Menstrual Changes During the Perimenopause

In: Perimenopause · 1997 · pp. 233–245 · doi:10.1007/978-1-4612-2288-0_17 · W78878901
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The perimenopause is characterized by increasingly variable menstrual patterns as ovarian function declines, indicating an approaching major life change and the eventual cessation of menses.

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This chapter reviews how, during the perimenopause, ovarian function declines and menstrual patterns become increasingly variable and erratic, culminating in menopause defined only in retrospect as the last natural menstrual period. It discusses the biological and epidemiologic basis for changes in menstrual cyclicity and bleeding, drawing on prior work that characterizes menstrual cycle variation and menstrual blood loss across reproductive life. A major caveat noted in the framing is that menopause timing cannot be prospectively determined because it is identified only after cessation of menses. This paper is centrally about endometriosis and/or adenomyosis-related topics only tangentially; it does not explicitly discuss endometriosis or adenomyosis and was included in the corpus via keyword match in the upstream search index.

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Abstract

It has been recognized for many years that the perimenopause is a phase during which the menstrual pattern may become increasingly variable and erratic as ovarian function gears down to a low level. Variations in the menstrual pattern at this stage of life have substantial implications because they are an important indicator to individual women of the approach of a major life change. Indeed, the cessation of menses is the event that defines the occurrence of menopause — “the last natural menstrual period which a woman experiences” — an event that can be determined only in retrospect. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

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Keywords

- Menstrual Bleeding - Menstrual Blood Loss - Acta Obstet Gynecol - Dysfunctional Uterine Bleeding - Menstrual Pattern These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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