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Should I Be Overly Concerned Could Be Related To My Age?

Posted on Mon, 9 Sep 2024

Question: Hi I am a 46 year old female. For the past two months I have experiened spotting about a week to 10 days before period is due. Since this past summer my cycles have been all over the place! I even skipped two months. Should I be overly concerend could thsi be related to my age?

Answered by Dr. Richa Agarwal (7 hours later)

Brief Answer:
Perimenopausal stage

Detailed Answer:
Hello dear,
Thanks for trusting us about your health care.
I have gone through your history and understand your concerns.
Your symptoms are suggestive of hormonal imbalance caused by perimenopausal stage, in which you are having irregular menstrual cycle in form of skipping periods, menorrhagia( excessive bleeding)or amenorrhea( absent menses)in between your period.
Are you having mood swing, sweating, anxiety?
Are you taking any medication?
Are you suffering with thyroid?
At what age your mother received menopause?
Hope to hear from you soon ,feel free to ask more information.
Good luck
Regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Richa Agarwal (24 minutes later)

Thanks for the reply. have been experiencing mood swings along with increased levels of anxiety. I do get periods especially at night where I feel like I'm over heating. My mother was menopausal at the age of 50. She also had five children I have not had any children. Not sure if that would affect the age of menstration. Is it typical to have some periods occur closer together while others further apart during this transition. My periods were completely normal up until five months ago.

Answered by Dr. Richa Agarwal (2 hours later)

Brief Answer:
Perimenopausal stage

Detailed Answer:
Hi,
Thanks for your reply.
Yes,you are in your perimenopausal stage and it starts usually 2-3yrs before complete absence of menses( menopause)
You can take high protein diet and lots of vegetables and fruits.
Do exercise and yoga.
Hope found useful
Regards

Above answer was peer-reviewed by : Dr. Saisudha Kotla

Follow up: Dr. Richa Agarwal (12 hours later)

Last question- what causes spotting during perimenopause? What can I take to reduce hot flashes?

Answered by Dr. Richa Agarwal (47 minutes later)

Brief Answer:
Mainly due to estrogen deficiency.

Detailed Answer:
Hi,
Thanks for your reply.
Spotting in perimenopausal stage could be due to hormonal imbalance caused by decreasing level of estrogen.
For hot flashes avoid oily and spicy food ,drink a lot of water, light weight clothes and reduce weight.
You can use estrogen under supervision of a doctor because there are associated risk with this hormone.
Hope found useful ,please rate my answer.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar