Menopause age

Irregular bleeding periods are often one of the first signs that a woman is approaching menopause. In fact, only 10% of women reach menopause without any irregular periods.

These changes and irregularities in the cycle are due to decreased frequency of ovulation and unpredictable fluctuating levels of the ovarian hormones, estrogen and progesterone.

The menses can become lighter or heavier, bleeding for fewer days, even less than two, or more days than your usual length. The cycles can become shorter by at least a week, as well as longer than the pattern you have become accustomed to. At some point, most women will just skip one or more menstrual cycles. Basically, changes can occur any which way and each woman will have to identify what is an irregular bleeding pattern for her.

Even though these hormonal changes are normal, the woman with abnormal uterine bleeding needs to be evaluated by gynaecologist. Fortunately, in the vast majority of cases there is nothing serious, and the solutions are straightforward and effective.

At times, the bleeding can become too chaotic, and, of course, there are other causes of abnormal bleeding other than perimenopause such as a uterine polyp, hypothyroid, uterine fibroids, and endometriosis, to name a few.

Normal menstrual blood loss is approximately 40 mL. Blood loss greater than 80 mL is considered heavy, especially if there are blood clots or if you become anemic. If the bleeding is prolonged, longer than seven days, and/or the cycle is now shorter than 21 days, and/or bleeding or spotting occurs between menses or after sexual activity, then these symptoms require investigation by gynecologist and effective treatments.

Although perimenopausal women are at risk for endometrial hyperplasia (a thickening of the lining of the uterus), the majority with abnormal perimenopausal bleeding do not have hyperplasia.

In postmenopausal women who bleed and who are not taking HRT, the bleeding is generally due to atrophy (thinning of the lining of the uterus).

Any uterine bleeding that occurs after the actual menopause (12 consecutive months since the last menstrual period) should be reported to your gynecologist. In women on HRT, abnormal bleeding can be due to too little estrogen, too much estrogen, too little progesterone, or too much progesterone.

It is important to see your gynecologist in order to determine the correct hormonal solution and also to determine if further testing with a pelvic ultrasound and/or uterine biopsy is necessary.

Common symptoms of irregular periods

The main symptoms of perimenopausal bleeding are:

• Infrequent/too frequent periods
• Missed Periods
• Painful cramping
• Abnormal duration of bleeding
• Changes in blood flow
• Blood clots
• Fertility and Irregular Periods

The experts advise that women shoul speak with their health care practitioner when they begin to experience the symptoms of menopause, including irregular bleeding periods.

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Spotting is the vaginal bleeding after menopause. Some women may experience blood or brownish spots even after 4 or 5 years from menopause.

Causes of spotting after menopause

Hormonal Imbalance

Spotting can occur in women who are on hormone replacement therapy, and those who don’t take it. The most common cause for spotting after menopause is the body’s challenge to adjust to new hormonal therapy if you have recently begun your prescription for hormonal therapy. Estrogen breakthrough in low levels of estrogen may cause irregular spotting.
Generally, this is not a matter for worry and usually wasted as the body gets used to new hormone levels.

Stress

Stress also could have something to do with spotting after menopause. When the problems of life start feeling overwhelming then our bodies could react in strange ways. If you are under stress you might start spotting again.
The only real solution to deal with problems that are beyond our control is and stress relieving strategies, good diet, exercise like taking up a hobby, relaxation therapy or yoga.

Poor Nutrition

Poor diet is another most common cause for spotting after menopause. If you don’t eat right, it can throw your hormones all out of whack and this can leading to bleeding. The spotting is your body’s signal that something is wrong and that we need to address matters.
The key here is obvious. Change your diet so that you are eating fewer basic carbohydrates, less sugar and fewer fats. You should also consult your gynecologist about what kind of vitamin and mineral supplement you should take. These dietary changes, combined with exercises will not only help against the spotting but generally improve your outlook.
Sudden and Extreme Weight Loss

Any an extreme diet may be the cause of you’re spotting after menopause. The fats that are released into your blood system by these methods could be converted into estrogen and then lead to spotting or even bleeding like that in full-fledged periods.
This reaction, however, may also be a sign of unhealthy dieting and you may want to find greater balance in your diet.

Bleeding after Sex

IN some cases you may discover that you are bleeding shortly after sex. This is probably not because you are having particularly rough sex. More likely, the cause is that your new hormonal levels are producing less moisture, which is creating greater chances for cuts and bleeding. The solution here is easy.
There are several gels, some with small levels of progesterone that help increase moisture and can even heighten pleasure during sex.

Other Serious Conditions Spotting after Menopause
But because vaginal spotting after menopause can signify something more serious, it’s important to go to a doctor and get the situation checked out. This is especially true if other symptoms like unusual vaginal discharges, and pressure on the bowels, pelvic floor, or bladder, are also present.

It can be signs of cancer or some other serious condition. This is not the common cause, and in the vast majority of cases, it is one of the other causes we have already mentioned.

However, if it is cancer, then you want to deal with it earlier rather than later. When caught in these early stages uterine cancer is easily treated by surgical removal. So you should not fear going in to find out for sure; especially if you have a familial history of cancer.

Although spotting after menopause is quite common but causes of abnormal spotting after menopause will need to be established by your gynecologist. They will generally order various tests, including a pap smear, a blood test to determine hormone levels, as well as conduct a pelvic examination to see if the ovaries and uterus are normal.

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