7 Changes to Your Period During Perimenopause

Perimenopause is a significant transition phase that typically begins in a woman’s 40s, though it can start earlier or later. This stage, which can last several years, leads up to menopause, marking the end of menstrual cycles. During perimenopause, many women experience noticeable changes in their periods due to fluctuating hormone levels. Understanding these changes can help you manage symptoms more effectively and prepare for the eventual onset of menopause.

1. Irregular Periods

One of the most common changes women experience during perimenopause is irregular periods. Your once predictable cycle may become erratic, with periods arriving earlier or later than usual. This irregularity occurs because your ovaries are gradually producing less oestrogen and progesterone, the hormones responsible for regulating the menstrual cycle.
As a result, ovulation may not occur every month, leading to missed periods or cycles that vary in length. While irregular periods can be frustrating, they are a normal part of the perimenopausal transition. However, if you experience extremely heavy bleeding or if your periods stop entirely for several months, it's advisable to consult with a healthcare provider.

2. Heavier or Lighter Menstrual Flow

Perimenopause can also bring about changes in the intensity of your menstrual flow. Some women may notice that their periods become much heavier, with increased bleeding that can last longer than usual. This condition, known as menorrhagia, is often due to an imbalance in hormone levels. Without regular ovulation, the uterine lining continues to thicken, leading to heavier periods when it eventually sheds.
However, some women may experience lighter periods as their hormone levels fluctuate. These lighter periods may be shorter in duration or involve less blood flow. Both heavier and lighter periods are typical during perimenopause, but it’s important to monitor these changes. If your periods become excessively heavy, or if you’re concerned about the lightness of your flow, seeking medical advice is recommended.
For managing heavy flow, period pants can be an excellent alternative to traditional menstrual products. Ugly Pants offer period underwear that can absorb the equivalent of several tampons’ worth of blood, providing comfort and peace of mind during this time of change.

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3. Spotting Between Periods

Spotting, or light bleeding between periods, is another common change that women may experience during perimenopause. This can occur due to fluctuations in hormone levels, particularly as oestrogen levels decline. Spotting can happen randomly and might be accompanied by other symptoms such as cramping or discomfort.
While spotting can be a normal part of the perimenopausal transition, it’s important to keep track of when it occurs and for how long. Spotting that is frequent or accompanied by pain could indicate other health issues, and should be evaluated by a healthcare provider.
Using period pants can also be helpful in managing spotting, as they provide protection without the need for disposable liners. The period thong can be especially convenient for those unpredictable days when you’re unsure if spotting will occur.

4. Longer or Shorter Cycles

During perimenopause, you may notice that the length of your menstrual cycle changes. Some women experience longer cycles, meaning more time passes between periods. This is often due to anovulation, where ovulation does not occur, and the cycle is prolonged as the body skips a period. As your ovaries age, they release fewer eggs, leading to these changes in cycle length.
On the other hand, some women may find that their cycles shorten, with periods occurring more frequently. This can happen when the time between ovulation and menstruation shortens, causing your periods to come closer together.
Both longer and shorter cycles are typical during perimenopause, but keeping track of these changes can help you better understand your body’s transition. If you notice significant deviations from your usual cycle length, discussing them with a doctor may provide peace of mind.

5. Missed Periods

As you progress through perimenopause, you might experience missed periods. It’s not uncommon to go a month or more without menstruating. Missed periods during this time are typically due to the ovaries not releasing an egg during the cycle. This lack of ovulation means that the uterine lining doesn’t build up as much, and a period may not occur.
While missed periods are a hallmark of perimenopause, it’s important to note that you haven’t reached menopause until you’ve gone an entire year without a period. If you’re unsure whether you’ve entered menopause or if your periods have simply become sporadic, tracking your cycles and consulting with a healthcare provider can provide clarity.

6. Worsening PMS Symptoms

Perimenopause can amplify premenstrual syndrome (PMS) symptoms, making them more intense than in your younger years. Hormonal fluctuations during this time can lead to more severe mood swings, irritability, and even depression. Some women report feeling more anxious or emotionally unstable as they approach menopause.
Physical symptoms, such as bloating, breast tenderness, and headaches, can also worsen during perimenopause. These heightened symptoms are due to the more pronounced hormone surges that occur as your body adjusts to lower levels of oestrogen and progesterone.
Managing these symptoms may require lifestyle changes, such as improving your diet, getting regular exercise, and ensuring adequate sleep. Additionally, some women find relief through hormone replacement therapy (HRT) or other medical treatments. If PMS symptoms are significantly impacting your quality of life, it’s important to seek advice from a healthcare provider.

7. Unexpected Menstrual Symptoms

Perimenopause can bring about unexpected menstrual symptoms that you might not have experienced before. For instance, some women develop adult acne during perimenopause due to hormonal changes.
These symptoms can be surprising and sometimes challenging to manage. For example, acne can be particularly frustrating for women who thought they had left those days behind. However, understanding that these symptoms are a normal part of the hormonal changes during perimenopause can help you navigate them more effectively.
For managing unexpected leaks or changes in flow, period pants are an excellent solution. They offer protection without the need for disposable products, making them an eco-friendly and comfortable option during this unpredictable time.

Explore the range of Ugly Pants period underwear here.

Perimenopause is a natural transition that every woman experiences as she approaches menopause. While the changes to your period during this time can be varied and sometimes challenging, understanding what to expect can help you manage your symptoms and prepare for the next stage of life. From irregular periods and heavier flows to worsening PMS symptoms and unexpected changes, being informed and proactive about your health is crucial. Tracking your cycles, using practical solutions like period pants, and consulting with healthcare providers when necessary can all contribute to a smoother perimenopausal experience.
We are not licensed medical professionals, and the information provided here is not intended to be a substitute for professional medical advice. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition.