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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.

Ask an OB GYN Doctor

Dr. C.
Dr. C., Board Certified
Category: General
Satisfied Customers: 1706
Experience:  29 years of experience and an award-winning educator.
54412793
Type Your OB GYN Question Here...
characters left:
2 OB GYN Doctors are Online Now

How JustAnswer Works:

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OB GYN Doctors are online & ready to help you now

Dr. C.
Board Certified
Satisfied Customers: 1618
28 years of experience and an award-winning educator.
Monika Hearne, M.D.
Board Certified OB/GYN
Satisfied Customers: 5745
With experience and compassion, I treat my patients like family.
Dr. Charles
OB/GYN (Doctor)
Satisfied Customers: 140
Board Certified. Solo practice for 8 years; delivered more than 1300 infants and performed more than 800 surgeries.

Recent Perimenopause Questions

  • I am 45 y old woman. Got my period on 12/8/14. I have been

    I am 45 y old woman. Got my period on 12/8/14. I have been spotting up until yesterday 12/26/14, and now today I have a brown mucous discharge with a foul odor.
    Please advise.
  • Hi, I have sort of the same question that was just asked.

    Hi, I have sort of the same question that was just asked. I'm 51/ 52 in December. I have had normal regular periods for years, (didn't get my first period til I was 17 almost 18) this month, I got my period as normal, started a week ago Saturday usually bleed for 3-4 days, then tapers off, and the I will spot for a few days after. This time 3-4 heavy normal flow, started to taper off. Spotting continued, it's not heavy but when I wipe, I would see blood, and when I would urinate I would see what looked to me like my period still, not clotting, but blood. It's not a full on flow but just seems as though I still have my period. No cramping, no pain, nothing unusual. My paps were consistently normal, I am sexually active. One monogamous partner. Last pap 2 years ago.
  • I have a question . My wife is 44 yrs old . Past few months

    I have a question .
    My wife is 44 yrs old . Past few months after sex she has said her vagina is itchy & irritated.
    It seems that it is also more dry not dry but just less lubricated.
    She also say sex can be somewhat painful as well .
    She takes a long bath every night before bed which almost seems to make it worse. Any advice would be appreciated .
    Thanks
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