Perimenopause Period

Menstrual Cycle Near Menopause (Perimenopause) – Comprehensive Guide

What is Perimenopause?

Perimenopause is the transitional period before menopause. It usually begins in the 40s and is characterized by irregularities in menstrual cycles.

What Changes in the Menstrual Cycle?

Periods become irregular; sometimes more frequent, sometimes delayed. The amount of bleeding may increase or decrease.

Hormonal Changes

There are fluctuations in estrogen and progesterone levels. This affects menstrual regularity and symptoms.

Common Changes

Shorter or longer cycles, intermenstrual bleeding, heavy periods, and sometimes absence of periods for several months may be observed.

Ovulation Pattern

Ovulation becomes irregular and may not occur at all in some cycles (anovulation).

Accompanying Symptoms

Hot flashes, night sweats, sleep problems, mood changes, and vaginal dryness may be observed.

When to Seek Medical Attention?

Very heavy bleeding, menstruation at intervals shorter than 2 weeks, postmenopausal bleeding, or prolonged delays must be evaluated.

Does Pregnancy Risk Continue?

Yes. Although ovulation is irregular during perimenopause, the possibility of pregnancy continues.

How is Diagnosis Made?

Clinical history, hormone tests (FSH, estradiol), and ultrasound are used for evaluation.

Treatment and Management

Hormonal therapy based on symptoms, lifestyle adjustments, and if necessary, medical treatments can be applied.

Conclusion

Menstrual irregularities near menopause are generally physiological, but in some cases, underlying pathologies need to be ruled out.