Changes That Occur in the Menstrual Cycle During Perimenopause
Signs of Abnormal Perimenopausal Bleeding Patterns
If you notice any bleeding after menopause, it’s abnormal. Seek medical attention for a remedy. Although perimenopause comes with irregular periods, abnormal perimenopausal bleeding points to an underlying health problem. Here’re signs that signify abnormal bleeding in your menstrual cycle to look out for:
- Bleedings that’s longer than normal; for instance, perimenopausal bleeding for 2 months
- Heavy bleeding
- Bleeding that is more regular than every 3 weeks
- Bleeding post sexual intercourse or between menstrual periods
What Causes Abnormal Perimenopausal Bleeding?
- Polyps – These are noncancerous growths from endometrial-like tissues lining the uterus. They attach to the endometrial surface or uterine wall, leading to heavy or irregular bleeding. Polyps growing in the cervical canal or on the cervix can cause bleeding after sex.
- Endometrial atrophy – This is caused by low estrogen levels, which can cause endometrial thinning after menopause. Further thinning of the lining may result in abnormal bleeding.
- Endometrial hyperplasia –Unlike endometrial atrophy, hyperplasia results from high levels of estrogen and low levels of progesterone. The uterine lining thickens, leading to heavy or irregular bleeding. In atypical hyperplasia, the cells lining the uterus become abnormal. Thus, your risk of uterine cancer increases. However, early diagnosis and treatment prevents the cells from becoming cancerous. Bleeding can signify endometrial cancer post-menopause.
Treatment: How to Stop Perimenopausal Bleeding
- Pelvic ultrasound
- Endometrial biopsy
- Dilation and curettage (D&C)
- Surgery – Polyps or growths are removed through a surgical procedure.
- Medication – Medication is often an ideal option for treating endometrial atrophy.
- Progestin Therapy – The therapy is ideal for endometrial hyperplasia treatment. It involves shedding of the endometrium to stop bleeding.
- Hysteroscopy or D&C can be used for the removal of the thickened endometrial lining in endometrial hyperplasia.
- Endometrial biopsies – The biopsy can identify if cancerous cells are present in the lining of your uterus. If cancerous cells are detected, your doctor may perform surgery to remove cancerous lymph nodes and endometrial cancerous cells or growths.
How to Stop Perimenopausal Bleeding Naturally
Disclaimer: This is not medical advice, does not take the place of medical advice from your physician, and is not intended to treat or cure any disease. Patients should see a qualified medical provider for assessment and treatment.