Features of menstruation during menopause


By the age of 50, a woman's body begins to slowly fade and lose its genital function. This period is called climax, and it passes right between procreational age and aging.

Climax is quite natural for the body, but it takes quite a long time until the changes are completely over. Monthly with menopause stop going, which is not something unnatural, but simply the last attempts of the body to say about the aging of reproductive function.

Features of menopause?

When a certain number of years pass by a woman, then a certain period in her life necessarily comes - menopause or menopause. The reproductive system at this time works much worse because of the constant decrease in the hormonal level in the body, especially because of sex hormones.

The average age of onset is 51 years, but there are also early climaxes in the background:

  • constant stress
  • thyroid diseases,
  • unhealed genital infections,
  • surgery to remove the uterus and ovaries.

The most important factor here is genetics, which predicts the appearance of menopause at completely different ages, up to 40 years.

However, menopause requires a number of serious changes in the body, so the body goes through menopause, which lasts several years.

The production of the hormone estrogen, which by the age of 40 is not enough for egg cell maturation, gradually decreases. This leads to the absence within a few months of the arrival of the month, which is the first call for a woman about the beginning of the arrival of menopause.

Climax - a disease that is not treated, but the symptoms can be suppressed with the help of the correct therapy, which will greatly reduce the level of stress on the body.

During the period of menopause, the nervous system is subjected to very strong unrest - constant mood swings, insomnia, and chronic loss of strength against the background of constant tides are becoming a real test of strength and masculinity.

Monthly during menopause

The climax even in an absolutely healthy woman takes place over several years, so there are no clear boundaries.

The flow of menopause takes place in 3 stages:

  1. During the premenopausal period the production of sex hormones gradually decreases and the body is rebuilt. All this leads to a violation in the cycle of menstruation. Lasts usually up to 3 years depending on the lifestyle and health of the body,

  2. During menopause menstruation stops going, confirmation of menopause goes 12 months after the last menstruation,
  3. Postmenopausal stage any discharge that resembles menses, may be a sign of the onset of pathology.

The nature of the period depends entirely on the period in which the woman is located. During premenopausal, often menstrual periods continue to occur every month, but gradually their frequency and abundance change. Gradually, the period between menstruation increases until the appearance of the last menstrual period.

If they do not appear during the year, then doctors call the period menopause retroactively, which means that the ovaries are no longer fully producing sex hormones and that it is impossible to create a new life.

Reproductive function extinction

During menopause, a completely natural extinction of the reproductive system occurs, when not only the aging of the body itself, but also the genetic material that is transmitted by the woman to her child begins to occur in the female body.

The first organ from which extinction begins is the ovaries, a paired organ designed to ensure the normal development of the egg cell and the synthesis of sex hormones. Any violation in this body and its work leads to the early development of menopause and other diseases.

In this case, it is not necessary to consider that it is impossible to conceive in the premenopausal period, just as it is to endure a healthy child, since the growth of full-fledged eggs still continues as long as the monthly periods go.

How are monthly during menopause?

Standardly, in order for the period to appear, the body must overcome a whole cycle: egg maturation — ovulation — the preparatory stage before fertilization with the growth of the endometrium — death of the egg after no pregnancy.

With menopause, a similar cycle is lost due to an imbalance of the hormone, because the ovaries stop producing estrogen and progesterone in the normal amount. At the same time, the luteinizing and follicle-stimulating hormones take power in the hormonal kingdom, which are produced at the same rate as before and gradually begin to prevail. This imbalance of 4 hormones leads to monthly disorders.

In general, at stage 1, menstruation passes in its standard order, although some women do not have a period of ovulation. In general, menstruation can go from a couple of days to 10 after menopause.

Types of menstruation during menopause

Gradually menstruation for a woman becomes a normal period, which requires only increased attention to hygiene. However, after the onset of menopause, the regularity of the cycle, the abundance of secretions and their magnitude can change markedly, so it becomes more difficult to keep track of the monthly.

After menopause, menstrual periods can be divided into several types:

  1. The first 2-3 years of the month can gradually stop. They are still fairly regular, but their profusion and duration are reduced, without causing additional ailments and anxieties,

  2. Monthly completely stop coming, often quite sharply and forever. During this period, a woman experiences many symptoms of menopause, such as hot flashes, nervous breakdowns, and others.
  3. Discharges without a certain cyclical nature, when each menstruation has days of onset and cessation of menstruation, their abundance is simply impossible to predict.. Monthly can come only once in 3-4 months and at the same time accompanied by a number of unpleasant symptoms: pressure drops, nausea and headache.

These types of menstruation are natural only for the premenopause period, they should not exist in all other stages.

Monthly with menopause - norm or pathology?

During the premenopausal period, menstruation, even irregular, scanty or prolonged, is considered to be a completely normal phenomenon that haunts any woman. However, in two other periods, especially in postmenopausal menstruation, the appearance of menstruation may indicate the appearance of pathologies in the urogenital system.


  • heavy bleedingquite frequent may be a symptom of tumors, often cancerous,

  • sudden bleeding in the period of postmenopausal women may speak of rupture of blood vessels in the uterus,
  • if periods have an unpleasant smell with yellowish secretions, this may indicate infectious diseases in the vagina, especially at elevated temperatures,
  • with the appearance of ichor there is the likelihood of genital inflammation,
  • white mucus and watery liquid, arising from the vagina, talking about the onset of thrush and require immediate treatment to the gynecologist for examination.

In general, the appearance of menstruation during menopause can only talk about two states of the body - the continuation of the premenopausal stage and the development of tumors and pathologies in the body. It is best to contact a specialist to accurately identify the causes, and not to make independent conclusions.

Causes of menstruation during menopause

Standard monthly once a month is normal during menopause, but if they recur more frequently and are abundant, you should immediately consult a doctor to identify the cause, since they can be quite harmless or dangerous.

Non-dangerous causes of the appearance of menstruation, talking about the restructuring of the body:

  • the use of hormonal drugs prescribed by a doctor
  • erosion begins to appear on the body of the uterus,
  • damage to the mucous walls of the vagina in the form of injuries and cracks.

Dangerous causes of menstruation with menopause, requiring mandatory treatment:

The downside of most drugs are side effects. Often drugs cause severe intoxication, subsequently causing complications of the kidneys and liver. To prevent the side effects of such drugs, we want to pay attention to special phytoampons. Read more here.

  • hormonal imbalanceleading to endometrial dysfunction. May lead to tumor growth in the uterus and vagina,

  • due to failures in the endocrine system frequent during menopause becomes uterine fibroids with heavy bleeding,
  • the profusion and changes in the cycle are affected by the appearance of polyps on the uterus and vagina,
  • polycystic disease affects the ovaries, which in violation of work affect the frequency and profusion of menstruation,
  • if a person has poor blood clotting, then with the onset of menopause and violations in the work of all systems in the body, the number of platelets decreases, so the monthly bleeding is becoming more and more severe.

Often violations in the cycle and their abundance occurs due to hormonal contraceptives, especially in the period before menopause. However, after normalization, hormonal balance returns to normal and everything returns to its place.

Danger of menstruation during menopause

Often, menstrual periods with menopause have no threat to health, and therefore do not require a visit to a doctor, since their physiological nature only speaks of the extinction of the organism.

But there are a number of symptoms that speak of the danger of menstruation.

These include:

  • severe back pain and lower abdomen during menstruation,

  • a large number of bloody clots in secretions
  • severe weakness, dizziness and nausea,
  • the appearance of blood during and after intercourse,
  • pallor of the skin in the postmenopausal period when menstruation occurs.

If menstruation takes more than 7 days and is severely abundant, consult a doctor for reasons, as there is a chance of uterine bleeding.

Distinctive feature of menstruation

Very often, women do not perceive menstruation during menopause as a dangerous phenomenon, so they do not go to the doctor, although there is a possibility that they are bleeding that are harmful to health.

Separate bleeding from menstruation is possible with the help of a number of signs:

  • the abundance of discharge, determine the need for sanitary pads. If in an hour you need to change more than 1 pads, then this is bleeding,
  • in normal menstruation there should not be a large number of bloody clots, as well as epithelial pieces,
  • between menstruation should not take less than 3 weeks,
  • menstruation should not last more than a week
  • there should be no blood after intercourse,
  • nausea, vomiting, dizziness, weakness and pallor are standard bad symptoms during menstruation.

