How are the critical days in menopause and what is menopause 4


The process of menopause is individual for each woman and depends on the characteristics of her body, for someone it goes unnoticed, and someone suffers from tides and mood swings. In any case, it is accompanied by the extinction of reproductive function and the cessation of menstruation. The transition is gradual and usually falls on 50 years.

Changing the cycle can take place both smoothly and with certain inconveniences. Let us see what kind of discharge to wait for a woman during menopause and menopause, how climax affects the functioning of the reproductive system, what signs indicate the presence of pathologies and require the intervention of physicians. How are monthly during menopause, we consider in this article.

Reproduction Fading

During menopause, bleeding decreases, and when menopause occurs, they completely disappear, but this does not mean that the reproductive function of a woman has completely died out. Endometrium in the uterus continues to function, causing the formation of estrogen. This process can take up to two years.

The body tries to make the process of rebuilding as smooth as possible, so when menopause occurs, the woman continues to feel attractive.

Along with a decrease in the number of hormones, the female genital organs also suffer changes: the uterus shrinks in size, the vagina becomes narrower and less moisturized.

During this period, the possibility of conceiving and successful pregnancy is not excluded. The growth of the endometrium in the uterine mucosa provokes the work of the ovaries, forming full-fledged eggs. This process is irregular, but indicates the possibility of conception. Consider next, how are monthly during menopause.

Pathology of menopause

Can menopause go during menstruation? This question interests many.

The initial phase of menopause is characterized by irregular bleeding, but the appearance of heavy periods after a long absence of discharge may indicate the development of pathologies.

Menopause requires special attention. Often, it is at this time that various types of benign and malignant tumors begin to develop in a woman’s body. A decrease in the level of hormones affects the thinning of the endometrial layer of the uterine lining, which leads to a change in structure and provokes the development of pathologies.

Excessive bleeding after complete cessation of the menstruation cycle is dangerous to health. They may indicate the presence of diseases of the endocrine system, benign and malignant tumors, diseases of the adrenal glands and the pituitary gland.

Violations in the hormonal background are reflected not only in the work of the female reproductive system. They can cause serious diseases in all systems of the body, such as osteoporosis, diseases of the mammary glands and the heart.

Improper diet and bad habits can also trigger bleeding.

The appearance of bleeding in the postmenopausal period does not apply to the processes of the menstrual cycle and requires immediate treatment to the doctor.

What is dangerous menstruation during menopause?

With the appearance of discharge should not panic. Often monthly with menopause are physiological in nature and do not pose a threat to health.

If menstruation lasts longer than 7 days, the discharge is abundant, you should consult a doctor to find out the reasons. Uterine bleeding can be caused by:

  • failure of hormonal background
  • medication,
  • low progesterone levels
  • pathology of the reproductive organs.

If you have doubts about the causes of the onset of menstruation, consult a doctor. Self-medication will not bring proper results.

During menopause, menstruation occurs: the distinctive features of bleeding

Often, women perceive bleedings that require immediate treatment in the hospital, for the usual periods, thereby missing precious time and exacerbate the possible consequences.

There are a number of signs that distinguish bleeding from menstruation:

  • The amount of discharge. If you have to change hygiene products more than 1 time per hour, most likely you are dealing with bleeding.
  • A large number of clots, as well as the presence in the blood masses of epithelium pieces is not the norm for menstruation.
  • The interval between periods is less than 21 days.

  • Allocations last longer than a week.
  • Spotting after intercourse.
  • Feeling unwell during menstruation: general weakness, dizziness, pale skin, nausea, vomiting.

The presence of one or more signs indicates a failure in the female reproductive system. Seek immediate medical attention for diagnosis and appropriate treatment.

Diagnosis of the causes of bleeding

So, after menopause go monthly. Timely access to experts will allow you to quickly deal with the problem and minimize the possible consequences.

To diagnose the causes of bleeding, the doctor conducts the following activities:

  • inspection on the chair,
  • general blood analysis,
  • blood chemistry,
  • a blood test to determine the amount of hormones
  • tests aimed at identifying tumor markers,
  • endocrine system research
  • Ultrasound of the genitals
  • MRI of the pelvic organs.

How many days can go monthly during menopause, described above.


If something is bothering you or you are in doubt about the reasons for the appearance of menstruation, consult a specialist, undergo an ultrasound examination and perform an endoscopy. Identification of the problem at the initial stage will allow to solve it in the medical way.

It is important to carefully treat your body, then the onset of menopause will be easy and will not cause inconvenience. We answered the question of how menstruation goes during menopause.

Previously asked:

Hello. I am 46 years old. The third month is not monthly, but now they hurt the stomach and swollen breasts. Is this the onset of menopause? Will there be more menstruation? The test is negative. Thank you in advance!

I am 51 years old ! I have a climax ... six months later my monthly period went! what is it .

Good afternoon, Svetlana Nikolaevna! You should contact your gynecologist for an examination soon. Rarely such disorders do not have organic pathology (polyp, endometrial hyperplasia, etc.). Additional examination is necessary, after which treatment will be prescribed. All the best!

Hello, Hope! Menopause starts at all differently. One of the options is when the monthly beginnings begin to come once every two, then once every three, every six months. Then stop altogether. Perhaps this is your option. But you are still a young woman! It's a bit early to talk about menopause, although it often begins at that age. Most likely, your period will still go away, all the symptoms indicate this. Still, it should be in a planned order to perform a pelvic ultrasound, visit a gynecologist. Good luck!

Similar articles

The important point is how to distinguish menstruation from bleeding during menopause. After all, the former lose their former regularity and regularity. On critical days, the discharge is thick, with small pieces of endometrial tissue.

How is the menopause there is a chance to find out and her partner, because the desire to have sex is quenched. . We recommend reading the article about the critical days in menopause.

Many women with displeasure meet critical days, even realizing their inevitability. . 12 months, it would seem, pass quickly. But for those who have menopause is difficult, it does not seem so.

But if failures continue, it is imperative to undergo an examination and find out the reason for further correct treatment. . oligomenorrhea - with regularity of critical days every three to four months.

