During perimenopause or postmenopause, call your health professional 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 health professional during your next office visit.

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 health professional at your next regular exam.

Who to See

The following health professionals can help you manage menopause symptoms and evaluate menstrual period changes:

• Family medicine doctor
• Gynecologist
• Internist
• Nurse practitioner
• Physician assistant