Very few women simply suddenly stop menstruating. The cycles generally become more irregular in length as the menopause approaches. Changes in the flow may be experienced – blood flow may be heavier or lighter.
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Finally, the intervals between menstruations become longer, with missed periods or episodes of spotting only. The irregularity may last for two or three years before menstruation finally ceases. When no bleeding has occurred for one year, the menopausal transition is said to have occurred.
Bleeding after this time can be a sign of a serious underlying problem and should be seen to as soon as possible.
What causes erratic periods?
The time span leading up to menopause is a gradual process of the ovaries going into retirement. Erratic periods are caused by fluctuating levels of hormones deriving from the ovaries and pituitary gland (hormone-controlling gland in the brain) which go hand in hand with a decreased frequency of ovulation.
Problems to look out for
Although it is completely normal to have irregular periods and a change in flow, one should see a doctor if any of the following symptoms are noticed as these could signal other problems:
Spotting between menstrual periods
Periods that last more than seven days (or two days longer than usual)
Very heavy or gushing flow
Bleeding from the vagina during intercourse
What to do
A menstrual chart should be kept and notes of the following be made:
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