How do menstrual changes during menopause

On average, menstruation occurs in women 30-35 years old and during this time a clear cycle is established. Failures are not excluded, but in general, everyone knows how many days she will have discharge and how long the gap will last between them. During menopause, the cycle and nature of the discharge changes, additional symptoms appear. Each phase of menopause is characterized by different distinctive features. This is due to a decrease in the amount of sex hormones produced by the body.

Premenopause and monthly

So called phase, which normally occurs approximately 40-45 years. The body begins to produce less and less female sex hormone estrogen, which is able to prolong the functioning of the ovaries. Because of this, the interval between menstruation becomes longer with each cycle (it can be up to six months). The amount of bleeding gradually decreases. In the pre-climatic period, as a rule, women begin to be disturbed by hot flashes, sweating. Her mental and emotional state is changing. The duration of premenopause is 2-10 years.

With menopause

The second stage of menopause. Menopause is the year that has passed since the end of the last menstrual period. Ovulation stops, because the ovaries are no longer functioning, and the female hormones are no longer in the body. In the uterus stops the growth of the endometrium. Monthly during menopause no longer go. The appearance of bleeding indicates either the presence of pathologies, or that premenopause is not over. The symptoms of menopause are aggravated:

  • strong tides
  • excessive sweating
  • panic attacks, anxiety,
  • restless sleep or lack of it,
  • headache and spin,
  • pressure surges
  • chest loses elasticity
  • the vagina ceases to be elastic,
  • weight changes.

With menopause

Postmenopause - the last stage, which lasts until the end of a woman's life. It is characterized by a complete absence of menstruation. This is a natural sign that ovarian function cannot be restored. The exceptions are cases when a woman takes certain hormonal drugs that can return to menstruation. If at this stage during menopause went monthly, it is necessary to be monitored by a doctor. Excretions can talk about these diseases:

  • hyperplasia, atrophy, endometrial polyps,
  • cervicitis,
  • fibromyoma of the uterus,
  • atrophic vaginitis,
  • malignant tumors.

What can be menstruation with menopause

Not always bleeding even in premenopause can be considered normal, and in the two final phases they should not be at all. Therefore, every woman should monitor the nature, frequency of menstruation during menopause. There are a number of signs that indicate that the bleeding is not menstrual and is caused by a particular disease. If you find any of them, you should immediately contact a gynecologist. The specialist will diagnose and explain whether there is reason for concern.

Long menstruation

If the discharge goes longer than the usual number of days, then it is necessary to consult a doctor. As a rule, it is no longer menstrual, and uterine bleeding - menometrorragia. Especially it is necessary to be on the alert, if the discharge goes for three days longer than you are used to, and at the same time their volume does not decrease at all. The most innocent causes of this phenomenon are poor diet or bad habits. Diseases that can cause long periods during menopause:

  • malignant tumors,
  • polyps or endometrial growth,
  • bleeding disorders,
  • polycystic ovary.

Violation of the menstrual cycle

Hiccups are the very first signal that menopause begins. Characterized by a violation of the cycle at which delays occur. At first, menstruation begins just a few days later than usual. Gradually, the intervals between them are becoming longer. This is a normal process. It is necessary to panic, if uterine bleeding (metrorrhagia) suddenly begins in the intervals between the menses, this may indicate the presence of a tumor in the uterus. Sometimes this phenomenon causes the use of oral contraceptives.

Abundant monthly

The nature of this phenomenon can be both normal and abnormal. In the first case, the menstrual periods during menopause are abundant in women because there are not enough eggs in the ovaries, which leads to a hormonal imbalance. Estrogen becomes less than progesterone. The body reacts to this imbalance by heavy bleeding. Call your doctor if there are clots in your discharge. He will determine the cause, prescribe hemostatic drugs, perhaps recommend folk remedies to stop the selection.

As a rule, profuse uterine bleeding begins with:

  • hormonal failure,
  • uterine myoma,
  • polycystic ovaries,
  • pregnancy occurring in premenopausal disease with complications (miscarriage threat, fetal development in the fallopian tube, placenta previa).

Delay of menstruation

Delayed onset of menstruation is the first and absolutely normal sign of menopause. There are several types of delay during menopause:

  1. Monthly stop smoothly. First, the delay between them is a few days, then weeks, months. The number of days on which the discharge goes, and their volume is also reduced.
  2. The menstruations abruptly stop walking and never repeat. There are very few women whose menopause begins like this.
  3. Breaks between periods last for 3-4 months, then up to six months.
  4. After a year or two, the absence of menstruation suddenly resume. This is a serious reason for immediate treatment to the doctor, because it may indicate the presence of tumors in the genitals.

In premenopausal conception is still possible, although it is problematic, so you must make sure that you are not pregnant. If the nature of the delay is menopause, then it will be accompanied by other symptoms: hot flashes, insomnia, excessive sweating, nervous disorders, pressure jumps, and heart rhythm disturbances. However, with the sudden cessation of menstruation, women, especially those who have not turned 45 years old, better confirm the absence of pregnancy at the doctor.

Body restructuring

Menstruation with menopause is a natural phenomenon until a certain point. And all the characteristics that answer the questions: "What is the duration of menstruation during menopause, as well as what should be the nature of its flow?" - Depends on the stage of menopause.

The female body is a rather complex biological unit, which in order to move to the next stage of development will require a considerable amount of time. Therefore, the reproductive functionality of the female body fades away at a slow, gradual pace. Menstruation during menopause may occur in a cyclical manner until the reproductive organs lose their fertility and die out.

Modern medical specialists divide the entire climacteric period into:

Each phase of menopause is characterized by its symptoms and has certain symptoms. In general, the duration of menopause falls on a rather long period of time equal to 8-10 years. After which there is complete atrophy of the ovaries, and cessation of hormone production by the pituitary gland. After the end of menstruation, and after all the menopause in the woman's body, the maturation of the egg, the subsequent fertilization and the onset of pregnancy will no longer be possible.

