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Perimenopause Related Questions
Perimenopause occurs prior to menopause and allows a woman's body to gradually adjust to menopause (permanent infertility). Perimenopause can affect women at different times in their life and there is no definite age at which a woman will become perimenopausal. Irregular periods are generally one of the first signs of this condition which usually occurs in women in their 40s. However, perimenopause symptoms can also affect women in their 30s. To learn more about perimenopause and how to recognize the signs, take a look at the questions below that have been answered by the Experts.
Is vertigo part of perimenopause in women with hypothyroidism?
While many things can be associated with perimenopause, vertigo is generally a symptom that affects people who are aging. A ear, nose and throat doctor can generally determine the cause of vertigo. An eye exam may also be helpful in determining the cause of this problem.
There could be several other causes for vertigo as well. In many cases, one's medication can trigger vertigo. High or low blood pressure issues are also factors that could cause vertigo. In addition, hyperthyroidism can cause vertigo if not treated properly.
If none of these seem to be the cause of the problem, it is possible that hot flashes (flushes) could trigger vertigo in perimenopausal and menopausal women. However, if a woman’s periods are still regular, it is possible that the vertigo is being caused by other issues that can generally be detected from a medical exam and testing.
Is it normal for a woman over 50, with perimenopause, to not have a period for six months and then have one for two weeks straight?
Typically, when a woman over 50 suddenly experiences bleeding after several months of not having her periods, she should consult her OB/GYN immediately. Some of the reasons for the bleeding could be due to uterine polyps, bleeding because of irregular ovulation or hyperplasia which is an indication of pre-cancerous changes. Due to her age, a woman who has these type of symptoms tends to be at a higher risk of getting more serious problems. She would be advised to get a doctor’s opinion on performing an ultrasound of the uterus and perhaps taking a biopsy of the uterine lining. If there aren’t any serious issues, then the bleeding could be a symptom of perimenopause.
Can a person with perimenopause not have a period for two years and then start one?
Generally, when a woman goes for two years without a period, she is considered post menopausal. Post menopausal bleeding is not an uncommon occurrence and can happen without a reason. In a few cases, it can be caused by stress, illness, anxiety, medication, polyps or fibroids. While the cause of the bleeding isn't usually associated with cancer, many doctors prefer to have a woman examined for this especially if she is over the age of 35. An ultrasound and an endometrial biopsy are usually done to check for cancer of the uterus. By detecting uterine cancer in the early stages, surgery can help cure the problem. Another reason for the bleeding could be hyperplasia which is a thickening of the uterine lining so it is better to get this tested as well.
If someone hasn’t had a period for three months and then starts bleeding heavily for five weeks with clots and tissue, could it be perimenopause or a sign of a miscarriage?
This is generally attributed to perimenopause. If the bleeding is related to the woman being pregnant, a simple pregnancy test should confirm this. In some cases, the bleeding could also be due to stress, anxiety, an illness, medication, fibroids or polyps.
In a very rare case, the bleeding could be due to hyperplasia or cancer. However, women over 35 are usually urged by their OB/GYN to have an ultrasound taken of their uterus to rule out any possibility of uterine cancer. Thyroid issues can also trigger problems that can cause a woman to stop having a period for several months. To ensure the thyroid isn't an issue, a medical evaluation and testing is usually done to rule out this possibility.
Perimenopause can cause several uncomfortable symptoms that give rise to many questions about the best way to deal with this difficult transition period. If you are going through perimenopause or would like more information about it, direct your queries to an Expert. They can offer medical clarity and possible solutions to help in dealing with this condition based on the details of your case.
Recent Perimenopause Questions
Just got a transvaginal ultrasound result that indicates
Hello - just got a transvaginal ultrasound result that indicates I have a "focal thickening at the fundus" and a 6 mm stripe endometrial stripe.
I am 56 years old. I believe my last period to have been 12 months ago. Prior to that period, I had not had a period for 11 months. (We assume that was a real period as it had all the classic symptoms).
My current issues began 3 months ago when at my doctors recommendation I decided to try Estrace cream for help with incontinence and pain with intercourse. The intercourse pain was primarily in the entry of the vagina.
I was prescribed to use 1 gram daily for 2 weeks, then every other day for 4 weeks, then 3x per week.
The first 2 weeks I kept forgetting to use the cream and used it probably 3 times per week. The 3rd week I used it every day for 5 days, and then broke out in horrible hives. The PA at the doctor's office told me to go off the cream asap which I did.
