Sporadic Periods and Heavy Bleeding During Menopause
About four years leading into menopause, generally when you are in your 40s, you undergo a transitional period called perimenopause. Sporadic heavy bleeding, night sweats, hot flashes, chills and vaginal dryness are all symptoms that your body is preparing for menopause. There are several treatment options available today to manage these symptoms.
Though difficult, this is a natural process every woman has to go through. Menopause is confirmed by 12 months of absent menstrual bleeding.
Is sporadic and heavy bleeding normal leading to menopause?
Some women abruptly stop bleeding and enter menopause immediately, while some experience sporadic and heavy bleeding for months on end. It is possible to have regular periods for a few cycles, then just spotting for a few months and heavy bleeding the next cycle. You may bleed for just a day in one cycle, but in the next cycle bleeding continues for over two weeks.
Anything goes, and there is no rhyme or reason for the bleeding pattern leading to menopause.
What causes sporadic and heavy bleeding during perimenopause?
In the years leading to menopause, estrogen and progesterone levels in your body are all over the place. Ovulation becomes sporadic due to lowering estrogen levels. As a result of non-ovulation, progesterone is not released. This disturbs the delicate hormonal balance that keeps your cycle regular, leading to sporadic and sometimes heavy bleeding.
What are the other possible causes of sporadic and heavy bleeding during menopause?
Sporadic and heavy bleeding is also caused in cases of the benign growth of fibroids or polyps in the uterus. Uterine cancer is also one of the other reasons for this condition. Ask for a thyroid function test, as symptoms of perimenopause, such as menstrual irregularities, sluggishness, depression and weight gain, are very similar to symptoms of hypothyroidism. Endometrial hyperplasia, infection and other chronic medical conditions are also responsible for heavy bleeding during menopause.
How do you treat sporadic and heavy bleeding during menopause?
Once your doctor determines that your bleeding irregularities are related to perimenopause, there are a number of options to manage your condition. Low-dose birth control pills are the recommended treatment. It not only regulates your cycle, it is also effective in controlling other symptoms such as hot flashes and night sweat. If birth control pills are working well for you, continue taking them until menopause. For sporadic bleeding, treatment with progestogen or progesterone is an option. If none of the non-invasive techniques work and you continue to bleed heavily, a dilation and curettage procedure is performed. Dilation and curettage is not a permanent cure, and heavy bleeding has the potential to return during your next cycle.
Many women find over-the-counter products like estrogen cream, phytoestrogenic herbs like soy and non-estrogenic herbs like black cohosh as effective in dealing with menopause as traditional medical treatment.
Sporadic and heavy bleeding sometimes results in iron-deficient anemia. It is therefore important to take iron-supplements when you are experiencing this condition.
Note... I have read that Post Menopause Iron supplements are not required as iron increases after menopause in the body and supplements may cause overload of iron.