Period premenopause may last from 2 to 7 years. During this stage in the female body begin the initial processes of hormonal adjustment. As the main characteristics of the considered stage of the climacteric period there may be monthly irregular manifestations. The menstrual cycle begins to change completely. The time interval between menstruation may become longer or significantly reduced. The nature of menstruation during menopause is also changing. They can become either of an immaterial nature, or, conversely, more intense than before. It mainly depends on the individual structure of the female body. Premenopause is a small time period preceding the last menstruation in a woman’s life.

Menopauseis the period when menstruation is last. After menstruation in the period of menopause ends, the reproductive organs of the female body completely stop their functionality, and also the production of sex hormones stops. At the end of the menopausal period, the female body is no longer able to conceive, as the eggs no longer have the ability to mature and leave the follicles.

The climacteric period begins on average at the age of 45-47 years. But these data are not accurate, since all the natural processes occurring in the body of each woman have their own specific features of the course, development and, accordingly, the beginning. Therefore, the age of onset may be different. For one, it can occur at 43, and for another, at 54 years old.

After the last menstrual period with menopause, menopause lasts a year.During this time interval, the ovaries are completely amenable to atrophic processes, and the female reproductive functionality is completely extinguished.

If during this year the monthly does not come again, then the period comes postmenopause. It can last up to 5 years. During this period of time, the female body undergoes recent changes and eventually passes into the senile period of development.

Possible changes in menstruation during menopause

The climacteric period with concomitant changes at the premenopausal stage can occur in various forms, depending on the age category and the presence of concomitant pathological processes. Monthly during menopause may stop in the following variations:

  1. The menstrual cycle begins to appear less and less. There is a fluctuation in the nature of the flow and duration, with different intervals between cycles. Such changes can last up to 3 years. Symptoms do not cause special ailments.
  2. Monthly can stop suddenly, their appearance is no longer noted. But this ending of menstruation does not relieve climacteric changes that cause symptoms such as hot flashes and hot flashes, as well as disorders of psycho-emotional state. The manifestation of symptoms has a subtle nature of the course.
  3. The intervals between two successive menstrual cycles can be from 2 to 4 months, after which the menopausal period begins.
  4. The occurrence of menstruation goes in an erratic mode, and after a long break menstrual-like bleeding can go with a high degree of profusion and duration. Such violations of the menstrual cycle can lead to chronic weakness, dizziness and the development of anemia, that is, anemia.

Types of menopause disorders

The onset of menopause and menstruation with an irregular pattern of flow is normal. But such a violation of the menstrual cycle during menopause, as the appearance of heavy discharge, formed after a long break, can be a health hazard.

In medicine, there are many cases when women after menstruation fails after a year, menstruation can begin again. With their abundant nature of the course and duration of several days, there can be no talk of menstruation during menopause. Here is the beginning of uterine bleeding, indicating the development of serious pathological processes. Seeing these phenomena, a woman must necessarily come to a medical specialist to identify the true cause of their appearance.

Factors contributing to the appearance of uterine bleeding quite a lot, especially during menopause, among which there are such as malignant tumors and elevated levels of estrogen.

But it should be noted that not in all cases, when they came monthly after an annual period of absence, it is considered pathology. It happens that when menopause does not stop the menstrual cycle for a very long period of time and its appearance after 12 months can be the norm.

In order to convince yourself that there is in fact no pathological process, go to the antenatal clinic, before the alarms have passed. Wait until they pass, it is not recommended. To prevent the development of serious pathologies such as tumors, benign and malignant neoplasms, cysts, etc., you need to consult a specialist in a timely manner.

Abundant periods during menopause indicate the upcoming moment of menopause. This is explained by the fact that in the body of women cease to mature eggs, hormonal hormones fail and ovulation does not occur. The level of estrogen increases, and progesterone decreases, which causes such heavy menses during menopause.

After the end of the menopausal period, all adverse symptoms usually disappear, and hormonal disruption in the beginning menopausal period at the premenopausal stage should heal itself. If this is not the case, then experts prescribe hormone replacement therapy to the woman, which helps restore the natural balance in the female body.

Are menstrual periods possible in postmenopause?

If you went through the menstrual discharge in the postmenopausal period, then such manifestations will be considered pathological, since in postmenopausal all bleeding is not considered as monthly. Therefore, if they do not stop or appear periodically, it is necessary to be examined using an ultrasound method for examining the uterus and the entire system of reproductive organs, endoscopy and passing the necessary tests.

If this appearance of bleeding is associated with hormonal imbalance, then hormone replacement therapy is applied. Well, if the disturbing discharge is a consequence of the development of the pathological process, then a surgical method of promptly eliminating the pathology can be chosen as treatment.

Cognitive video on this topic:

Nature of the flow

Menstrual periods with menopause change their character depending on the stage of menopause. In women who do not suffer from pathologies of the ovaries, thyroid gland, diabetes and immune diseases, ovarian function begins to wilt from 46-50 years. The period to complete cessation of reproductive function lasts up to 57-60 years. Menostasis has no definite time frame, it all depends on the patient's body. But there are common features of the flow of menstruation during menopause. Each patient should know how critical days end, and what is a deviation.

Menstruation on the phases of menostasis:

  • Premenostasis In this phase, the first failures of the menstrual cycle begin. Menstrual periods with menopause may be delayed or, on the contrary, they are frequent. Do not be afraid of this. Experts advise at the first failure to consult a doctor and find out whether it is the result of pathology. Also, the reason for visiting the gynecologist should be prolonged abundant discharge before menopause.
  • Menostasis This is a complete cessation of regulation. The period is counted from the end of the last critical days and a year after that. If menstruation with menopause resumed earlier than after a year, it means that the ovarian function has not yet died out.
  • Postmenostasis. This phase, following the year without reg. Any department of blood, if it was not a year, and once again the regula began, should be alerted and become a reason for referring to a specialist.

Important! 80% of cases of cancer of the female reproductive organs are registered in the post-climax phase. In case of any suspicions at this time, pass the examination!

