When a woman begins to enter menopause, her menstrual cycle is greatly altered due to the sudden and constant hormonal changes that occur at this stage of a woman's life.
This transition, which takes place between the reproductive phase and menopause, is known as climacteric and is characterized by several changes in bleeding from menstruation, which tends to become less irregular. For this reason, it is common for menstruation to fail for a few months, and it is common in cases where it takes more than 60 days to return.
Usually the woman only enters menopause when she completes 12 consecutive months without menstruation, but until that happens, it is important that she is followed by a gynecologist, who can indicate what to do to combat other common symptoms of climacteric, such as hot flashes, insomnia or irritability.
Main changes in menstruation in the climacteric (peri-menopause, menopause, and post-menopause)
Some common changes in the menstrual cycle during climacteric are:
1. Menstruation in small quantities
As menopause approaches, menstruation can come for more days, but with less bleeding, or for longer and with very heavy bleeding. Some women may also have short menstrual cycles, with a lot or little bleeding.
These changes occur due to the low production of estrogen and progesterone, as well as the lack of ovulation in women, being natural and expected to happen around 50 years of age.
2. Menstruation with clots
During climacteric, the appearance of small blood clots during menstruation is normal, however, if there are many blood clots during menstruation, you should go to the gynecologist, as this may be a sign of uterine polyps or even cancer. Vaginal discharge accompanied by small traces of blood can also occur between 2 menstrual periods, but it also requires medical consultation.
3. Late Menstruation
Late menstruation is a common event in menopause, but it can also happen if the woman becomes pregnant at this stage. Therefore, it is best to perform a pregnancy test, if you have not had a tubal ligation and you can still get pregnant.
Many women become pregnant during the climacteric because they think their body is not able to turn yellow eggs and so they stop using contraceptive methods and the pregnancy ends up happening. Although late pregnancy is more risky, most of the time it has no complications.
To make sure you are entering menopause, the woman can go to the gynecologist and perform tests that can assess hormonal variations and how her uterus and endometrium are doing, making sure that there is no health problem leading to the appearance of symptoms such as prolonged menstruation or menstrual absence.
- Other changes may include; Night Sweets, Mood change, Sleep Problems, Weight gain, Slow metabolism, less interest in sex, etc...
(Reference - https://www.webmd.com/menopause/guide/menopause-hot-flashes)
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