You are here

Heavier Flow in Perimenopause

Question

I am 49 and have had a regular light period all my life. I have 3 children and do not use oral contraception. Recently I have been experiencing large clots and heavier flow. It is the clots that concern me because I have never seen this before. Should I seek the help of a gynecologist?

Answer

Thank you for your question. It is quite common for women in perimenopause, which you probably are, to have heavier flow and with that go clots. Often menstrual cramps also increase.

The only worrisome problem about clots and heavier flow is if it means that you are at risk for a low blood count (anemia) because of loss of iron. An indicator of that is use of 16 or more soaked normal-sized pads or tampons in one full period. Often the reason for heavy flow in perimenopause is that estrogen levels are high and progesterone levels are low or the time of progesterone in the cycle (luteal phase) is too short. These hormonal changes also cause the increased cramps.

I'd look at “Very Heavy Menstrual Flow” for some suggestions. If it persists you should tell your doctor, get a blood count and probably start cyclic progesterone therapy.

The good news is that periods and all of the changes of perimenopause will eventually go away and you will graduate into menopause.

Hope this is helpful to you.

Life Phase: 
Perimenopause
Updated Date: 
Wednesday, November 20, 2013 - 14:15

Join a Study:

Enrolment complete: Perimenopausal Hot Flush Study

Enrolment is now complete. Thank you for your interest.
CeMCOR is now recruiting Canadian women for this CIHR-funded randomized controlled trial to test whether oral micronized progesterone is more effective than placebo as therapy for hot flushes and night sweats in perimenopausal women.

LEARN MORE

 

Get Involved

Volunteer research participants are the heart of all CeMCOR research. Participants are invited to provide feedback on study processes, to learn their own results and at the end of a study, be the first to hear what the whole study found. Please become a CeMCOR research participant—you can contribute to improving the scientific information available for daughters, friends and the wider world of women.