Diagnosis of menstruation

The advent of menopause is almost immediately noticed by a woman due to changes in the genitals. The vagina becomes very dry, the muscles are flabby. Menopause affects the state of health, but at the same time, many are in no hurry to consult a doctor because of the sensitivity of the problem, delaying to the last. However, the appearance of bleeding or menstruation is dangerous, because there is a possibility of a large blood loss, which can be fatal.

If menstruation is accompanied by severe pain, you should immediately consult a doctor for diagnosis.

The following methods are used:

  • bakposev from the cervical canal,
  • endometrial cell biopsy,
  • analysis of a vaginal smear on the microflora,
  • Ultrasound of the abdominal area and small pelvis,
  • procedure hysteroscopy study of the uterus.

Usually, the doctor performs several diagnostic procedures to identify the exact cause of the appearance of menstruation and the appointment of suitable treatment.

With the duration of menstruation more than 7 days, with a constant increase in pain and a multiplicity of bloody clots, it is necessary to apply treatment, often accompanied by hospitalization.

After the ambulance call, you need to lie down and apply a heating pad with cold water to your stomach, which will help to slow the bleeding. Self-medication is completely prohibited, such as warm heating pads, baths, special formulations and other methods of treatment. This will help increase body heat and increase blood flow in the body, only worsening the condition.

Bleeding in the period of menopause is an immediate reason for going to a doctor and using uterine curettage to take material for histology.

Now for therapy the following methods are used:

  1. Therapeutic gymnastics based on Haiha yoga and bodyflexwhich helps prevent the uterus from lowering,
  2. Receiving drugs containing estrogen - Kliogest, Premarin, Ovestin, antiestrogens,
  3. Reception of vitamin complexes helping to improve the condition of the body. Maltofer will compensate for the lack of iron lost with blood during menstruation. Vitamins B1 and B6 are prescribed in the form of intramuscular injections,
  4. Additional treatment in a complex composition in the form of antidepressants and nootropics, normalizing mood swings, characteristic of menopause and stimulating the brain.

Can I take herbs?

Traditional methods of treatment can help improve health during menopause during menstruation, as well as reduce the intensity of discharge.


  1. Nettle infusion helps to lower the rate of contraction of the uterus and narrow the blood vessels, activating blood clotting. It is an excellent way to get rid of abundant blood loss. Prepared by brewing a spoon of nettle 200 ml of boiling water. Keep it on fire for about ten minutes, then cool and strain. Take a spoonful of decoction every 3 hours,

  2. Tea or infusion of viburnum fruit reduce the tone of the uterus, removing severe pain and strengthening the vascular walls. This greatly reduces the intensity of menstruation. Brewed at the rate of 1 spoon per cup of boiling water,
  3. A decoction of citrus zest. It is prepared from the peel of 6 selected citruses placed in a half liter of water. The mixture is boiled down until only a third of the water remains - 500 ml. The broth is cooled and drunk on one and a half tablespoons in three doses,

  4. Clove leaves decoction eliminates the profusion of bleeding and strengthens the elasticity of the walls of the uterus, which during menopause greatly lose it. To create a decoction 200 g of leaves are poured 260 ml of boiling water, and then infused for half an hour. The infusion is taken in a spoon every 4 hours.

In addition to these decoctions, you can apply a number of other herbal medicine procedures:

  • infusions of barberry, motherwort and valerian help to avoid stressful states of the body and improve health, at the same time calming down nervous conditions, standard for menopause,

  • to increase the tone of the body and the uterus helps Chinese lemongrass and ginseng,
  • to reduce heavy bleeding, not only nettle can have a big impact, but also a shepherd's bag.

Recipes of traditional medicine help to get rid of the profusion of menstruation and improve the tone of the uterus, but at the same time it is impossible to cure a possible pathology. Apply herbs need after a doctor's appointment and a thorough examination.


During premenopausal menstruation is usually the normal state of the body, although they need to be treated carefully.

However, after menopause, menstrual periods are a consequence of a dangerous condition that requires timely treatment.

In the period of menopause, it is very important to carefully consider the health and respond to each symptom. In the early stages of the disease to cure it easily enough.

You just need to remember that after menopause, any periods should not appear, except when they need to be called, resumed or restored specifically, by taking hormonal drugs.

Changes in the body during menopause

The climacteric period is divided into 3 stages: premenopause, menopause and postmenopause. Climax can begin as before the average statistical norm for several years, and later.

Complete disappearance of menstruation is preceded by a transition period (premenopause), when they become irregular. Gradual changes occur over 2-10 years.

Then comes menopause, when menstruation does not come at all. If they do not appear within 1 year, then this period is considered to be completed, and postmenopause, the last stage of menopause, begins. In this case, the functioning of the ovaries ceases completely, menstruation is no longer possible.

Why and how the nature of menstruation changes during menopause

Menstruation with menopause can appear only in the premenopausal period. Aging of the ovaries leads to a gradual decrease in the production of female sex hormones (estrogens). In addition, the supply of eggs, which is formed in the girl during intrauterine development, is depleted.

The menstrual cycle is associated with sequential processes:

  • egg maturation,
  • ovulation (their exit from a follicle),
  • growths of the mucous membrane inside the uterus (endometrium),
  • dying of the egg (if it did not fertilize and did not become pregnant),
  • rejection of the endometrium and bringing it out (menstruation).

During premenopause, along with normal cycles, the appearance of cycles without ovulation is possible (when the onset of pregnancy does not occur, but the periods come).

Уровень эстрогенов в первой фазе климакса колеблется. If the hormones are not enough, then the maturation of the egg on time is impossible, and is carried out only after the next rise in their level. In this case, the woman has a delay.

Recommendation: Since the beginning of menopause may occur and normal cycles, the delay is not only a sign of natural disorders, but also indicates the presence of pregnancy. Therefore, it is recommended to visit a gynecologist to find out the reason. If the onset of pregnancy is undesirable, then you need to be protected throughout the entire period of premenopause and menopause.

After the complete cessation of estrogen production by the ovaries, the periods disappear completely. There are atrophic changes in the shape and structure of the tissues of the uterus and ovaries. When menopause changes, not only the frequency of the onset of menstruation, but also their duration. If earlier they lasted for 3-4 days, now they are 1-2 or 7-10 days. Short and long periods often alternate with each other. Allocations become more scarce or, conversely, too abundant. Their volume usually fluctuates.

Possible changes

Climacteric changes in premenopausal disease occur differently depending on age, the presence of concomitant diseases. Options may be as follows:

  1. Monthly appear less and less. Variations in their duration and intensity are observed, but they do not go beyond the limits of the norm. The condition lasts 2-3 years. Concomitant ailments do not cause much concern to women.
  2. Termination of menstruation occurs suddenly, they no longer come. In addition, for several years, there are hot flashes, neurotic disorders, and other symptoms of the "menopausal syndrome", but only slightly expressed.
  3. The intervals between the last menstrual periods are 3-4 months, then menopause occurs.
  4. Monthly come randomly. After a long absence, there are heavy and prolonged bleeding. The general state of health worsens (there is a weakness, dizziness, anemia due to a large loss of blood).

Pathology in menopause

Irregular bleeding in the initial phase of menopause is the norm. However, a strong discharge that occurs after a long absence of menstruation is a threat to health.

Premenopause is associated with a drop in the level of progesterone, a hormone that plays a major role in the second phase of the menstrual cycle, affecting

endometrial growth. The decrease in the level of this hormone leads to the fact that the thickness of the mucous membrane of the inner surface of the uterus decreases. Disruption of the structure of the endometrium during menopause often provokes the occurrence of tumors.

The appearance of blood 12 months after the complete cessation of menstruation is a pathology. Severe uterine bleeding mixed with clots is also dangerous. Their occurrence suggests serious endocrine disorders (diseases of the thyroid gland, pituitary, adrenal glands), as well as the presence of polyps, endometriosis, and malignant tumors.

Addition: One of the causes of endocrine disorders and the appearance of abnormal blood secretions can be fasting (fad diets for weight loss, for example), addiction to smoking or drinking alcoholic beverages.

These abnormal discharges are not related to the processes occurring during the menstrual cycle; therefore, they are not menstrual periods. When they appear in postmenopausal women should immediately consult a doctor, be examined by ultrasound, endoscopy and others.

If during menopause, they appear due to hormonal disorders, then drug treatment is carried out using replacement therapy with special drugs to restore hormonal levels.

Note: Hormonal disorders in menopause lead to the occurrence of benign and malignant diseases of not only the reproductive system, but also the mammary glands, as well as other organs. With menopause, they become a common cause of osteoporosis, heart disease, and nervous disorders. The use of drugs containing analogues of female sex hormones, often avoids the complications characteristic of menopause.

If, as a result of a survey, it turns out that copious periods during menopause are associated with diseases of the internal genital organs, then they often resort to surgical treatment (curettage of the uterus with endometrial hyperplasia, polyps, inflammatory processes, and removal of benign or malignant tumors).

Menopause and its phases

Climax is the time to reduce, and then completely stop, the production of female sex hormones, estrogens and progesterone. It is observed mainly by the age of 50 (although it may occur sooner or later, it depends on many factors) and stretches over several years.

In menopause, there are 3 stages:

Premenopause is a transitional period, when the menstrual cycle changes completely, menstruation becomes irregular, differ from one another by the duration, the intensity of discharge and the duration of the delays between them.

The first phase of menopause gradually (in the interval from 2 to 10 years) is replaced by the second - menopause, the final cessation of menstruation. Its completion and transition to the last stage of menopause is considered the end of the one-year period after the last menstruation.

On whether it is possible to return the monthly at the beginning of menopause, read here.

The third phase of menopause is called postmenopausal. It is characterized by the impossibility of the arrival of menstruation due to physiological atrophy of the ovaries.

What period do menstruation end

Monthly with menopause, although modified, come only in the premenopause phase. During this period, the ovaries begin to age. The decrease in their production of estrogens coincides with the depletion of the oocyte reserve laid down by the future girl during the intrauterine development.

The usual menstrual cycle includes a series of such processes:

  • egg maturation,
  • ovulation is its way out of the follicle
  • proliferation of the uterine lining (endometrium),
  • death of a non-fertilized cell
  • endometrial rejection from the uterus (or actually menstruation).

But during premenopause, along with the usual cycles, which are gradually getting smaller, there are cycles without ovulation. The instability of the level of estrogen, which in this period is not uncommon, affects the timeliness of maturation of the egg. When it decreases, the egg can not mature in time, and there is a delay in menstruation.

When atrophied ovaries completely stop the production of hormones, menstruation is completed completely. In addition, the functioning of all female reproductive organs gradually ends.

Can menstruation go after menopause

At the beginning of menopause, menstrual, albeit irregular, are necessarily present and are considered normal. Their completion during menopause due to the cessation of ovarian activity is also a physiological phenomenon. But if bleeding began after menopause (which is often confused with menstruation) - this is not a normal phenomenon, representing a threat to health.

These pathologies may be of different nature, but, in one way or another, they are always associated with violations of the hormonal background of the body.

An enlarged endometrium, often manifested by severe bleeding, often leads to the appearance of tumors.

Even the appearance of intense bloody discharge a few months after the final cessation of menstruation indicates endocrine diseases or neoplasms.

You can read about what to do with heavy bleeding.

Such phenomena are not related to the menstrual cycle and require immediate treatment to the doctor. After determining the cause of bleeding and diagnosis of the disease, a specialist may prescribe treatment with hormone replacement therapy (HRT) to normalize the body's hormonal background.

What can cause bleeding?

Spotting, and in fact bleeding, after menopause may occur for various reasons. In many cases, these pathological abnormalities are manifested no earlier than six months or a year after the arrival of menopause.

The causes of bleeding can be:

  • endometrial growth due to elevated levels of vitamin E or tocopherol,
  • inflammatory processes mucous uterus, her cervix, vagina and ovaries,
  • internal diseases due to hormonal imbalance - thyroid gland malfunction, liver cirrhosis, coagulation pathologies and other,
  • malignant or benign neoplasmsI'm in the female genital area. Among benign tumors, polyps and fibroids predominate, but under adverse conditions they can transform into malignant ones. And the cause of every twentieth postmenopausal bleeding is cervical or endometrial cancer. Other diagnoses that cause them are polycystic ovary syndrome, endometrial hyperplasia, atrophic vaginitis and cervicitis,
  • endometrial atrophy due to progesterone deficiency. Allocations in this case, although they have a bloody consistency, are rather scarce and differ from normal colors for menstruation,
  • iatrogenic bleeding due to the constant use of drugs. They can also cause cyclic HRT, which increases the production of progesterone. In this case, the menstrual cycle is normalized, but the discharge is not too intense and lasts no more than 4 days. There are also no malaise and intense pain inherent in ordinary menstruation. This situation is considered a variant of the norm. Other examples of such bleeding are treatment with vasodilators or drugs for neurosis,
  • physical surges,
  • injuries vaginal mucous membrane, which due to the lack of female hormones is thinning and weakly lubricated naturally. In the last two cases, the bleeding is not periodic, with timely treatment it is easy to get rid of them.

Diagnostic methods

Any bleeding, resembling menstruation, after menopause should be an alarm and a reason to consult a doctor.

Diagnosis of uterine bleeding may include procedures such as:

  • gynecological examination,
  • determination of blood loss,
  • general and special blood tests, incl. hormones, clotting and other,
  • examination of the thyroid gland - consultation of an endocrinologist,
  • histoteroscopic examination of the uterine cavity through the introduction through the cervical canal of the optical system,
  • MRI of the pelvic organs,
  • tumor markers,
  • transvaginal ultrasound of the reproductive organs,
  • endometrial biopsy,
  • cervical smear.

Early diagnosis of bleeding reduces the risk of progression of pathologies, increases the chances of successful treatment and its successful prognosis.

Prevention of bleeding

Hereditary has a decisive role in the intensity of the manifestation of menopausal symptoms, and in the case of uterine bleeding it is impossible to discount unpredictability of hormonal cataclysms. More predisposition to them affects the state of health, lifestyle and social status.

General preventive measures to prevent pathological bleeding are timely treatment of chronic diseases and a healthy lifestyle.

Specific methods for reducing their risk include:

  • safe (protected) intimate relationships without extreme, using a neutral acid acid lubricant,
  • complex vitamin therapy,
  • general physical exercises,
  • healthy food.

Periods of menopause

As soon as hormonal activity begins to fade, the woman enters the premenopausal period. When does menopause come? It begins at about 40-45 years and lasts several years. And these few years are the most painful and disturbing for a woman. This is followed by menopause (there is no menstruation at all), and then - the postmenopausal period, which lasts the rest of your life.

Time before menopause

Premenopausal period - this is the time before menopause. It can last for several years. And many women are interested in how menstruation comes before menopause. Menstruation at this stage comes, but have their own characteristics:

  • monthly before menopause may be irregular,
  • it is admissible both rather plentiful bleeding, and "daub",
  • gradually menstruation becomes less painful in those women who suffer from pain during menstruation,
  • delays of several months are permissible.

Prolonged menstruation before menopause is a common variation in the premenopausal period. But calmly wait for menopause and can not be inactive! Be sure to monitor the state of the ovaries, uterus, the ratio of sex hormones using laboratory diagnostics.

If a woman has a pathological early menopause, a certain treatment will help preserve reproduction. Since you can return your period at the beginning of menopause only with the help of hormone therapy, immediately contact gynecologists and reprodutologists.

During the premenopausal period, the amount of estrogen decreases and the number of gonadotropic hormones increases. This leads to the natural death of immature eggs in the ovaries. The woman's body is so constituted that estrogen receptors are found not only in the uterus and mammary glands, but also in the bladder, vagina, urethra, brain, heart, and mucous membranes of the eyes and mouth. Therefore, the lack of estrogen somehow affects the work of other organs and tissues, and not only on the reproductive system.

Not one monthly during menopause undergo changes. Just at this stage (2-5 years before menopause) there are signs of climacteric changes that all women fear: flushing, increased sweating, depressive disorders. Acceptance of hormones, selected in the minimum dosage by a doctor, will help to forget about the pathological course of menopause.

When menstruation stops

Often women ask the doctor when menstruation stops during menopause. Just in the period of menopause, the last menstruation occurs. Usually, cessation of menstruation with menopause occurs suddenly. If earlier menstruation, though with interruptions, but came, then menstruation after menopause are absent.

At this stage, the ovaries work in low activity mode. But they still operate for about 2 years after the last menstrual period. This gradual decrease in estrogen is necessary for a smooth hormonal adjustment of the woman’s body.

It is important to understand that menopause is the completion of reproduction, since menstruation ends with menopause and ovulation can no longer be. Egg supply is exhausted. And if abundant periods during menopause in this period of menopause suddenly begin to go, it is urgent to undergo an examination.


Postmenopause starts from menopause and lasts up to about 70 years. After this age, a woman enters a period of physiological "old age." If we take the average life expectancy of 75-80 years, then a third of female life falls on menopause. Postmenopause lasts about 10 years. It is believed that during this time, the tides, the tendency to depression, sleep disturbance may persist. But for many women after 65, all the symptoms of menopause disappear.

How to understand that menopause soon and stop going monthly

Feels like a woman is difficult to understand that approaching menopause. Hot flashes and other characteristic symptoms appear later than hormonal changes. To ensure the depletion of the stock of eggs, you can use laboratory diagnostics. Hormonal blood tests for hormones are especially important for women prone to early menopause (with irregular periods during life, unfavorable heredity).

If the female line of menstruation stopped early (up to 45 years), periodically monitor the state of hormones. Lack of control is dangerous with the onset of early menopause. Then women who have not had time to give birth or are afraid of an early onset of osteoporosis, heart disease and blood vessels, begin to ask how to cause menstruation during menopause and have time to do what was planned for many years.

From the subjective manifestations of the approaching menopause, pay special attention to the following signs:

  • vaginal dryness
  • reduced interest in intimacy and men,
  • the rapid appearance of new wrinkles,
  • dry skin
  • headaches,
  • irritability,
  • sleep disturbances
  • rapid fatigue,
  • depressive thoughts.

Monthly with menopause in women more often acyclic, prone to uterine bleeding. In this case, it is necessary to monitor the condition of the blood in order to prevent anemia, and also to check the genitals with transvaginal ultrasound and hysteroscopy.

This video discusses the problem of the first climacteric changes and methods for correcting the condition. Also, the doctor talks about how to make a home test for determining menopause.

Causes of heavy menstruation during menopause

Abundant and long periods during menopause is a reason to consult a gynecologist. Only a specialist, having on hand the results of the survey, can understand what is associated with bleeding or prolonged menstruation in menopause.

Possible causes of heavy periods with menopause:

  • atrophic vaginitis,
  • uterine fibroids,
  • злокачественные процессы в шейке и эндометрии матки,
  • аденомиоз,
  • множественные или единичные полипы.

The main cause of heavy menstruation and acyclic bleeding during menopause is hyperplasia of the inner layer of the uterus. Contribute to the growth of the endometrium natural extinction of hormonal activity, reduced ovarian function and additional endocrine disorders.

Help with uterine bleeding

It can be difficult for a woman to understand where acyclic menstruation ends and bleeding that is life-threatening begins. It is better in any case to contact a gynecologist and undergo at least an ultrasound. If you are forced to change the pads more often 1-2 times in 2-3 hours, this indicates a pathological course of menstruation or bleeding.

You can not stay at home in this state. Lack of treatment may result in the need to remove the uterus because of the threat to life. Specialists have all the necessary drugs to stop bleeding. Further, therapy with gestagens is carried out, which prevent heavy menstruation and alleviate the symptoms of menopause.

Can I get pregnant with menopause

According to the long-term observations of gynecologists, after 40 years the number of unplanned pregnancies increases dramatically. Women to this age naively believe that conception is unlikely. This problem is especially acute for those patients who have an irregular menstrual cycle throughout their lives. They most often stop menstruation for several months until they reach the age of 40, which may indicate an early onset of menopause.

Many patients do not know whether they can go during menstruation during menopause and consider their absence as the norm, while the activity of sexual activity does not decrease. Even if you have stopped menstruation, it does not mean that you have entered the period of premenopause or menopause. When there is no menstruation, menopause tests are performed that help determine residual reproductive abilities and choose the appropriate method of contraception for the future.

Contraception for women in menopause

Choosing the right contraceptive method for women over 40 is rather difficult. At this age, ovarian function is reduced, but many patients have gynecological diseases, which do not allow to be protected from unwanted pregnancy by any possible means.

The task of modern contraception is not only the prevention of abortion, but also slowing down the aging process and reducing the risk of endometrial hyperplasia. Microdose oral contraceptives successfully cope with this role. They have a positive effect on the female body. The minimum amount of estrogen component minimizes the risk of developing estrogen-related side effects. Oral contraceptives do not affect blood pressure and body weight, which is also very important for patients in transition age.

But to choose the combined hormonal drugs should only be a qualified specialist. Oral contraceptives have certain contraindications, mainly - a tendency to thromboembolism and other bleeding disorders. Also, such tools are contraindicated in smoking and serious diseases of the kidneys and liver.

How to stop menopause

What is the purpose of women wanting to stop ovarian dysfunction? Most often - this is the desire to warn early menopause or have time to get pregnant. Often women are interested in whether it is possible to cause menstruation during menopause. At the initial stage of the climacteric period, while maintaining a certain number of eggs, with the help of hormonal treatment, it is possible to slow down for a while the further extinction of hormonal activity. For this purpose, estrogens, progestins, progestins and combinations of hormonal agents are used. The treatment takes several months. But only an experienced and qualified gynecologist selects a specific treatment regimen.

It is unacceptable to try to return the monthly during menopause with self-treatment. This can lead to unpredictable health effects, including breakthrough uterine bleeding, requiring urgent hospitalization and total uterine surgery.

Hormonal drugs in a certain combination can both help and harm the body. Do not neglect the help of qualified professionals. Before the appointment of hormones necessarily carried out a comprehensive diagnosis. Estrogen-containing agents can be used not only in tablets, but also in the form of local means. Candles, gels and creams are applied to the vaginal mucosa to get rid of itching, burning, dryness and discomfort during intimate contact.

The nature of the climacteric period depends largely on the health of the endocrine system and mental state. In the presence of diabetes mellitus and other pathologies of the endocrine glands, the course of menopause is aggravated, and the risk of acyclic bleeding increases. Anxiety, suspiciousness, depressive mood also adversely affect the work of the ovaries. If a woman feels insecure, refuses from sports, suffers from complexes and personal problems, dysfunction of the reproductive apparatus occurs much earlier than it should be.

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There were long periods during menopause: why long periods began, how many can go and what to do with it

Climax - the physiological period of a woman's life, during which there is a gradual cessation of childbearing, and then menstrual function. The onset of menopause is observed at the age of 45 - 55 years.

The time from the beginning of the menopausal period to the complete cessation of menstruation is very blurred and can vary from 2 to 6 years.

How many days menstruation can go during menopause is completely individual and is due to the hormonal system of the woman.

The reproductive period in the female body functions as a result of cyclic effects of sex hormones on it. In menopause, the function of the reproductive system begins to fade, the number of ovarian follicles decreases, the hormonal background of a woman undergoes significant changes that affect all systems of the body.

In accordance with the hormonal changes occurring in the female body, there are 4 phases of menopause:

  • premenopause - the beginning of the extinction of the function of the reproductive system, characterized by a decrease in the secretion of estrogen, a decrease in the number of ovarian follicles,
  • menopause - the last spontaneous menstruation,
  • early postmenopause (1 - 2 years from menopause) - the period during which changes in the perimenopausal phase are completed,
  • late postmenopause - a period that lasts until the end of a woman’s life, during which the ovarian function completely stops.

Period from the onset of menopause to late postmenopause called perimenopause. It is during this time that active involutional processes occur in the reproductive system.

How to restore menstruation during menopause, you can read here.

Why menstruation ends

Menopause is monthly stop in women, and is a physiological process caused by aging of the body. At all times, the established age range for menopause (45 - 55 years) remains unchanged, regardless of race, place of residence and other conditions

At the age of women 40 - 45 years, the extinction of the activity of the sex glands begins, and this process occurs in stages:

  • there is a decrease in the secretion of progesterone by the ovaries,
  • the production of FSH and LH increases, the concentration of estrogen rises sharply, which leads to a delayed menstruation and lack of ovulation,
  • estrogens decrease, resulting in follicles no longer mature, and menstruation ceases,
  • the activity of the ovaries is completed, as a result of which menstruation stops completely. There comes a menopause.

