Menopause and Perimenopause - When to Call a Doctor
During perimenopause or postmenopause, call your doctor about:
- Menstrual periods that are unusually heavy, irregular, or prolonged (1½ to 2 times longer than normal).
- Bleeding between menstrual periods, when periods have been regular.
- Renewed bleeding after having no periods for 6 months or more.
- Unexplained bleeding while you are taking hormones.
- Perimenopause symptoms, such as insomnia, hot flashes, or mood swings, that aren't responding to home treatment and are interfering with your sleep or daily life.
- Vaginal pain or dryness that does not improve with home treatment, or you have signs of a urinary tract infection.
If you have concerns about osteoporosis risk and prevention, talk to your doctor during your next office visit.
If you have completed menopause -- gone without a period for more than one year -- you should not experience 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 is an overview of the most common causes of postmenopausal bleeding.
Read the Postmenopausal Bleeding article > >
For more information, see the topics Abnormal Vaginal Bleeding, Dysfunctional Uterine Bleeding, and Osteoporosis.
Watchful Waiting
Menopause is a normal process of hormone change and doesn't require treatment. If your menopause symptoms are mild, try home treatment for relief. Discuss your symptoms with your doctor at your next regular exam.
Who to See
The following health professionals can help you manage menopause symptoms and evaluate menstrual period changes:
WebMD Medical Reference from Healthwise

