Brief Answer: Comsiderations Detailed Answer: Hello and thank you for submitting your question. During the time around menopause (perimenopause), menstruation can be very abnormal. Menopause is generally defined as absence of menstruation for an entire year. It can take several years for menopause to occur, going through the phase of perimenopause with abnormal bleeding, hot flashes and mood swings. If these symptoms are concerning, it is certainly reasonable to see your physician for a physical examination and assessment. Thanks gain for submitting your question and I hope this was helpful. Sincerely, Dr G

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