The extinction of the activity of the sex glands occurs gradually, the process can stretch over time up to 6 years, the timing of the cessation of menstruation during menopause in each woman is individual and depends on the state of her hormonal system.

When menstrual cycles stop

The first symptom of menopause in women is a failure in the menstrual cycle, characterized by a gradual increase in the intervals between menstrual periods.

The transition from regular menstruation to menopause, i.e. complete cessation of menstruation, occurs gradually:

  • regular periods,
  • delayed menstruation alternating with regular cycles. Moreover, the interval between periods is gradually increasing - from several days to 1.5 months,
  • menstruation becomes short, blood volume decreases significantly,
  • the last independent menstruation occurs, regulated by the ovaries.

Last menstruation is called menopause - this is the second stage of the menopause. The date of the last month is determined retrospectively. after 12 months of menstruation.

On whether monthly can go after menopause, read this article.

What violations are observed

Changes in the reproductive system during menopause are regulated by the hypothalamic-pituitary system and the ovaries. Physiologically, menstrual changes in menopause occur gradually. With each cycle, the interval between menstruation increases, the volume of blood decreases, and, eventually, menstruation stops altogether.

Pathological disorders in the menstrual cycle with menopause are:

  • increased bleeding after being scarce,
  • an increase in the duration of bleeding,
  • reduction of intervals between periods,
  • the appearance of bleeding after a long absence of menstruation.

Because of what come long periods during menopause

Various pathological disorders of the menstrual cycle during menopause - long, heavy, frequent periods, as well as their renewal after a long absence - are diagnosed as dysfunctional uterine bleeding.

The reasons provoking uterine bleeding include:

  • a pathological increase or, on the contrary, a decrease in estrogen, not characteristic of premenopause,
  • neurological disorders, neuroendocrine form of the hypothalamic syndrome,
  • ovarian tumors, uterine myoma, endometrial polyps, glandular hyperplasia,
  • cancer of the ovary and uterus,
  • inflammatory diseases of the pelvic organs.

Dysfunctional uterine bleeding occurs in every third woman in premenopausal women. The intensity of bleeding varies from scanty discharge to very heavy, requiring immediate medical attention.

Should I go to the doctor

Long periods of more than 6 years, as well as a sudden resumption of menstruation after their termination - this is a serious reason to visit a doctor.

To identify the cause of the deviation, the gynecologist will examine the patient and prescribe a number of diagnostic tests:

  • endometrial scraping for histological examination,
  • analysis of microflora,
  • Ultrasound of the pelvic organs,
  • The study of hormonal levels through blood tests and urine.

If necessary, the attending physician will refer the patient to a consultation with an endocrinologist and a neuropathologist for the diagnosis of extragenital diseases.

What to do and how to treat

Tactics of treatment is determined by the doctor after diagnostic cause determination menstrual disorders during menopause.

With hormonal system dysfunctions treatment with estrogen-progestin and androgenic drugs is prescribed. The course of treatment is long and ranges from several months to 2 years.

In the presence of contraindications to drugs hormone therapy is replaced by physiotherapy, which includes electrophoresis of novocaine and electrostimulation of the cervix with low-frequency impulse currents.

With endometrial hyperplastic processes Surgical treatment is indicated for patients - curettage and removal of neoplasms.

How are monthly during menopause? Menstruation during menopause

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 menopause affects the functioning of the reproductive system, which signs indicate the presence of pathologies and require the intervention of physicians. How are monthly during menopause, we consider in this article.

Changes in the nature of menstruation

The monthly cycle consists of several periods:

  • The period when the eggs mature.
  • The period of ovulation (the eggs come out of the follicle).
  • The period of increase of the internal endometrium of the uterus.
  • The period of aging and die-off of the eggs (in the absence of fertilization).
  • Death and removal of the endometrium in the form of bleeding (menstruation).

But when menopause how are monthly?

During menopause, menstruation can take place both in the usual cycle and in the cycle in which there is no ovulation. This is due to a decrease in the level of estrogen, which is responsible for the maturation of the eggs. However, do not forget about protection in the menopausal period. Pregnancy and successful gestation are not uncommon for women experiencing menopause.

When menopause occurs, secretions can last for 1-2 days as well as 7-10 days, depending on the characteristics of your body. The complete cessation of menstruation suggests that the ovaries have completely stopped the production of estrogen, the structure and shape of the tissues of the ovaries and uterus has changed.

Types of periods

For most women, menstruation does not cause much trouble and is a common monthly phenomenon that requires special attention only to personal hygiene. With the onset of menopause, everything changes: the magnitude of the cycle, profusion, regularity.

How are monthly during menopause? There are several types of periods when menopause occurs:

  • Gradual termination. Monthly come regularly, but the duration and profusion of "red days" gradually decreases. It can last up to 2-3 years, does not cause anxiety and ailments in most women.
  • Abrupt termination. Menstruation stops once and for all. In this case, the woman is tormented by hot flashes, nervousness, mental disorders and other signs of menopause.
  • Selections that do not have a specific cycle. It is difficult to predict the first and last day, the discharge can be both weak and abundant. The break between periods can reach 3-4 months. In this case, during the period of menstruation, the woman feels a general malaise: dizziness, nausea, pressure jumps.

These types accompany menopause, with the onset of menopause, natural secretions cease completely.

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.

Causes of discharge

How much are monthly during menopause, we reviewed earlier.

If the bleeding is plentiful and repeated more than 1 time per month, you should immediately consult a doctor. The causes of this phenomenon can be either harmless, indicating a global restructuring of the woman’s body, or be more serious.

  • hormonal drugs,
  • erosion of the uterus,
  • injuries and cracks on the walls of the vagina.

Causes requiring treatment:

  • Hormonal disorders. They lead to a change in the state of the endometrium, increasing the likelihood of a tumor in the uterus or vagina.
  • Uterine fibroids. Частое явление при менопаузе. Свидетельствует о сбое в работе эндокринной системы. Провоцирует появление обильного кровотечения и нарушает менструальный цикл.
  • Полипы на матке и во влагалище. Affect the change of the cycle and contribute to the emergence of heavy periods.
  • Resizable uterus.
  • Polycystic. Education in the ovaries, which affect the frequency and profusion of discharge.
  • Poor blood clotting. Climax affects the operation of all body systems. In some cases, there is a decrease in platelets in the blood, which leads to large blood loss during menstruation.

It is also important to take hormonal contraceptives correctly. If you violate the recommendations on the use of a possible change in the cycle and the appearance of heavy bleeding. This happens before menopause. How are the periods, it is now clear.

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.
  • Discharges 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.

Long periods during menopause: what to do, the causes of the condition

Menopause in women begins after 45 years, characterized by a decrease in reproductive function. This process can take up to 10 years. Often cause discomfort long periods during menopause, what to do in this case? Each woman's body restructuring process takes place in different ways: painful or not felt at all.

Stages of hormonal changes in the body

Reduced reproductive function leads to several successive periods.

  1. Premenopause continues for 6 years. At this time, there are irregular periods, which are completely stopped. Blood excretion is insignificant, and copious periods during menopause are practically not observed.
  2. Menopause is characterized by a lack of blood discharge. This stage is the shortest.
  3. With postmenopause, the body reverses, the duration takes up to 2 years. At this stage, there are significant changes associated with the work of sex hormones: the hair coat exhausts itself, the vaults of the vagina become more compacted, the uterus decreases in size, there is a decrease in the amount of fluid excreted by the gland or its complete absence.

The changes also apply to the mammary glands: they are replaced by fatty tissue. With menopause without obvious complications - discomfort in women can not be traced. This period lasts the rest of the time.

What determines the duration of menstruation during menopause

The resumption of the menstrual cycle during menopause in women may indicate the presence of various kinds of pathologies.

  1. Mucosal lesions with bruises - if a woman has mechanical lesions in the genital area.
  2. The appearance of a tumor or cancer of the uterus - benign or malignant neoplasms interfere with the normal menstrual cycle.
  3. The uterus in size greatly increases.
  4. Disruption of the endocrine system - is the lack of synthesis of hormones and their poor functionality, with this disease failures in the body, resulting in the onset of menopause ahead of time.
  5. Ovarian disease.

If you suspect a malfunction of the reproductive system, a woman should visit a gynecologist. You should consult a doctor if the duration of menopause exceeds 5-7 years.

Long periods during menopause and examination of women

Prolonged menstruation indicates violations of the genitals. It is necessary to visit a medical specialist in time and undergo a complete examination of the whole body. This will help to identify specific problems early in the pathology.

There are certain research methods to establish the etiology of deviations:

  • primary inspection and analysis on microflora,
  • ultrasound, colposcopy,
  • biochemical and morphological analysis of blood, the study of its clotting,
  • STD screening,
  • analysis of hormonal levels, hormones in biological fluids,
  • visit and examination of the endocrine system specialist.

The menstrual cycle that occurs during the perimenopause period is characterized by prolonged discharge with blood clots. If you notice such symptoms, you should immediately visit a doctor. This will avoid unwanted effects and help to establish the exact cause of these secretions. Because menstruation may be similar to normal bleeding in the pathologies of the genital organs.

Incorrect diagnosis or late treatment of the disease can lead to irreversible consequences - this is acute dehydration, severe blood loss, the development of serious diseases, even cancer.

The final stage of menopause

When menopause occurs, women go through all stages. However, it is impossible to establish the exact duration of menstruation during menopause, because every woman's body is unique.

The gradual cessation of menstruation indicates the onset of menopause. Initially, the cycle is extended for 7 days, then for a month.

With this duration, the blood is released in small quantities, and then disappears.

Many women want to delay the onset of menopause. The emergence of early menopause prevents the normal functioning of the ovaries, in order to avoid this you need to use special drugs. They can slow down this process. Depending on how long the climate cycle can last, the best solution is determined for the treatment and elimination of unpleasant pain.

The treatment process for menopause

Early detection of the disease is important for effective treatment and high outcome. Often for therapeutic purposes use medication. They are divided into hormonal and non-hormonal means.

Hormonal drugs are drugs that contain biologically active substances, Klimonorm is the most common among them. They are necessary to maintain hormone levels and normalize health. There are some other drugs.

  1. Premarin is widely used for diseases of the female genital organs, namely when hormone levels fail during the development of menopause, when taking it is necessary to take into account some of the individual characteristics of the body and know the side effects of the drug used for internal administration.
  2. Cliogest, a remedy based on natural hormone-estrogen, is somewhat similar to Klimonorm: strict medical supervision is required to take this medication, since it increases the likelihood of developing cancers.
  3. Klimonorm - a drug containing estrogen, necessary for the female body, is produced in the form of pills for internal use: Klimonorm has some contraindications, also has its own side effects, it is undesirable to use several of these medicines, if Klimonorm is used.

Non-hormonal - aids in menopause, which contribute to the normalization of the emotional level in women. The most common ones are: Feminal, Estrovel, Qi-Klim, Menopace, Klimalanin.

In any case, an experienced doctor should prescribe maintenance therapy, and self-treatment can lead to complications and the occurrence of malignant processes in the body.

Long periods before menopause

The extinction of ovarian function, which is accompanied at the beginning by an irregular menstrual cycle, and then by its complete cessation, is called menopause, or menopause.

Unfortunately, the majority of women who reach this period are practically unaware of what is considered the norm, and when you need to seek help from a specialist.

So, long and abundant menstrual periods for menopause is not at all a variant of the norm, but a symptom of any pathology, which will be described in our article.

The duration of menstruation with menopause

In the premenopausal period, it is not easy to distinguish normal from pathological menstruation. After all, due to fluctuations in the level of hormones in the blood and the irregularity of ovulation, rather lengthy and quite abundant periods during menopause are common.

The menstrual cycle becomes irregular, and menstrual bleeding may not be for several months, after which they can resume again.

Unfortunately, not every woman turns to a specialist for prolonged periods, not suspecting that this is not the usual menstruation during menopause, but the real uterine bleeding.

Causes of long, frequent and heavy periods during menopause

The causes of uterine bleeding can be many, the most frequent of them:

  • uterine leiomyoma,
  • endometrial hyperplasia,
  • imbalance of sex hormones in women in menopause,
  • endometrial polyps,
  • diseases associated with impaired blood clotting (insufficient platelet count or coagulation factors in the blood),
  • impaired thyroid function (hypo-and hyperthyroidism).

Prolonged menstruation before menopause

Now consider what is considered pathology in the premenopausal period, when you need to see a doctor:

  • bleeding after sexual intercourse,
  • prolonged periods of more than 7 days,
  • heavy monthly more than 80 ml,
  • if blood clots are released,
  • duration of menstrual cycles less than 21 days,
  • bleeding between periods.

Women with abnormal menstrual flow should be examined to determine and correct the cause of metrorrhagia.

Such a woman will be offered to pass all general clinical examinations, examination by a gynecologist with an extended colposcopy and undergo an ultrasound examination with a vaginal sensor.

Do not forget that uterine bleeding in premenopause and menopause can be a symptom of a malignant lesion of the reproductive organs.

Long menstruation. When to sound the alarm?

Even a normal menstrual period runs with some discomfort for a woman.

And if the menstruation of a woman is still abundant and long, then this directly affects not only her well-being, but also the organism as a whole. Bleeding with prolonged menstruation can last up to several weeks.

What causes severe bleeding? Is it possible and necessary to do anything in this situation, or is such a state to some extent the norm?

If you encounter this problem, the information below will clarify some common causes that lead to prolonged menstruation.

What should be the normal menstrual cycle

In order to understand the causes of bleeding, you need to generally understand the mechanism of menstruation. The woman's uterus is lined with endometrium (marked in bright red in the image inside the uterus).

In the normal cycle, the female body produces estrogen, which promotes the growth of follicles in the ovaries and causes the endometrial layer to grow all the time during the cycle. During ovulation, hormone progesterone is additionally produced.

Menstruation occurs when progesterone levels fall and the endometrial layer separates, that is, menstruation is the separated layer of the endometrium. Normal periods last about 7 days.


Menorrhagia is a condition in which a woman regularly has long and heavy menstruation. Bleeding can be considered abundant, if in one hour your gasket or tampon is completely filled.

Long-term menstruation is considered when its period exceeds a week.

Menorrhagia can be caused by various reasons: from changes in hormone levels in the blood and blood clotting disorders to uterine disorders.

Another form of menorrhagia is called hypermenorrhagia - a severe form of bleeding, which consumes several pads or tampons per hour. Some of the causes of menorrhagia can be: thickening of the endometrium, hyperplasia of the uterus or cervix, ectopic pregnancy. problems with the thyroid gland, pelvic inflammatory diseases, problems with the IUD.

Ovulation Disorder

One of the many causes of prolonged menstruation is disruption of the ovaries. Even if you do not ovulate, your ovaries will produce estrogen throughout the cycle, which causes a thickening of the endometrium of the uterus.

Lack of ovulation can delay the beginning of menstruation, and when they finally come, it will lead to the fact that menstruation will be long and abundant.

The ovaries may malfunction for a number of reasons and it is simply impossible to name a common one without a full examination by a specialist.

Uterus problems

Other causes of prolonged menstrual bleeding are problems with the uterus. One of these problems is polyps. Endometrial polyps - These are small growths that appear in the uterus.

These polyps are generally harmless, but can cause lengthening of the menstrual period.

Polyps are formed from long-term use of drugs containing estrogen, as well as from excessive accumulation of estrogen with no ovulation.

Another reason is uterine fibroids. Myomas grow inside the uterus. Most of the time, these fibroids do not cause any symptoms, but can provoke prolonged bleeding. The size of the fibroids varies, and usually decreases after menopause.

Adenomyosis - This is a condition where the endometrium of the uterus grows into its walls.

During the normal menstrual cycle, the endometrium exfoliates from the uterus and leaves the woman’s body along with the menstrual blood.

But when the endometrium grows in and becomes part of the muscular wall, this can lead to injuries to the tissues of the uterus and increased bleeding. The diagnosis of adenomyosis can be made by ultrasound.


