La premenopause It is a period of time that the woman has to go through before the menopause, happening at a drastic hormonal change and causing some changes in her menstruation. Many women suffer from abundant periods and for this we will analyze why it happens and what to do to deal with it in the best way.
At this stage the woman reaches an age where it already supplements with a minor ovulation, where the secretion of sex hormones (progesterone and estrogen) are altered and provoked Irregular menstrual flow. They are not always abundant bleeding, in other women they cause high stops with periods without menstruation and without undergoing major changes.
What is premenopause?
Premenopause it is a stage that a woman goes through at a certain advanced age. At this point her reproductive age is waning and begins to have absent menstruation. Among other changes, you may experience physical or psychological changes, such as anxiety, depression or some mood swings.
You may have a long way to go until you reach menopause, from two to seven years before 40 and 50 years of age. During this process you may be accompanied by many changes, such as hormonal imbalances, vaginal dryness or night sweats. Although premenopause can occur in two different ways in women:
- Women can be in a long period of up to a year without menstruation and already going through menopause, hardly feeling big changes in his life.
- O present hormonal changes and alterations during this process, with abundant rules and in some cases even painful. Up to 25% of women suffer from this process.
Why does irregular menstruation occur in perimenopause?
During this period the menstrual cycle is creating a transformation. This is because the Progesterone and estrogen levels go up and down. By not following a strict pattern, the ovaries produce irregular menses and on the wrong day. In addition to having an irregular menstruation, intense bleeding can occur and where the days of menstruation are longer than 7 days or more than usual.
Being close to the time of menopause is when ovulation will disappear and therefore in the endometrium said detachment will not occur without causing menstrual flow. When you have a period of 12 months without menstruation, you can already pull the entrance to menopause.
When there is vaginal bleeding during menopause
One of the causes of this bleeding is vaginal atrophy. It is caused once the menopause has entered where they occur from time to time. It is due to the decrease in estrogen in the endometrium and causes the mucosa that lines the inside of the uterus to become much thinner. Hence this bleeding occurs.
- On the other hand, it is necessary to analyze if there is the presence of uterine fibroids. They are called leiomyomas or fibroids, Non-cancerous growths inside the uterus that, being large, cause pelvic pain, constipation, urination problems, and bleeding.
- El endometrial polyp They are benign tumors that grow in the endometrium and cervix. It is necessary to have to remove them so that it does not produce great bleeding.
- endometritis It is an infection and inflammation of the uterine lining, caused by an infection or sexually transmitted disease. Your treatment will depend on what the cause is.
- Another cause would be endometrial hyperplasia, due to excessive growth of cells in the lining of the uterus.
- Other cases, but less probable would be the endometrial cancer and uterine cancer. They are malignant tumors that are located in these areas and where there will be a more special type of treatment.
- The intake of some medications They can also be the cause. Those used as hormone therapy for menopause can cause this bleeding.
In the face of any problem with these bleeding, you should go to a family doctor to be referred to the gynecologist. A series of tests will be carried out, including a transvaginal ultrasound, a hysteroscopy to insert a camera or a biopsy of the endometrium.