“And Just like That …' highlights perimenopausal periods, how irregular, shocking they are. Post-menopausal bleeding can be a sign of cancer.
that generally starts in one’s 40s and lasts until they hit menopause, which occurs on average at about 51-years-old in the United States. Often when people talk about hot flashes, vaginal dryness, mood swings and irregular periods they dub it “menopause.” But these symptoms start with perimenopause., an obstetrical hospitalist in Portland, told TODAY. “Perimenopause is the time leading up to it and I truly think people use the phrases interchangeable because we don’t talk about it a lot.
“When you have regular periods and you get premenstrual, your hormones shift and you feel PMS, that generally does not happen with perimenopause,” Streicher said. “It literally comes out of nowhere.” “If you look at a 20-year-old, during the first part of the month when they are making a lot of estrogen, the lining of the uterus builds up and then they ovulate and they don’t get pregnant and it sheds,” Streicher said. “What happens during perimenopause is you’re generally not ovulating but there’s enough estrogen stimulation that you can get that buildup in the lining of the uterus and then when it gets to a certain level you start to bleed and it’s completely unexpected.
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