Sometimes the cause of prolonged menstruation is not related to the female organs. Pay attention, do you suffer from periodic bleeding from the nose, or maybe your blood does not clot? If you have any of the above problems, then perhaps they are the cause of prolonged menstruation in your case.

Anticoagulants may also have an influence on the duration of menstruation, for example, such a common medication as aspirin. and blood thinners.

In any case, menstruation, which lasts more than 7 days, is a violation and a reason for going to the gynecologist.

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Menstruation during menopause

Any monthly during menopause. whether it is abundant, scanty, long and short-lived - all these are signs of incipient diseases and pathologies. Responsibly and promptly approaching this problem, it is possible to resolve it with a happy outcome.

It is believed that the woman's menstrual cycle ends with the onset of menopause. In fact, the transition to the climacteric stage does not occur immediately, it all depends on the number of stored female hormones.

Menopause occurs every woman individually, of course, there is a conditional framework from 40 to 55 years, although on average menopause comes to about 47 years.

Much depends on lifestyle, heredity, operations performed earlier, diseases, including chronic ones.

Many believe that with the advent of menopause, menstruation should disappear completely, but this is not quite so. Menstruation during menopause are of several types.

Первый тип –месячные приходят в беспорядочной последовательности, они могут быть скудными и обильными, приходя в разные промежутки времени.

Второй тип – менструация приходит и возобновляется примерно через четыре месяца, а потом снова прекращается на этот период.

The third type - for these women, menstruation goes away and does not return at all.

The fourth type is the most common, menstruation goes slower, without sharp fluctuations and absences, gradually the number of menstruation decreases, they become less abundant, then disappear completely.

In any case, no matter what type you are, menstruation often does not play a big role in the woman’s well-being. Some women feel great and with the complete cessation of the menstrual cycle, others are difficult to endure gradually leaving menstruation.

After menopause, menstruation should not be in principle - it is most likely bleeding from the genitals. They can be caused by taking medications prescribed by a doctor to replenish the female hormones necessary for the body.

Bleeding also results from injury to the uterus. With age, the walls of the uterus lose their tone, become thin, the mucous membrane is prone to injury due to dryness in the vagina.

A more serious cause can be endocrine diseases, possible tumors, cancer of the uterus.

Sometimes women often notice bleeding during menopause. similar to monthly. Sometimes bleeding is cyclical and even occurs in the period of former menstruation.

The fact is that the woman's body did not “realize” the arrival of menopause, moreover, there are still a few hormones responsible for menstruation.

Also, the cause of bleeding can be poor blood clotting, problems with the endocrine system (thyroid gland). A visit to the doctor should be urgent if such periods began a large amount of time after the last menstrual period before menopause.

Violation of the menstrual cycle with menopause

Most often, menstrual irregularities are observed before menopause, during such a period, menstruation can go on, and then disappear for several months, then begin again.

If such a restructuring continues for more than six months - it is worth contacting a doctor, since during this period an ectopic pregnancy is possible, which, if not provided with timely assistance (emergency surgery), can be fatal.

Delay of menstrual periods

One of the clear signs of menopause is a violation of the menstrual cycle. Monthly during menopause with a delay is considered a normal physiological process.

The female body is preparing to abandon the hormones responsible for fertilization and the formation of menstruation. The only thing that should be alarming is too long periods of delay between periods.

They may indicate a hormonal imbalance.

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Long periods during menopause: what to do and what to take?

The time of menopause is the time of a radical restructuring of the entire female body. Long periods can occur during any of the periods of menopause and signal serious violations. However, long periods during menopause is a very ambiguous concept.

Already by the age of menopause, a woman should clearly know how many days and in what quantities her monthly periods go, because the individual characteristics of the body play a large role in this matter.

For some, one number of periods is considered the norm of life, and for another - something out of the ordinary.

How do menstruation flow during menopause?

The body of each woman is individual, but still the doctors managed to observe the process of ending menstruation and divide women into 4 conditional groups, because everyone wants to know exactly how her periods will pass and how they will end.

  1. The first group. This includes the majority of women. Monthly they stop not abruptly: it will take several years. They gradually fade away, standing out in the form of scant daubing, or a little more abundant.
  2. The second group. This group includes a relatively small number of women. They usually stop their periods once and for all, and never return. Of course, these women can be seen and other symptoms of menopause, but most often it concerns the well-being.
  3. The third group. In these women, prolonged periods before menopause also stop gradually, but the intervals are quite serious. A woman can be sure that her period has stopped completely, but after a period of time, they still come back. Gradually, this way the monthly stops completely, the gap between them becomes more and more large.
  4. Fourth group This group of women can be described as a high-risk group. Most often, women from the fourth group fall ill with cancer of the reproductive system. In addition, such diseases are accompanied by serious disruptions in metabolism. Months themselves can be called erratic: a woman can not set clear deadlines when they start and when they come to an end. They can stop for a very long time and return after two or more years, which is not typical for the menopause situation. When menstruation is absent for a long time, the discharge itself can be called too abundant. In addition to these symptoms, the woman simply feels unwell, complains of weakness, anemia, dizziness, lethargy.

Causes of heavy bleeding during menstruation

There are many reasons for which abundant and prolonged periods during menopause can occur, the most common of them are:

  1. Inflammation of the vagina. This is the most easily explained cause of bleeding during menstruation. The fact is that during menopause, the vaginal walls become thinner. The mucous layer that protects them also disappears, so the vagina can easily be injured during sex. If the reason is confirmed, then you need to be more careful and use candles or a lubricant for the vagina with a heightened sensitivity.
  2. Polyps or other formations of a benign nature can also cause long periods during menopause, which can also be noticed after having sex.
  3. Uterine fibroids - a fairly frequent female disease of benign nature, which is associated with abnormal muscle activity of this organ. In addition, uterine fibroids can occur due to disruptions in the endocrine system. All these processes that can occur in a woman’s body are often characterized by heavy bleeding.
  4. During menopause, uterine tissue also becomes very thin and vulnerable. This leads to damage during sexual intercourse, and then to heavy bleeding.
  5. Lack of personal hygiene or damage to the urinary canal also often causes bleeding, and quite abundant.
  6. The worst thing that can indicate a bleeding that does not stop suspiciously long is cancer of the female reproductive organs.

Uterine bleeding

When a woman has menstruation for too long during menopause (more than a week), then you should start worrying about it. However, not everyone realizes that this is a very disturbing sign.

Women know that during menopause, the body is rebuilt, so long periods are written off for this.

But such secretions are no longer menstrual, and are uterine bleeding, which is very dangerous. With what it can be connected?

  1. Improper functioning of the reproductive organs (uterus, ovaries, fallopian tubes, etc.).
  2. Prolonged discharge of blood occurs during a rather serious hormonal failure.
  3. The blood acts long and in large quantities when the uterus atrophies.
  4. Long periods can indicate that the body lacks some female hormones.
  5. Such a process may trigger the use of certain medications, including pills for contraception.
  6. Severe bleeding from the vagina can be caused by pathologies of other organs and their systems.

When can bleeding be considered dangerous?

There is nothing normal in the fact that during menopause there is no menstruation for several months, and then they start to walk very abundantly. But if it bothers you, then you should pay attention to the nature of the discharge. In the following cases, you need to be alert:

  1. Bleeding is too heavy (there hasn't been such a thing before), the gasket completely gets dirty in less than an hour.
  2. Abundant periods with clots go more than a week, and there are no signals that they will soon end.
  3. There are many impurities in the blood such as blood clots, mucus and other things.
  4. Blood from the vagina comes either during intercourse or immediately after it.
  5. Menstruation is observed much more often than it should be (once a month).
  6. Quite noticeable pain in the lower abdomen, which lasts much more than a week (normally, the first two days after the start of discharge).

All these factors can mean the presence of uterine bleeding, so you should immediately consult a doctor, since only he can establish whether it is normal or that such bleeding should be treated immediately. In any case, delay in this situation can cost you health and even life.

How to stop excessive bleeding during menopause at home?

Immediately I must say that you should not do this, since any intervention in the female menstrual cycle may result in gynecological diseases. The most optimal scenario is the immediate appeal to the doctor.

