Understanding Heavy Periods During Perimenopause

Understanding Heavy Periods in Perimenopause

Perimenopause is a transitional phase that many women experience as they approach menopause. One of the most challenging symptoms during this time is the occurrence of heavy periods. According to a study from the Journal of Menopausal Medicine, hormonal changes, particularly the fluctuation and eventual decline of oestrogen levels, significantly contribute to alterations in menstrual flow.

Why Do Periods Become Heavier?

As women age, their bodies produce less oestrogen, a hormone responsible for regulating the menstrual cycle. This decline can lead to thicker uterine lining, which might shed more during menstruation. Research published in The Journal of Clinical Endocrinology & Metabolism indicates that the absence of oestrogen causes periods to become heavier and more unpredictable. Furthermore, conditions like fibroids or endometriosis can exacerbate menstrual heaviness during these years.

Five Tips for Managing Heavy Periods

While heavy periods can be daunting, there are several strategies that can help you cope effectively:

• Track Your Cycle: Keep a menstrual diary to log your flow patterns. This can help you predict when heavy periods may occur, allowing you to prepare accordingly.

• Prepare with Supplies: Always have sanitary products on hand, especially during anticipated heavy days. Consider using menstrual cups or super absorbent pads for better protection.

• Prioritise Dietary Changes: Incorporate iron-rich foods like spinach and lentils to combat potential anaemia due to heavy bleeding. Staying hydrated can also alleviate some symptoms.

• Consult Your Doctor: If you're experiencing significant changes or discomfort, speak with a GP immediately. They can offer treatments such as hormonal therapy or other medications to help manage your symptoms.
  However before you go trundling down the medication route, do not be afraid to ask them to refer you to a gynaecologist or send you for a transvaginal ultrasound which uses a probe inserted into the vagina to obtain images of the uterus, ovaries, fallopian tubes and cervix. The NHS is well equipped to offer this service and it gives you a chance to properly assess what is happening inside your body so you are better equipped with information to manage your symptoms and discuss your options.

• Embrace Stress-Relief Techniques: Stress can worsen symptoms. Incorporate mindfulness, yoga, or light exercise into your routine to help balance your mood and alleviate some of the emotional impacts of heavy periods.

Remember, you're not alone on this journey. Many women experience these challenges, and seeking support—whether from friends, family, or online communities like ourselves—can be incredibly beneficial as you transition through perimenopause.