Features of the menstrual cycle in premenopause

A woman of child-bearing age has a harmonized system for the production of hormones, which allows the eggs to mature and fertilize. With the onset of predclimax, hormone production is reduced. This is reflected in the regularity of menstruation. At first menstruation before menopause begin to go with extended breaks. Reguli at the beginning of menostasis may be 7-11 days late. Further, the delay increases to 20 days. How many days your blood will go, depends on your health, but on average, menstruation in premenorrhea lasts no more than 4-5 days.

Danger in this phase can be unnaturally abundant blood loss. If the monthly strength is strong, this may indicate diseases such as fibroids, polyps, tumors and endometrial hyperplasia. If the regulations last more than 5 days, but they are scarce and have been smearing in recent days, this is considered the norm.

What menstruation is considered normal in the menopause phase

Today, doctors cannot say exactly how many critical days should go before the onset of menostasis. Each patient is individual. The menstrual schedule for menopause depends on the patient's health, the presence of concomitant diseases and bad habits. There are several distinctive features of this period, which are considered the norm:

  1. The increase in the intervals between blood loss.
  2. Decreased blood volume.
  3. The presence of clots.
  4. The emotional background changes, the general state of health worsens.

All these changes occur gradually. The period between blood loss increases each time and can reach six months. Pieces of mucus are due to changes in the endometrium; this is considered normal if the color of the blood is not brown or bright scarlet. The deterioration of general well-being can be explained by a decrease in hormones. Hot flashes, dizziness, sweating, and irritability may occur at this time.

Important! At this time, the patient can still get pregnant, and therefore need to pay special attention to contraception!

What can indicate a variety of postmenopausal discharge

With the termination of the regulation of patients, there may be a variety of discharge, some of which indicate the development of pathologies of the genitourinary system. What to do if there are marks on the laundry? See a doctor if:

  • After a year’s break, there was again much abundant blood loss. This may indicate the development of oncology,
  • In post-climax, bloody mucus appeared. Possible fragility of the uterus,
  • Observed discharge yellow or green with an unpleasant odor. This phenomenon indicates the presence of infection
  • It stands out sukrovitsa. Most often observed in inflammatory processes,
  • Appeared white cheesy discharge. This is a sign of thrush,
  • There were watery discharge. It is not the norm in post-climax, you need to be examined.

Critical days during menopause

How long menstruation lasts during menopause is difficult to say. Each patient's body restructuring process takes place individually. You can be sure that menostasis has come, only if a year has passed since the last bleeding. Today at the pharmacy you can buy a test for menopause. A home strip can show if a woman has menopause or you can still wait for periods. The test is desirable to do several times with breaks of 1-2 months.

Monthly after kleymostasis - an alarm!

After the withering of the ovaries, that is, a year after the last menstruation, in principle, a woman should not have periods. In order to determine the pathology it is necessary to maintain the menstrual calendar throughout all stages of menopause. From these records, the doctor will be able to understand how the nature of menstruation has changed, whether there are signs of deviations in it or not. Any blood loss after the termination of critical days, even insignificant, should be a reason for going to a doctor. What it can be, only an expert will determine, do not self-medicate!

A year after the last bleeding, doctors say that postmenopause has occurred. During this period, ovarian function has finally disappeared, and menstruation simply can not come. For this reason, any bleeding at this time is considered as pathological. However, the presence of blood does not always indicate a disease. Often, the resumption of menstruation is observed in women who take hormone replacement therapy. It is possible to distinguish pathology from normal secretions by the nature of the course.

The classification of bleeding on the principle of their manifestation

Bleeding, which appear during post-climax from hormone intake, is scarce. This is most often spotting, which are not accompanied by pain and do not contain blood clots. Also, such marks on the clothes have no unpleasant odors and do not cause discomfort to the woman.


“I was advised by the gynecologist to take natural remedies. They chose the Klimistille - he helped me with the tides. then the internal energy reappeared. And I even wanted to have sexual relations with my husband again, but it was all without any particular desire. "

It is possible to speak about pathology in the case when menstruation during menopause is plentiful, long, contain mucus clots, smell foul and cause discomfort. The markers of anxiety include:

  • The intensity of blood loss, in which the gasket has to be changed every hour or two,
  • The presence of blood clots
  • Blood after intercourse,
  • General malaise,
  • Pallor of skin
  • Abdominal pain,
  • Nausea, vomiting, dizziness.

Pathological causes of menstruation

  • Endocrine pathologies,
  • Uterine fibroids,
  • Unhealthy pregnancy
  • Blood diseases
  • Polyps
  • Endometrial pathology,
  • Polycystic ovary,
  • Oncology.

To avoid the development of dangerous diseases, it is recommended to visit a gynecologist once every six months. These visits can not be stopped even with the onset of aging. Remember, in menopause, a woman is most vulnerable and during this period she can develop various diseases of the genitourinary system.

Abundant and prolonged bleeding.

Abundant and prolonged critical days during menopause are most often uterine bleeding. This is a pathological condition that requires mandatory consultation of a gynecologist. Uterine blood loss is dangerous at any age and always require qualified treatment. Suspected pathology can be on the general condition of the woman. Pathological blood loss is always accompanied by general malaise, pallor of the skin, anxiety, dizziness and other unnatural symptoms for a healthy person.

How to stop blood loss should know everyone, you need to attach ice to the stomach and drink the infusion of nettle. A doctor must be consulted even if blood has been stopped at home. The reason for the deviation can only establish a doctor. The most commonly conducted drug therapy. According to the indications can be assigned to the operation.

Menstruation in different phases of menopause

Before what, how to describe menstruation during menopause, consider which phases of a given period of life a woman goes through, and what is the frequency of the onset of menstruation at this time. So, it is customary to distinguish such phases of menopause:

  1. Premenopause - at this time, the ovaries begin to produce fewer hormones, so the violation of menstruation before menopause will be quite normal. This stage begins after the age of forty, and its duration depends on many factors, on average it lasts about 2-6 years. How long the premenopause will last will largely depend on the characteristics of the female body and the lifestyle that the woman leads.
  2. Menopause is the phase at which critical days stop completely. This stage is diagnosed in women who have a year or more had no menstrual discharge. It usually begins after 50 years of age.
  3. Postmenopause is a period of complete extinction of the reproductive function of a woman and the cessation of the production of hormones by the ovaries. The woman's body is finally rebuilt and adapts to the new status. No more unpleasant menopause symptoms.

Each woman has these stages at one time and has different symptoms and characteristics of the course, it all depends on their physical and psycho-emotional state. Now consider in more detail the features of the menstrual cycle in different phases of menopause.


Postmenopausal can be called a stage that completely eliminates the possibility of childbearing due to a persistent decrease in the level of sex hormones. It lasts until the end of a woman’s life. One year after the menstruation last went, the ovaries completely ceased to perform their menstrual function, which means that the egg cell no longer matures. But at this time, women's health also requires close attention, as organs that have ceased to perform their natural duties become very vulnerable. As soon as there are unusual symptoms in the postmenopausal period, an urgent need to consult a doctor, as well as systematically undergo gynecological examinations.

In postmenopausal women, any discharge from the vagina in the form of blood, mucus or pus should be alarming; pain in the lower abdomen is also an abnormal symptom. They may indicate the presence of any disease or infection that quickly affects the body without hormonal protection and with a weakened immune system.

If after menopause after two or three years frequent monthly periods recur, and they are abundant, this may be a clear symptom of the presence of a malignant tumor. Quite often, women after 60 years of age are diagnosed with signs of cancer of the uterus, appendages, ovaries, and other cancer tumors.

Prolonged periods

To prevent complications with health on all phases of menopause, you need to follow the nature and course of menstruation before it occurs. Normally, critical days last no more than a week, even about 3 days there may be scanty discharge in the form of smearing. Often there are cases when there are prolonged periods before menopause, which turn into bleeding. When the menstruation is delayed, it is necessary to undergo examination for hidden pathologies, the same should be done if the menstrual periods occur not 1, but 2 times a month.

If the doctor has not revealed any disease that causes prolonged periods, it is quite possible with his permission to use prophylactic folk methods for uterine bleeding. For 3-5 days of menstruation, you can start using these techniques:

  • ingestion of yarrow decoction will help stop blood loss caused by fragility of blood vessels and poor blood clotting,
  • to facilitate long periods before menopause, you can take nettle or viburnum broths, as well as infusions of horsetail and knotweed,
  • the gynecologist may prescribe Oxytocin, aminocaproic acid or Dicine,
  • the duration of menstrual flow during menopause can be shortened with Vikasol.

There are cases when home treatment for bleeding with menopause is inappropriate and even dangerous for women's health. In the following situations, you need to urgently seek help from a specialist:

  • if an average absorbency sanitary napkin fills in an hour,
  • if the skin is pale and confused consciousness,
  • if heavy discharge does not stop, and their intensity does not decrease during the week,
  • if apathy and weakness do not decrease, but, on the contrary, increase.

While the woman is waiting for the ambulance, she needs to take a horizontal position and slightly raise her legs, you can put pillows under them. You can also apply a compress to the stomach with ice, but do it carefully for several minutes intermittently to prevent hypothermia. Because of blood loss, dehydration can be observed, so you need to give the woman plenty of sweet and warm drink.

After stopping the bleeding in the hospital, the reasons for this condition will be sought, and conservative and, if necessary, operative treatment will be prescribed.

Also, a woman needs to undergo a gynecological examination and other studies, if during menopause the menstrual cycle is severely reduced. If critical days occur twice a month, then there is a high probability of serious pathologies in the genital area.

What kind of discharge can be

Discharge from the vagina women at any time in life can tell a lot to a specialist about the state of health of his patient. Both daily allocation, and menstrual, have the specific color, a smell and a consistence. Knowing what means one or another nature of menstruation during menopause, it is possible to determine the presence of gynecological problems in time:

  • if the amount of discharge is very large and bleeding occurs frequently, it may indicate the presence of malignant and benign tumors,
  • if the discharge is dark, bloody, smearing, then we can assume the presence of fibroids, benign neoplasms, which most often become a consequence of disorders in the endocrine system,
  • if the discharge is with clots, this indicates problems with the endocrine system (thyroid, pituitary, or adrenal gland diseases),
  • postmenopausal bleeding speak of rupture of the uterine vessels, for an accurate diagnosis, it is necessary to undergo an additional examination,
  • if suckling is excreted, it is a clear sign of an inflammatory process in the genitals,
  • purulent discharge, yellowish with a pungent odor indicate the presence of infection, especially if the woman's body temperature rises.

When white mucous secretions come out of the vagina before menopause, this is the norm, so the body is cleansed of dead epithelial cells. If abundant leucorrhoea is in postmenopausal, then it may be a sign of thrush. When the cycle became irregular and the doctor diagnosed the onset of menopause, one should pay attention to the nature of the discharge of each subsequent menstruation in order to identify possible pathology in time.

How much are menstruation in menopause

With the advent of menopause changes not only the nature of the critical days, but also their duration. Some women talk about scanty excretions, while others, on the contrary, “flood”. There are also differences in how many days can go monthly during menopause. Usually this period is reduced to 3, maximum 4 days. Before the onset of menopause, on the contrary, prolonged critical days up to 7–10 days can be observed. But in this case, it is important that the discharge be moderate, if the duration of menstruation during menopause exceeds 10 days and the bleeding is also abundant with clots - this is uterine bleeding, which should be monitored by a doctor.

Due to a decrease in progesterone levels in women in menopause, the appearance of menstruation may increase. If menstruation occurs twice a month, has a bright red color and lasts at least 4-5 days, then you can be suspected of uterine bleeding, requiring medical assistance. This may be a symptom of a disease or ectopic pregnancy.

How to restore menstruation during menopause

Recently, many women are wondering whether it is possible to resume menstruation during menopause to restore reproductive function. Modern medicine claims that the restoration of menstruation is indeed possible, but not in all cases, therefore, you must first complete a complete examination and be tested for hormones. According to their results, the specialist will select the necessary preparations.

Even if the monthly are restored, it does not guarantee conception, since in this complex process it is important to have a healthy egg and the full possibility of its maturation. Regular onset of menstruation can occur in the absence of ovulation. If you restore the menstrual cycle during menopause precisely for the purpose of conception, you should also consult a fertility specialist.

Another goal of restoring menstruation can be to reduce menopausal symptoms, namely the desire to get rid of headaches, hot flashes and psycho-emotional fluctuations. This can be done with the help of specially selected hormonal contraceptives, which can additionally prevent unwanted pregnancy.

Returned monthly - why?

Monthly after menopause may return for several reasons:

  • sharp hormonal release
  • taking various hormonal medications to treat age-related diseases,
  • taking herbal preparations containing phytohormones.

There are cases when menstruation recovers spontaneously and follow the same pattern after a long rest period. Such jumps can be caused by stress, sudden weight loss, a rigid diet, vitamin deficiency and physical overstrain. Whatever the reason for the resumption of menstruation during menopause, this process requires mandatory monitoring by a specialist, since bleeding at this time may indicate the presence of serious diseases in the female body.

Phase climacteric period

Menopause is characterized by a gradual decrease in the hormonal function of the ovaries.

In the climax, there are 4 periods:

  • premenopause - the beginning of the extinction of ovarian function, continuing until complete cessation of menstruation. The duration of the period ranges from 2 to 6 years,
  • menopause - the last independent menstruation. Date set after 1 year of absence of menstruation,
  • early postmenopause - the period lasting 2 years after the start of the last menstruation,
  • late postmenopause - the period starting after early postmenopause and continuing until the end of a woman’s life.

The period that includes the premenopause phases and the year after menopause is called perimenopause. That he is a special transitional state of women from the reproductive period to infertility.

How to restore menstruation with early menopause, you can read in this article.

How are monthly before menopause

The course of the premenopausal period can be physiological, which is observed in 65% of women, and pathological. The latter is also called climacteric syndrome.

Physiologically, menstrual disorders occur gradually and are expressed in increasing the intervals between monthly until their complete cessation. That is, every time there is a delay in menstruation, which is first 10 days, gradually increasing to 1.5 months.

For other women, at the start of menopause, menstruation can go on as usual without pronounced delays, but with changing their character. With each menstrual cycle, the amount of blood gradually decreases, and before menopause, menstruation manifests as bloody bloody discharge. Such a change in menstruation is also the norm.

Clinically monthly before menopause according to the nature of the course, there are 4 types:

  • regular with minor delay periods, up to several days,
  • the alternation of regular cycles with delays from several days to 1.5 months,
  • scanty periods
  • alternation of periods when scarce change for a long and abundant.

During the premenopausal period, there is a fluctuation in the level of estrogen hormones, which causes the occurrence in some menstrual cycles of the premenstrual syndrome, expressed in the swelling of the mammary glands, discomfort in the lower abdomen and the lumbar region.

Menopausal syndrome in premenopause is diagnosed in 35% of women and is accompanied by pathological changes in the structure of the uterine endometrium, as well as disruption of the organs of the functional systems of the body.

Observed with pathological changes in the menstrual cycle:

  • prolonged periodsup to 8 days with clots. They point to hyperplastic changes in the endometrium, due to a sharp hormonal failure,
  • scarlet heavy discharge. They may be due to the development of uterine fibroids or cancers,
  • constant discharge of light mucus from the vagina between the monthly. It indicates the development of hyperestrogenia.

To diagnose menopausal syndrome, a woman needs to see a doctor and undergo a series of examinations, including the determination of the level of hormones, ultrasound of the pelvic organs.

Can there be heavy menstruation

Abundant menstruation in premenopause can be considered the norm, if they were preceded by menstrual cycles with scanty bloody discharge. In other cases, an increase in blood volume may be uterine bleeding.

The causes of bleeding include:

  • malignant neoplasm of the uterus,
  • endometrial hyperplastic changes - fibroids, polyps.
  • heavy physical exertion
  • sexual contact.

When uterine bleeding woman should consult a doctor to determine the causes of their occurrence and subsequent treatment.

Why do frequent cycles before menopause

A few years before menopause, the hormonal background of a woman undergoes significant changes:

  • increases the concentration of FSH,
  • estrogen levels are reduced,
  • hormonal function of the ovaries is reduced.

Due to the insufficiency of the luteal phase, there is a violation of ovulation, with the subsequent development of anovulatory cycles. Periodic disruptions in the cycle associated with the lack of ovulation at the beginning of premenopause, lead to a shortening of the menstrual period and an increase in menstruation.

Gradually, the periods between periods begin to lengthen again, leading to a delay of menstruation from several days to 6 weeks.

When the monthly stop to go

The duration of the premenopausal period until the completion of menstruation is individual for each woman and is determined by her hormonal background. Experts determine the periods of premenopause from 2 to 6 years, but for most women, menopause occurs after 2 to 3 years.

Hormonal changes in menopause undergo 4 stages:

  • ovulation persists, but there is a deficiency in the corpus luteum,
  • there are anovulatory menstrual cycles,
  • follicle maturation slows down, leading to their early atrophy,
  • ovarian function ceases.

After menopause, the uterine endometrium also undergoes atrophy.

The following changes in the menstrual cycle may indicate the approach of menopause:

  • menstruation becomes scarce, by character are defined more as spotting,
  • the interval between periods increases to 90 days,
  • there is dryness in the vagina, pain during intercourse,
  • nails and hair become dry and brittle on the background of increased reduction of sex hormones.

The date of the last menstruation is considered to be the day after which there were no periods for 12 months.

Along with the change in the nature of menstruation in the premenopausal period, women can diagnose the onset of menopause by the presence of symptoms such as:

  • hot flashes
  • depression,
  • emotional disorders,
  • headaches,
  • drowsiness,
  • decrease in sexual desire.

It should also be understood that the symptoms of menopause and menstrual irregularities in premenopausal women are manifested individually.

On whether monthly can go after menopause, read here.

