10/27/2025
Too often I see patients in perimenopause who have abnormal uterine bleeding.
This means heavier periods, irregularity, increase cramping, passing clots, increased inflammation, and suffering. This is not OK!
Many have seen a clinician and they have not been fully evaluated or given treatment options. I always recommend a detailed history, examination, and a pelvic ultrasound which can be extremely helpful. Once I have those items evaluated I recommend and offer treatment options that are appropriate for the patient.
Women with abnormal bleeding can have multiple symptoms including anemia- a decrease in iron. This can add to fatigue, difficulty concentrating, hair loss, shortness of breath, and overall not feeling well.
Have you had treatment for abnormal uterine bleeding during perimenopause? Leave a comment about what worked for you. Personally, I used a Mirina IUD during my 40s even though I had my tubes tied and did not need it for contraception. This kept me from bleeding and was one less symptom I had to contend with through my perimenopause era.