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.
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.
Menstrual bleeding might happen every 21 to 35 days and last 2 to 7 days. For the first few years after menstruation begins, long cycles are common. However, menstrual cycles tend to shorten and become more regular as people age.
Some women experience high levels of estrogen and low levels of progesterone. This can cause the uterine lining to thicken. When a thick uterine lining sheds during menstruation, women might experience heavier blood flows and larger blood clots.
YOUR PERIOD IN YOUR 30s
Symptoms such as a suddenly heavier flow or more intense pain than your usual cramps may be a sign of a bigger issue. Benign growths called fibroids, which can leave you with heavier bleeding, generally don't make a debut until you've reached the big 3-0.
Heavy periods during the perimenopause: what you need to know. The perimenopause is the time directly before the menopause, when you still have periods, but the fluctuating and low hormone levels – especially estrogen – can trigger a whole host of symptoms, including heavy periods.
The average menstrual cycle for women in their late-30s and 40s tends to be shorter cycles with heavier bleeding. They may also have intermittent menopausal symptoms such as hot flashes and night sweats. During this time, you can also expect some variation in the number of days of bleeding or the amount of flow.
If a hormone imbalance occurs, the endometrium develops in excess and eventually sheds by way of heavy menstrual bleeding. A number of conditions can cause hormone imbalances, including polycystic ovary syndrome (PCOS), obesity, insulin resistance and thyroid problems. Dysfunction of the ovaries.
How do you know if you have heavy bleeding? If you need to change your tampon or pad after less than 2 hours or you pass clots the size of a quarter or larger, that is heavy bleeding. If you have this type of bleeding, you should see a doctor.
Even for women who haven't had children, periods might be heavier or more painful in these years because gynecological conditions such as endometriosis, uterine fibroids, and ovarian cysts have had time to develop. That's why cramping is most common in the late 30s to early 40s.
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.
Perimenopause can begin in some women in their 30s, but most often it starts in women ages 40 to 44. It is marked by changes in menstrual flow and in the length of the cycle. There may be sudden surges in estrogen.
And the unfortunate thing is that you might experience even more painful periods in your 40s. Since the production of progesterone and estrogen could occur in shorter intervals and higher surges, really painful periods in your 40s may mark the beginning of perimenopause.
Studies show that this postmenopausal bleeding is usually caused by conditions like uterine fibroids or polyps. It can also be a sign of endometrial cancer, which affects 2 to 3% of women and is most common among postmenopausal women. Heavy bleeding could also be a symptom of another underlying health condition.
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.
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.
Polyps and Fibroids
Uterine polyps that grow on the cervix or in the lining of the uterus can also be a factor in heavy clotting. If you're experiencing heavy bleeding, large blood clots during your period or lower back pain, it could be a uterine obstruction like a fibroid.
Your blood will usually be bright red on the heaviest days of your period when you have a steady flow of fresh blood. It's often brighter in colour because it passes out of your body at a faster rate – meaning it has little time to oxidise and go darker.
Blood clots on your tampon or in the toilet are normal when you have your period.
A. If you notice on heavy days of your period that blood seems extra-thick, and can sometimes form a jelly-like glob, these are menstrual clots, a mix of blood and tissue released from your uterus during your period. They can vary in size and color, and usually, they are nothing to worry about.
Common causes of heavy periods include: Hormone problems. Every month, a lining builds up inside your uterus (womb), which you shed during your period. If your hormone levels aren't balanced, your body can make the lining too thick, which leads to heavy bleeding when you shed the thicker lining.
If you're approaching menopause, fluctuating hormone levels may be responsible for worsening PMS symptoms. Research shows that women who suffer from PMS earlier in life tend to have a rockier transition to menopause later in life. These hormonal changes can cause PMS to flare up more noticeably every month.
How early can perimenopause start? It's quite possible for women to start to notice things changing in their mid-30s. Most women arrive at menopause between the ages of 45 and 55, but perimenopause can start as much as a decade beforehand. And about 1% of women in the U.S. reach menopause at age 40 or younger.