What are the stages of menopause

Before considering what are monthly during menopause, it is necessary to describe in detail the constituent stages (phases) of menopause:

    Premenopause - this stage is characterized by a gradual decrease in the production of hormones by the ovaries, which leads to disruption of the menstrual cycle.
    On average, the phase begins in women after 40 years. Opinions of doctors about the duration of the stage are essentially divided. Some believe that it lasts an average of 2 years. Others are convinced that its duration is at least six years. Such a large variation in time is determined by the individual characteristics of the organism and the lifestyle of women.

Menopause - the last stage of menstruation.
If during 1 year there are no menstrual periods, the gynecologist diagnoses that the woman has menopause. In this phase, the menstrual function of the ovaries stops. In most cases, the onset of this phase of menopause in women after 50 years.

  • Postmenopause is the final stage at which complete extinction of the hormonal function of the ovaries occurs.
    During this phase, the body completely rebuilds its work and begins to function normally. Women stop experiencing menopause symptoms. The stage lasts an average of 6 years.
  • We indicate the approximate dates of the stages. In all of them they pass individually and are largely dependent on physical and psychological health. That's only when the signs of the first phase are observed before the age of 40, then we can talk about early climax.

    A woman needs to consult a gynecologist. With the help of well-chosen hormonal therapy, many people manage to get rid of menopause, there can be a lasting result and the menstruation is renewed, including their nature and duration.

    What is the peculiarity of the menstrual cycle during menopause

    Before menopause, how are menstruations going? The menstrual cycle with menopause gets off. This is due to the fact that the ovaries gradually decrease in size and become less sensitive to hormones. They synthesize fewer estrogens and progesterone.

    The amount of FSH (follicle-stimulating hormone) and LH (luteinizing hormone) in a woman’s body increases, especially in the first year after menopause.

    Thus, an imbalance is obtained. As a result, menstrual periods with menopause become irregular.

    Features of the premenopause phase

    How are the monthly before menopause? In the premenopausal period, they can be once a month, but with a different frequency. The number of days on which menstruation begins during menopause gradually changes. In some women, the time period decreases, while in others, on the contrary, it increases.

    Delays are more common. Moreover, not one doctor can say how many days is the norm. It all depends on the physiological characteristics of the female body. In most cases, with the outbreak of menopause, menstrual periods are delayed first by 8–9 days. Then the term may increase to 20 days or more.

    In some women, menstruation may linger from several months to six months before menopause. Sometimes, the nature of menstruation with menopause becomes acyclic. In other words, with premenopause, they can be in disarray. However, they can start on any given day and a woman should be ready for this.

    Despite the fact that during premenopausal ovarian function fades, they still mature eggs, which can be fertilized.

    Since, due to an irregular cycle, a woman cannot control ovulation, the risk of unwanted pregnancy increases. During this period, more attention should be paid to contraception, if you do not plan to register with the antenatal clinic.

    Important points

    How many days are menstrual periods? It is very important to understand that during the premenopause period, the menstrual cycle changes completely.

    Some will have scanty periods, while others will have abundant discharge. There are monthly periods in premenopause, also, with a change. Most women have a shortening of up to 3-4 days.

    Even the most "scary" menopause can be defeated at home! Just do not forget two or three times a day.

    If a woman has a prolonged period before menopause (lasts from 7 to 10 days) with minor bleeding, then this is normal. When long-term patients come with copious secretions, this may indicate uterine bleeding. It must be urgently stopped, but always under the supervision of a gynecologist.

    Hormonal changes can cause a woman's menstrual bleeding 2 times a month. They are usually caused by reduced levels of progesterone.

    Если начавшиеся месячные 2 раза за месяц имеют алый цвет и не прекращаются на протяжении 4-5 дней, то есть подозрение на маточное кровотечение. Женщине необходимо срочно обратиться за медицинской помощью.

    You must always remember that menstrual bleeding, having such a character and taking place twice a month at a frequency, symbolizes the need for a pelvic exam.

    Causes of uterine bleeding

    Once again I want to remind you that when you first suspect uterine bleeding, you should immediately consult a doctor. In no case can not self-medicate.

    A woman can harm their health. In order to fix the problem, it is necessary to establish the cause of the bleeding. For this you need to come to the gynecologist.

    The following causes can provoke uterine bleeding during menopause:

    • growing uterine myoma,
    • presence of polyps in the uterus,
    • endometrial hyperplasia,
    • polycystic ovary syndrome,
    • pregnancy with pathologies,
    • failure of the thyroid gland,
    • poor blood clotting,
    • taking oral contraception.

    Only an expert can make an accurate diagnosis. Therefore, the earlier a woman goes to the doctor, the faster she can eliminate the violations that have occurred.

    You should know that periodic bleeding, almost always a signal of the appearance of tumors. It is understood that the woman was already bleeding and after a while it repeated.

    Menstruation during menopause

    Last menopause with menopause is very difficult to determine. Doctors determine menstruation during menopause only retrospectively. If the whole year after the menstruation did not go monthly, then menopause is diagnosed.

    Menopause ends menstruation, and the woman goes to the last stage of menopause. You can determine it at home with the help of testing. For small funds, the test can be purchased at the pharmacy.

    A woman can self-test for menopause in the first week of the cycle. If the test for menopause showed a negative result, and there were no menstrual periods, and at the same time, the woman feels the signs of menopause, then the home analysis should be repeated after 1-2 months. Negative test result, and monthly pass with a delay, then the test must be repeated after 7 days.

    When the repeated test result is negative, and there are still no monthly periods, you should visit an unscheduled gynecologist. The woman most likely has other reasons for the delay. The sooner they are diagnosed, the sooner treatment will begin. Sometimes the result is negative because of the changeable volume of female gonads.

    What are the selection

    We systematized the possible types of secretions, the nature of which indicates certain pathologies:

      Frequent bleeding in large quantities is a marker of possible tumors. Moreover, both benign and malignant.

    Dark red color of blood indicates uterine myoma. She has a benign nature. Most often, its appearance is caused by disorders in the endocrine system.