About 10 days later I started feeling like I was getting a period. Mild cramps, lower backache, heavy "down there" kind of feeling, and needing to pee a lot. Then I started getting dark brown spotting. Very thick, kind of sticky, some clotty-looking stuff. Reminded me of what my periods looked like the last few days of my periods when I was in peri-menopause. I also started getting crazy-bad hot flashes. I've had hot flashes on and off for the past two years, but they had just about gone away completely. These were the worse hot flashes I'd ever had.
At first I was alarmed by the spotting. I figured that the cramps, spotting, and sudden burst of hot flashes were all probably related to going off the Estrace cream abruptly, even though I was only on it for about 3 weeks. Since I'd had some periods that resembled this in perimenopause, I decided to let it go for two weeks and see if it would just go away. It did for the most part, but then came back about a week later. I gave it another week, then called the doctor.
Doctor wasn't available, but the nurse sent me for the ultrasound which showed "2 fibroids, one anterior / one posterior, endometrial stripe of 6 mm with focal thickening at fundus indicating possibility of polyp." FYI, a previous ultrasound 5 years ago showed those same fibroids, although they are smaller now than they were then. That ultrasound was for a hemorrhagic cyst on my left ovary that went away on it's own).
Doctor's office referred me to the local OB/GYN for follow up. While I was waiting for the GYN appointment, my cramping pain got persistent (felt like it was in my cervix). I started getting kind of burning pain on top of my bladder, had to pee non-stop, and had a horrible (almost completely debilitating) backache. That pain lasted about 10 days and finally cleared up by the time I saw the gynocologist.
He did his own ultrasound then told me how "bumpy" the inside of my uterus looked, handed me a bunch of brochures for fibroids, uterine cancer, polyps, d & c, hysteroscopy, etc. and told me to give his office a call and tell them I needed a follow-up (?) I left far more confused and panicked than when I got there. Trying to find info on the internet is not helping either!
I have read a few of your posts and found them to be WAY more informative than anything else I have read. So here are my questions:
1) Could using Estrace cream (even for a few short weeks) and then going off it very abruptly as I did, triggered this whole spotting episode?
2) Could it have caused my uterus (even that small amount of estrogen) to look a bit larger than normal?
3) I haven't seen any spotting on my panti-liners in about 2 weeks, although once or twice when I've inserted a finger into my vagina and wiped the very light discharge on a piece of white TP to see if I can see anything I've noticed very, very faint pink or yellow tinge.
3) The 6 mm stripe measurement is what most concerns me as everything I read indicates that anything about 5 mm with bleeding is a cause for concern. Can you have a thickened stripe, with weird bleeding like this and it not be cancer?
4) What is the best choice for diagnosis - biopsy, hysteroscopy, d & c? Or do they do all 3 if you do the hysteroscopy?
5) This OB/GYN I went to seems like his practice is focused mostly on delivering babies, not so much on gyno. Should I seek out a specialist in uterine cancer even for the biopsy? I don't know if this is so basic and routine anyone could do it, or is it better to go to someone who specializes for this sort of thing?
5) Timing. I already let this drag on about 5-6 weeks before going in. Prior to that I'd had other symptoms I didn't associate with this, but might have been related (back pain, incontinence, etc.) It is taking weeks to get in for each procedure and step. How long is "too long" to let this drag on before getting a diagnosis or treatment? At this rate, if I needed a hysterectomy, it would probably be six months between when this started and when I'd probably get scheduled. What is a re
First time I have not received my period
For the first time I have not received my period since July 28, 2015. I had always been regular before that.
My testosterone is on the low since (17) and I may be in perimenopause.
How do I know if adding bioidentical progesterone is beneficial and testosterone as well?
What are your thoughts about adding bioidentical progesterone after hysterectomy for a woman who is on an estrogen patch? Pros and cons...
I have constant period pain, aching legs, feeling sick,
Hi. I have constant period pain, aching legs, feeling sick, fatigue, last period was painful and heavy and I've just been diagnosed with an enlarged uterus. I've read these can be symptoms of advanced stages of cancer and I'm terrified. I've been referred to an nhs specialist but this can take weeks. I'm terrified, how do I expedite this process as I'm a single mum of a 6 year old who is my life and all the time I'm waiting I'm aware it could be getting worse. Please help.
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