Other
Heavy bleeding
Heavy bleeding during perimenopause involves increased menstrual flow volume or duration, often due to hormonal fluctuations affecting the uterine lining.
How to track
- Log flow volume daily using product count or a standardized scale.
- Track cycle length and duration of heavy flow days.
- Note associated symptoms like cramping, fatigue, or dizziness.
- Record any clotting and clot size observations.
Common context
Irregular ovulation during perimenopause can cause estrogen dominance, leading to thicker uterine lining and heavier periods. Patterns often become unpredictable before menopause.
What to bring to your physician
- How has flow volume changed over recent cycles?
- What is the typical duration of heavy flow days?
- Are you experiencing symptoms that might indicate iron deficiency?