  • If bleeding with admixture of clots, then such serious endocrine disorders are possible: diseases of the thyroid gland, pituitary gland or adrenal glands.
  • Hemorrhages that began with the onset of postmenopause can signal rupture of uterine vessels. It is necessary to undergo examination by a specialist.
  • Sukorovitsa suggests that in the female body there is an inflammatory process of the genital organs.
  • A yellowish discharge that has an unpleasant odor and is accompanied by an increase in body temperature indicates that an infection is in the vagina.
  • White mucous secretions before the onset of menopause contain dead epithelium cells, and therefore are the norm. Persisting in the postmenopausal stage, are considered a symptom of thrush. If any discharge occurs, the woman should go to the gynecologist.

    What changes does a woman's body undergo before menopause?

    Changes in hormonal levels in the preparation of a woman's body for menopause are very significant. There is a decrease in the secretion of thyroid hormones, and behind it - and sexually active substances.

    So, there is a gradual decrease in the number of secreted ovarian hormones progesterone and estrogen. It is associated with this change the time of the onset of regul. Sometimes they come late, sometimes, on the contrary, earlier. Some patients have complaints about "double" critical days.

    In the run-up to menopause, many women have menstruation, as before, but changes in the menstrual cycle are not uncommon. All these metamorphoses are directly related to the reduced secretion of hormones, so it is not surprising if the onset of menstruation falls to a later date. But how much menstruation goes before menopause, whether they have a place throughout it is another question.

    How and how much do menstruations go before menopause?

    How are monthly before menopause? Changes in hormonal levels can lead to the fact that at the beginning of the menopausal period, a woman will have large gaps between the regulations. Their attack may not occur for quite some time. Sometimes the time interval between the last and the next menstruation can be 40, and sometimes even 90 days.

    How long do menstruations go before menopause? Some women still maintain their previous volume of menstrual blood, but often the discharge becomes less abundant, but lasts a long time. Extremely rarely there is a sharp, complete cessation of menstruation.

    The exact answer to the question of how long the regulators last before the climacteric period cannot be given. This is a purely individual factor.

    So, for example, if a woman’s earlier “these” days went from 3 to 5 days, then with the extinction of reproductive function, this gap can increase to 7 - 10 days. It also happens differently: the regulation duration is reduced to 3 days (if earlier they lasted 5), or even 2 days. In this month may well occur intermittently.

    Of course, this is not normal. Moreover, sometimes such abrupt changes in the menstrual cycle can be dangerous, therefore, when they occur, it is better not to delay the visit to the doctor for a "more suitable time."

    When should you get worried?

    In some cases, changes in the menstrual cycle before menopause can be not only a consequence of hormonal changes, but also signal serious health problems. In this situation, a woman should know when she needs to see a doctor urgently. This is extremely necessary when:

    • an increase in the intensity of menstruation after the start of the so-called “period of scarcity”,
    • the appearance of suspicious impurities or inclusions in the blood, large, foul smelling clots,
    • reduction of the intervals between periods,
    • lengthening the regulatory period,
    • the appearance of spotting blood from the vagina after the end of the next monthly.

    This is not normal, and a woman should not write them off on hormonal changes. If you do not respond to these symptoms in a timely manner, then the patient will have to face more serious health problems.

    How do menstruations go when menopause occurs?

    How do menstruation go when menopause occurs in women? First of all, you need to know how to understand that menopause has really come. This is signaled by the complete absence of menstruation, lasting a year or more.

    Often, this phenomenon is faced by patients 49 - 52 years of age. With serious hormonal disorders or other health problems, menopause can be between 38 and 48 years old. It is quite natural that in such circumstances, menstruation will no longer go.

    What does menstruation say during the menopausal period?

    Menstruation in the menopausal period is an alarming sign that cannot be ignored. Such abrupt changes in the female body may indicate uterine bleeding, the reasons for the discovery of which must be determined.

    Of course, sometimes they may not be critical. For example, even during menopause, the female body remains subject to hormonal changes (also failures). They can not only lead to an unexpected onset of menstruation, but even contribute to pregnancy! There are numerous cases of conception in patients during menopause at the age of 50 - 55 years.

    Pathological causes

    If periods go in menopause, it can talk about:

    • endometriosis,
    • uterine myoma,
    • adnexitis,
    • cervical cancer.

    With all of the above diseases, bleeding, disguised as menstruation, takes quite a long time. At the same time, their character is predominantly scanty, smearing.

    Between the monthly breaks are possible, after which they begin again. Such a symptom cannot be ignored for a long time, since women in the period of menopause are most susceptible to the pathologies described above.

    HRT as a Regulatory Cause for Menopause

    The safest reason for the appearance of menstruation during the period of menopause is hormone replacement therapy. Under the influence of medications taken a change in the balance of hormones, resulting in bloody vaginal discharge.

    Neither pain, nor discomfort in the lower abdomen, nor the release of clots such bleeding is not accompanied. Because of this, they are easily tolerated by the patient. Such a selection also should not be ignored. Although they are not dangerous, they are still not the norm, and only a doctor can solve the problem.

    Monthly with artificial menopause

    Such menopause is also called induced, which is characterized by artificial interruption of ovarian function. Cause it in several ways - medical, surgical, chemotherapeutic, radiological.

    In the case of medical menopause, menstrual function resumes approximately six months later. It is quite natural that under similar circumstances, critical days will be irregular. Their duration and nature will also change.

    But how long they will go, and what will be their intensity - all this will depend on what the patient took before the onset of induced menopause.

    It is difficult to say how long the regula will have to be expected in case of a premature climacteric period after radiotherapy or chemotherapy. It depends on several important factors:

    • the severity of the damage done to the female body by this or that type of treatment,
    • a specific diagnosis in which radiotherapy or chemotherapy was performed,
    • woman's age
    • general health and well-being after treatment.

    More precisely, only the oncologist who prescribed the course of radiotherapy or chemotherapy will be able to last the process of restoring the work of the patient's reproductive system.

    Quality of life at menopause

    Despite the cessation of menstruation and the decline of reproductive function, menopause is not a serious reason for abandoning all the joys of life. No matter how old the patient is, and no matter how she pulls off the onset of menopause, she is an integral part of female physiology.

    But many women may well lead a full life, including sex, even after the complete cessation of regulation.