A perimenopause checkup can reassure you about menstrual period changes, contraception and symptom treatment options.


What is perimenopause?

In Menopause FAQs: An Introduction To Menopause – Q. What is perimenopause? the North American Menopause Society’s definition is:

“A. The gradual transition between the reproductive years and menopause is called perimenopause (meaning around menopause). It is generally a transition lasting many years and can be associated with shorter menstrual intervals, irregular menses, hot flashes, night sweats, and other symptoms”.


Do periods simply stop or not?Perimenopause

Not usually. In World Menopause Day: World Menopause Day 2017Patient Information Leaflet: Changes Before the Change: Perimenopausal Bleeding the International Menopause Society note:

“Although some women may abruptly stop having periods leading up to the menopause, many will notice changes in patterns and irregular bleeding. Whilst this can be a natural phase in your life, it may be important to see your healthcare professional to rule out other health conditions if other worrying symptoms occur”.

Heavy Bleeding or Spotting

During perimenopause, is heavy bleeding or spotting between periods, normal

In Perimenopause: How To Manage the Change Before ‘The Change’ the (Australian) Jean Hailes for Women’s Health (JH) elaborate on:

“If bleeding becomes very heavy, there is spotting between periods, pain or extremely erratic periods, women should see their doctor to rule out underlying causes, such as fibroid growths, changes to the lining of the uterus or [in rarer cases], cancer,” says Dr Farrell”.


During perimenopause, is contraception still needed?

In Perimenopause: How To Manage the Change Before ‘The Change’ the JH explain:

“Surprisingly, research shows that some women ovulate twice a cycle during perimenopause – once during ovulation and once again during their menstrual period. This means that contraception is still needed because pregnancy can still occur”.

Health Care Provider

What if I would like help with perimenopause?

PerimenopauseIf you would like help with perimenopause, it may be in your best interest to choose to talk to your health care provider about this.

In Menopause: Overview – When To See Your GP the (United Kingdom) NHS elaborate on:

“It’s worth talking to a GP if you have menopausal symptoms that are troubling you or if you’re experiencing symptoms of the menopause before 45 years of age”.

Who is a GP?

DotS and/or DotC (Depending on the Country) a GP may be a qualified and registered general practitioner, a medical practitioner, a medical doctor or a doctor.

On page two in Menopause the JH also note:

“See Your Doctor If:

  • You are troubled by less regular periods
  • You have symptoms of menopause that interfere with daily life
  • You have symptoms of depression and anxiety, including changes to your thinking, eating, sleeping and enjoyment of activities”.

Health Topics A-Z

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Last Updated: 26 June 2020 – Last Revised: 19 May 2020
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