Periods can get heavier and more painful for some women after the age of 40. Sometimes it is a nuisance and sometimes it is a cause for concern.
“Perimenopause, the transition phase before menopause, is when some people report having heavier periods,” explains Dr O'Neill. “As you approach menopause, the drop in the important hormone oestrogen can cause changes such as the shortening or lengthening of the time between periods or a change in the amount of flow.”
Heavy bleeding is common among women transitioning into menopause, the point when your body's reproductive system stops releasing eggs. One study found that among women ages 42 to 52, more than 90% experienced periods that lasted 10 days or more — with 78% reporting their blood flow as heavy.
Some women notice their menstrual cycle getting shorter with age. According to ACOG, changes in your menstrual cycle during perimenopause are normal. Your periods may become shorter or longer, and the days between your periods may increase or decrease. Your menstrual flow may become heavier or lighter.
From your early 40s and into your 50s, during perimenopause, you may find that your periods change and become erratic as your ovaries slow down and oestrogen levels start to fluctuate. It can be very common for your cycle to become highly unpredictable and periods to be heavier and longer.
Conditions affecting the ovaries, womb, or hormone levels can cause sudden heavy periods. These include uterine polyps, endometriosis, and more. According to the Centers for Disease Control and Prevention (CDC) , heavy periods are among the most common health issues that females report to doctors.
Your natural menstrual cycle is driven by your hormones. The menopause is the time that your hormone levels fall so that you no longer experience menstrual periods. In the lead up to this cessation, your hormone levels may fluctuate erratically, causing changes to your menstrual cycle, including heavy periods.
Many common perimenopause symptoms are similar to menopause signs. For example, hot flashes may occur — when your body feels very hot for brief periods of time, and night sweats. Some people experience mood changes, anxiety, problems sleeping, vaginal dryness, and less interest in sex.
Hormonal imbalance
Menorrhagia can be caused by an imbalance in estrogen and progesterone levels. Some women have elevated estrogen levels and low progesterone levels. This can lead to a thickening of the uterine lining, which often results in heavy bleeding.
What are periods like during perimenopause? Your body is producing less of the hormones that help you ovulate, so your periods can become irregular. Your menstrual cycle could become longer or shorter than usual. Your bleeding could also be heavier or lighter than normal.
Generally, women experience lighter and less frequent periods as they enter menopause, which eventually causes a woman's periods to stop altogether. To help understand these hormonal fluctuations, we've put together a list of the most common perimenopausal period changes to help you prepare for the change.
There can be several causes of postmenopausal bleeding. The most common causes are: inflammation and thinning of the vaginal lining (atrophic vaginitis) or womb lining (endometrial atrophy) – caused by lower oestrogen levels. cervical or womb polyps – growths that are usually non-cancerous.
Overview. Menopause is the time that marks the end of your menstrual cycles. It's diagnosed after you've gone 12 months without a menstrual period. Menopause can happen in your 40s or 50s, but the average age is 51 in the United States.
The bleeding tends to be heaviest in the first 2 days – but everyone is different. When your period is at its heaviest, the blood will be red. On lighter days, it may be pink, brown or black. You'll lose about 5 to 12 teaspoons of blood during your period although some women bleed more heavily than this.
Perimenopause can begin in some women in their 30s, but most often it starts in women ages 40 to 44.
There are three stages of menopause: perimenopause, menopause and postmenopause.
Perimenopause is a process — a gradual transition. No one test or sign is enough to determine if you've entered perimenopause. Your doctor takes many things into consideration, including your age, menstrual history, and what symptoms or body changes you're experiencing.
Occasional heavy periods, called menorrhagia, are common in perimenopause. One study of more than 1,300 middle-aged women reported that 91 percent of them experienced at least one occurrence of heavy flow lasting three or more days during a three-year timeframe.