Abnormal Uterine Bleeding: Understand the Signs of Perimenopause
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Abnormal Uterine Bleeding: Understand the Signs of Perimenopause

Dr. Stanley Friedell, Northwestern Women's Health Associates S.C Providing Treatment For abnormal uterine bleeding

There is a period of years during a woman’s life before menopause when hormones have begun to change while the body transitions into menopause. This phase is called periomenopause. During periomenopause a woman may experience abnormal uterine bleeding.

How Long Does Periomenopause Last?

Every woman has a different experience but the phase of periomenopause can last up to 10 years. By definition, a woman has not entered menopause until they have been without a menstrual period for 1 year.

During a normal menstrual cycle a women’s hormones change in a cyclic pattern which causes a fairly consistent menstrual period. During periomenopause a woman will experience abnormal uterine bleeding or spotting. The severity of the bleeding can fluctuate during this phase as can the duration of each menstrual period.

Symptoms During Perimenopause

In addition to abnormal uterine bleeding there are other signs that a woman has entered the perimenopause phase, and your gynecologist should be able to help with these:

  • Sensitive breasts
  • Increased PMS symptoms
  • Irregular periods
  • Decreased libido

What Are the Signs of Abnormal Bleeding

According to ACOG the following are signs of abnormal bleeding:

  • Extremely heavy bleeding
  • Bleeding that lasts longer than normal
  • Bleeding that occurs more frequently than every 3 weeks
  • Bleeding after sexual intercourse and between menstrual periods

It is important to understand these signs and not assume that any type of abnormal uterine bleeding is a sign of periomenopause. There are other circumstances that can cause irregular bleeding.

Other causes for irregular bleeding include the presence of polyps or fibroids that develop and attach on the uterine wall as well as endometrial atrophy which is the thinning of the tissue that lines the uterus which happens because of low estrogen levels.

In contrast endometrial hyperplasia is when the lining thickens often because of excess estrogen. In certain cases the lining becomes abnormal and leads to endometrial cancer. Each of these issues can result in abnormal uterine bleeding.

If you are experiencing irregular bleeding it is important to contact your obstetrician and gynecology provider right away. Abnormal uterine bleeding can be a warning sign for something more serious. If your gynecologist is concerned about the bleeding they might recommend, an endometrial biopsy or sonohystogram or potentially a hysteroscopy.

At Northwestern Women’s Health Associates our experienced providers can evaluate the presence of abnormal uterine bleeding and determine the best course of action. You can schedule an appointment by calling 312-440-9400 or you can request an appointment online.

DISCLAIMER: All information on this website is provided for informational purposes only and is not intended to be construed as medical advice. Northwestern Women’s Health Associates  shall not be liable for any errors or inaccuracies contained herein, or any actions taken in reliance thereon.

 

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    If you are new to Chicago or are just looking for a new physician, please make an appointment with Dr. Friedell. This is the first time in my adult life, that a doctor spent an hour with me going over my medical history, asking questions and documenting my history accurately. His assessment and subsequent surgery were all done t a T! I wouldn't hesitate to recommend him or his staff. I have had very positive experiences every time I've gone and I always leave feeling like I've been really seen and heard.
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    I was recommended to NWWH through a friend after a year of unsuccessful IUI with my partner. We were seen and cared for by Dr. Friedell. Best decision ever. You will definitely wait for the doctor for maybe 30 minutes past your appointment time but you will not regret it. His thoroughness and patience to explain everything to us in a way we understood was amazing. He was quick to start a game plan for us. We will definitely stick with Dr. Friedell as our OB/GYN.

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    I have been going to Dr. Friedell for over a year now and he has been nothing less than amazing. When I first came to him to discuss pregnancy, he was incredibly informative and understanding. He was also willing to take the time to answer all of my questions and help in any way he could. He just delivered my son in March and to say he went the extra mile during delivery would be an understatement. I had some complications and with any other doctor I would have had a c-section. Dr. Friedell worked with me and was extremely patient and because of his care and expertise I had a successful vaginal delivery. I cannot recommend him highly enough!
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    I have been a patient of this practice for over 5 years now and have only positive reviews of Dr. Feldstein. He was the doctor on call and delivered my third son without any complications. He was knowledgeable, patient focused and went above and beyond to answer my questions and provide a safe and healthy delivery. I also want to note his positive bedside manner to not only my husband and I, but to the nursing staff that was working with him. He was very respectful and I am very thankful to have had him for my delivery. I would recommend this group, Dr. Feldstein in particular without reservation.
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