Menopause typically marks the end of a woman's menstrual cycles, however, some women may experience irregular or heavy bleeding during the transition to menopause, a condition known as perimenopause.
But it is not normal to have heavy bleeding during periods during menopause, perimenopause, and, for that matter, even before that.
Heavy bleeding during periods, known as menorrhagia, and now termed simply as “HMB- heavy menstrual bleeding”, can be caused by a variety of factors, including hormonal imbalances, endometrial hyperplasia, uterine fibroids, endometrial polyps, or even endometrial cancer. If you are experiencing heavy bleeding during periods during your perimenopause, it is important to speak with a healthcare provider, as this can be a sign of a serious health condition, besides causing a loss of blood, your hemoglobin and thus lowering your immunity.
Your healthcare provider may recommend a variety of tests and procedures, including a pelvic exam, ultrasound, or biopsy, as well as blood tests, to determine the cause of your heavy bleeding and recommend the most appropriate treatment. Treatment options may include non hormonal therapy, hormonal therapy, medication, or surgery, depending on the underlying cause of your symptoms.
If you are experiencing heavy bleeding during periods during menopause, it is important to seek medical attention to determine the cause and develop an appropriate plan of care.