk Period Health, Mental Health and Their Relationship
- Managing Menopause Symptoms [+ Video]
- Mayo Clinic Minute: Perimenopause and Menopause [+ Video]
- Mayo Clinic Q and A: Perimenopause Transitions and Concerns
- Menometrorrhagia

- Menopause
- Menopause
- Menopause
- Menopause

- Menopause

- Menopause Map: Downloadable Resources – My Personal Path Print Tools: Symptom Tracker

- Menopause: Identification and Management [NICE Guideline]
- Menopause: Identification and Management [NICE Guideline]

- Menopause: Things You Can Do
- Menopause What Are the Symptoms? Early Symptoms – Change In Menstrual Periods
- Menstrual Calendar
- Menstrual Calendar: Calendario Menstrual [Spanish]
- Menstrual Calendar: Calendrier Menstruel [French]
- Menstrual Cycle
- Menstrual Cycle: What’s Normal, What’s Not – How Can I Track My Menstrual Cycle?
- Menstrual Diary
- Menstrual Hygiene Day [28 May]

- Missed or Late Periods
- My Periods Have Changed. Is Menopause Around the Corner?
- Online Events [International Menopause Society]: Past Webinars – 2026: New IMS Recommendations – Midlife Body Changes
- PMD Awareness Month [April 2026]

- PMDD/PMS
- PMS and PMDD | Dr Louise Newson
- PMS, PMDD and You
- Paused Periods [Other Languages and Formats]
- Perimenopause

- Perimenopause
- Perimenopause and Menopause Checklist: Translated Checklists
- Perimenopause and Menopause Symptom Checklist

- Perimenopause: How Do I Know If Changes In My Periods Are Normal Perimenopausal Symptoms or Something To Be Concerned About?
- Period Pain
- Period Symptom Checker

- Periods
- Periods Information Hub
- Periods (Menstruation) [Other Languages and Formats] [+ Video: Periods: What’s Normal?)
- Premenstrual Dysphoric Disorder (PMDD)
- Premenstrual Syndrome (PMS)
- Suicide Risk Is Higher In Certain Phases of the Menstrual Cycle – Here’s What We Know About This Link
- Talk About Heavy Periods
- Tips for Tracking Your Bleeding
- Understanding Your Period Cravings
- Videos and Podcasts: Videos – A Simple Approach To Menopause: The Menopause Quick Six (www.MQ6.ca)
- What Causes Cramps but No Period?
- What Is A Menstrual Cycle?
- What Is A Period?
- When Does Perimenopause Start and How Do You Define the Beginning [Video]
- Why Do I Faint on My Period?
- Why Is My Period Lasting So Long?
- World GO Day [World Gynecologic Oncology Day, 20 September]

- Your Daily Dose: Let’s Unpack Menopause
- Your Daily Dose: Perimenopause, Don’t Suffer In Silence
- Your Daily Dose: Perimenopause, Here’s What To Know
- Your Menstrual Cycle
- Your Period
Sources
Where may I find the Sources quoted?
You may find the Sources quoted at:
Sources
- Menopause and Perimenopause Symptoms: Symptoms of Menopause and Perimenopause – Changes To Your Periods. Page Last Reviewed: 19 May 2026. NHS https://www.nhs.uk/conditions/menopause/symptoms/#changes-to-your-periods Accessed: 28 May 2026
- Menopause and Perimenopause Symptoms: Symptoms of Menopause and Perimenopause – Changes To Your Periods. Page Last Reviewed: 19 May 2026. NHS https://www.nhs.uk/conditions/menopause/symptoms/#changes-to-your-periods Accessed: 28 May 2026
- Menopause: How Do You Know You Are In Perimenopause? Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-topics/menopause/#section-how-do-you-know-if-youve-reached-menopause Accessed: 28 May 2026
- Redhead, T., and Watson, S. Can Perimenopause Cause Your Periods To Be Closer Together? Updated on 22 May 2026 https://www.healthline.com/health/menopause/perimenopause-periods-closer-together Accessed: 28 May 2026
- Menstrual Cycle: What’s Normal, What’s Not – How Can I Track My Menstrual Cycle? 22 April 2023. Mayo Clinic https://www.mayoclinic.org/healthy-lifestyle/womens-health/in-depth/menstrual-cycle/art-20047186 Accessed: 28 May 2026
- Menstrual Cycle: What’s Normal, What’s Not – How Can I Track My Menstrual Cycle? 22 April 2023. Mayo Clinic https://www.mayoclinic.org/healthy-lifestyle/womens-health/in-depth/menstrual-cycle/art-20047186 Accessed: 28 May 2026
- Heavy Periods: When To Get Medical Advice. Last Updated: 11 April 2025. NHS Inform https://www.nhsinform.scot/healthy-living/womens-health/girls-and-young-women-puberty-to-around-25/periods-and-menstrual-health/heavy-periods/ Accessed: 28 May 2026
- Menopause: Symptoms & Causes – Symptoms. 07 August 2024. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/menopause/symptoms-causes/syc-20353397 Accessed: 28 May 2026
- Menstrual Cycle: What’s Normal, What’s Not – How Can I Track My Menstrual Cycle? 22 April 2023. Mayo Clinic https://www.mayoclinic.org/healthy-lifestyle/womens-health/in-depth/menstrual-cycle/art-20047186 Accessed: 28 May 2026
- Perimenopause: Symptoms and Causes – How Can I Reduce My Risk of Perimenopause Complications? Last Reviewed: 29 July 2024. Cleveland Clinic https://my.clevelandclinic.org/health/diseases/21608-perimenopause Accessed: 28 May 2026


