Variety of Symptoms
Studies have consistently shown that two symptoms–hot flashes or vasomotor symptoms and vaginal dryness–are definitely related to menopause. Sleep disturbances, irritability, fatigue, depression, and other symptoms may be a result of menopausal changes, however, they may also be due to other physical changes. Health care providers need to listen carefully to their patients’ concerns so proper treatments can be explored.
When Bleeding Becomes Abnormal
In the perimenopausal years, menstrual periods typically become lighter and farther apart. Irregular periods are common and normal during perimenopause. You shouldn’t assume that all changes are related to menopause, however. Other conditions may be the cause.
Talk to your health care provider if the following conditions appear:
- Periods are very heavy, gushing, or accompanied by clots.
- Periods last more than seven days.
- Intervals are shorter than 21 days from the start of the last period.
- Spotting or bleeding happens between menstrual periods.
- Bleeding occurs after intercourse.