Perimenopause, or menopause transition, begins several years before menopause. It's the time when the ovaries gradually begin to make less estrogen. It usually starts in a woman's 40s, but can start in her 30s or even earlier.
If you've completed menopause -- meaning you've gone without a period for more than 1 year -- you shouldn't have any menstrual bleeding. Even a little spotting is not normal after menopause.
If you have postmenopausal bleeding, make an appointment to see your doctor as soon as possible. It could be caused by a number of health problems, some of which are serious.
Here are the most common causes of postmenopausal bleeding.
The average length of perimenopause is 4 years, but for some women this stage may last only a few months or continue for 10 years. Perimenopause ends when a woman has gone 12 months without having her period.
What Are the Signs of Perimenopause?
Women in perimenopause have at least some these symptoms:
Are My Perimenopausal Symptoms Normal or Something to Be Concerned About?
Irregular periods are common and normal during perimenopause. But other conditions can cause changes in menstrual bleeding. If any of the following situations apply to you, see a doctor to rule out other causes:
Often your doctor can make the diagnosis of perimenopause based on your symptoms. A blood test to check hormone levels may also help, but your hormone levels are changing during perimenopause. It may be more helpful to have several blood tests done at different times for comparison.