Spotting between Periods during Perimenopause: Is it Normal?

By Fiorella M. | Updated: Jun 18, 2019


Each woman will experience perimenopause differently with regards to frequency and intensity of symptoms, so “normal” is often a relative word. Nonetheless, irregular periods are a given as she comes to the end of her fertile years. Read on to discover more about spotting between periods during perimenopause and whether or not you should be concerned.

Irregular periods during perimenopause are common but consult a doctor by other symptoms

Changes in Menstrual Cycle during Perimenopause

Perimenopause is the stage in a woman's life leading up to menopause, and it can last for about 10 years. It is said to begin when a woman experiences prolonged menstrual irregularities midlife and ends after she has not menstruated for a full 12 consecutive months.

Irregular periods are often the first symptom of perimenopause. Some women might find that their periods are shorter or longer than normal, and they might arrive at unpredictable times. This is mainly due to the instrumental role of estrogen.

What Effect Does Estrogen Have?

During premenopause, a woman's levels of estrogen fluctuate in a predictable fashion alongside progesterone. These two principal reproductive hormones regulate the menstrual cycle from puberty until menopause.

However, as she approaches menopause, her estrogen begins to decline more drastically as ovarian hormonal production comes to a halt, and this results in erratic fluctuations until it reaches a consistently low level with postmenopause.

This can often result in bleeding between periods during perimenopause.

Should Spotting Between Periods during Perimenopause Worry Me?

It is normally nothing to worry about. A little bit of spotting every now and then between periods is generally harmless and should not alarm you.

Accordingly, go to see your doctor if spotting lasts longer than a couple of days, occurs every time after sex, becomes very heavy, or is accompanied by other symptoms, such as abdominal pain and cramps. These could be indicative of a serious health condition that requires prompt medical attention.

More Information

In general, this perimenopause symptom is nothing to worry about as this transition is characterized by these irregularities. However, it is important to keep an eye on bleeding between periods during perimenopause and seek medical help if you feel unsure, especially if the spotting is accompanied by any other symptoms.

To find out how to deal with irregular periods and other symptoms, read about natural and effective perimenopause treatments by clicking on the previous link.

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