However, if you decide to take the risk, you can stop the bleeding with the following medications:

  1. Taking birth control pills or oral contraceptives can stop long and heavy periods for a long time. If you are already drinking these drugs, then do not stop taking them.
  2. Vikasol. This drug can cause severe blood clotting, thereby stopping heavy periods.
  3. Tranexam. This tool is also designed to stop the monthly, you can buy it in the form of tablets or injections.
  4. Duphaston. This hormone-based medication also affects the cessation of bleeding. Its main advantage is that it does not affect the blood clotting processes.

Thus, long and abundant menstrual periods with menopause is a rather disturbing sign that should not be ignored.

It is better to visit a doctor and hear that you are fine, rather than risking your own health.

The fact is that most of the diseases of the female reproductive system, even with heavy bleeding from the vagina, can be cured completely, but only on the condition that they were noticed in the early stages.

Interesting and informative video on the topic:

Symptoms of menopause

There are a huge number of symptoms that may indicate the onset of menopause. The main of them is considered to be the end of the menstrual cycle, which unfortunately can not be resumed. In the female body there is a decrease in the productivity of such a sex hormone as estrogen, which leads to a sharp decrease in sexual desire. A woman during intercourse simply ceases to have fun. In addition, during the menopause, the patient begins to be disturbed by severe headaches that do not stop for several hours. Basically, their duration depends on the individual susceptibility of factors that affect the entire body. What to do and with the help of what to eliminate migraine - the main issue that arises in women.

In order to relieve a headache, medication medicines are often prescribed. The most common and frequently used are paracetamol and ibuprofen. When taking medication does not bring significant relief, then you need to consult a qualified specialist, who will select a drug with a stronger analgesic effect. In the event of a heartbeat failure, an increase in the respiratory rate, it is also necessary to seek help from a medical institution in order to make a cardiogram. According to the results of the cardiogram, the doctor will be able to determine the signs of pain in the region of the heart. If the cause of the pain is any ailment, then a complex of appropriate therapy is prescribed individually for the patient. Sudden mood swings, frequent stress, fatigue, and anxiety are also symptoms of menopause. These processes result from a decrease in the production of estrogen. Also one of the extremely unpleasant symptoms during menopause is hot flashes, which are accompanied by the following pathological processes:

  • lack of oxygen
  • increased sweat
  • excessive redness of the skin on the face and chest,
  • increased anxiety
  • nausea,
  • dizziness
  • weakness of the whole organism.


During this period, the woman's body begins preparing for subsequent hormonal changes. The duration of premenopause can be about six years. At this time, the woman begins to notice the first pathological changes in the menstrual cycle. They appear in the form of changes in the intensity and duration of menstruation.

Menopause is the second stage of menopause and is characterized by a complete stop of the production of female sex hormones. It is at the onset of the menopause phase that a complete cessation of menstruation occurs. The duration of this stage is determined by the absence of menstruation.


It is considered that the period of postmenopause begins at the end of the menstrual cycle and not the onset of menstruation during the year. Long this stage can be from 12 to 24 months. During this period of time, the ovaries stop synthesizing hormones and the female body begins to adapt to these changes.

Based on the above, in the case of the approach of menopause in women begins the failure of the menstrual cycle. Monthly become non-regular and have a different duration, and after a while and completely stop. This phenomenon is not a pathological process and all these changes must necessarily occur when the climacteric period occurs. The flow of menstruation during the period of menopause is directly proportional to the personal characteristics of the woman. In the case of changes in the duration, abundance and composition of the month, it is recommended to visit your doctor - gynecologist, because these changes are characteristic not only for menopause, but may indicate the presence of tumor neoplasms.

Is it worth the bother

A condition in which menstruation occurs during menopause is not the norm. This phenomenon relates to the pathological process. In the event of this condition, it is recommended to consult a specialist as soon as possible. The gynecologist, after consultation, will prescribe a special set of measures to determine the cause of the bleeding, namely:

  • gynecological examination and palpation of the pelvic organs,
  • ultrasound examination of the uterus, ovaries, fallopian tubes,
  • endometrial biopsy.

The main factors that can cause unsystematic bleeding in menopause are very diverse and can be:

  1. Inflammatory processes of the input part of the female genital organs. This is due to the fact that the walls of the vagina become thinner and dry, and itching and burning may also occur. In addition, the risk of tissue damage during intercourse increases.
  2. Abnormal growth of tissues or the presence of neoplasms belonging to the benign species. In this situation, the bleeding is more pronounced and often begins after sexual intercourse.
  3. Uterine fibroids - a benign formation that develops in the muscular layer of the uterus - myometrium. In the presence of fibroids, bleeding is often not only strong, but also very abundant.
  4. Increased sensitivity of the endometrium, as well as a decrease in its thickness during menopause, can lead to injury of the vessels located directly on the mucosa. As a result, the woman begins bleeding, having a rather strong intensity.
  5. Poor hygiene or various kinds of damage to the urethra can cause irritation and bleeding, which will make a woman worry.
  6. The appearance of cancer, such as cancer of the cervix or endometrium.

In addition, bleeding during menopause may also occur as a result of natural factors. In any case, the patient needs to be examined in a gynecological chair, since the occurrence of discharge in menopause is an anomaly and indicates the presence of any ailment or pathological process. Early diagnosis will help to quickly identify the cause and increases the chances for its complete elimination.

Prolonged menstruation

В период пременопаузы крайне тяжело определить нормальные месячные от аномальных состояний в связи с тем, что перед наступлением климактерического периода у женщины происходит сбой менструального цикла, при котором месячные начинают наступать нерегулярно. Данное состояние не считается патологическим, а является характерным для климакса. Such changes are associated with hormonal imbalance.

Unfortunately, patients do not pay attention to the changes in their body. They prefer not to see a specialist, but simply wait for the end of prolonged menstruation during menopause. This can not be categorically done. In this case, it is extremely necessary to consult a gynecologist.

What is the duration of menstruation in menopause - the most frequent question that occurs in women with a change in the nature of menstruation. Unfortunately, there is no clear answer to it, since their duration, abundance and frequency are directly proportional to the personal characteristics of the woman’s body. Very intense bleeding during menopause may be accompanied by the following symptoms, namely:

  • the general weakness of the whole organism
  • loss of consciousness
  • blanching of the skin,
  • nausea
  • vomiting.

All these symptoms should alert the woman, since excessive blood loss can trigger the development of very dangerous changes and diseases in the female body. In this situation, you cannot wait until the bleeding stops on its own. A woman needs to be examined and all additional measures that will help identify the cause of the process. After that, a special therapy will be prescribed to eliminate bleeding in a hospital or at home. The main goal of treatment is to stop bleeding. To solve this problem, doctors prescribe hemostatic drugs.

On this basis, we can conclude that long periods at the time of menopause are very common and need increased attention. If you have any suspicions and doubts, you should consult with your leading doctor.

End of the month

Women who have a climacteric period in their lives become interested in when the menopause stage begins and how the menstruation stops completely. How long the menopause will last and the complete extinction of the reproductive function in a patient cannot be predicted by the most experienced and highly qualified gynecologist. This period is individual for each representative of the female half of the population. The main symptom indicating the occurrence of menopause is an increase in the intervals between periods. At the beginning, the monthly cycle becomes longer by 7 days, then this interval increases and reaches 30 days, and after menstruation it stops altogether.

Very often, women want to suspend the onset of the menopause stage and resume the menstrual cycle. And with this request, they go to their primary gynecologist. The same question is also of great concern to patients who have started early menopause. To provoke the onset of menstruation during menopause, it is possible with the use of such drugs as:

  • hormonal medicinal drugs in the composition, which is estrogen,
  • vitamin complexes that stimulate the functioning of the ovaries,
  • homeopathic and phyto - medicines.

The main goal of all patients in the period of menopause together with a specialist is to identify an acceptable option and duration of treatment for the resumption of the reproductive system or the elimination of symptoms typical of the menopause period.

Climax is a physiological process and it is absolutely impossible to completely avoid its occurrence. Irregular menstruation during menopause is also the norm. Many women are faced with the fact that menstruation is terminated and absent for several years, and then begin again. In the case when they pass with great intensity and duration, it may not be menstruation uterine bleeding, which is provoked by various kinds of diseases. In this case, you need to consult a doctor, and identify the factor causing this phenomenon. It is strictly forbidden to use any methods of therapy on your own, as the therapy itself can cause great harm to your body.