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Perimenopause brown spotting

Perimenopause is very specific period of life when women slowly losing their reproductive function and entering into menopause. It is naturally occurring transition period of women life when the ovaries gradually begin to produce less estrogen; it is happening before menopause – it is the time when your body begins its transition into menopause. Several hormonal fluctuations (mainly reduction of female hormone production) can trigger on-going perimenopause brown spotting which can be pretty disturbing.

Perimenopause usually starts in women’s 40s, but sometimes it can start earlier. Perimenopause is a transitional stage of 2-11 years before complete cessation of the menstrual period. Perimenopause develops when women’s reproductive system begins slowing down, resulting in decreased production of hormones (mainly estrogens and progesterone). Perimenopause is the interval in which women’s body makes a natural shift from regular menstrual cycles and regular monthly ovulation to irregular menstrual cycles, anovulation and natural permanent infertility.

First signals of this transition period of life are irregular periods – missed periods, long periods, short periods combined with unusual perimenopause brown spotting.

In general, brown vaginal spotting is common symptom for starting perimenopause which can be combined with early menopause symptoms such as hot flashes, night sweats, mood swings, sleep disruption, vaginal dryness, and a lot of confusion. Perimenopause brown spotting occurs as estrogen levels continue to drop leading up to menopause.

Perimenopause brown spotting

Perimenopause brown spotting

Different perimenopause women experience brown spotting differently (depending on hormonal status, lifestyle, physical activities, etc.). Main reason for Perimenopause brown spotting is atrophy – it occurs when the blood vessels within the uterine lining become weak and spontaneously burst, causing brown vaginal spotting (because of reduced levels of female hormones). In most cases women in perimenopause could experience brown spotting once or twice during several months but as women get closer to actual menopause, the frequency of brown vaginal spotting could increase and the menstrual cycle would stop suddenly. This process can take place as mentioned over a period of years or it could come on quite fast.

Unexpected unusual irregular brown spotting could be a symptom for starting perimenopause.

Perimenopause brown spotting stars due to the imbalance of female hormones. It is well known that Follicle Stimulating Hormone (FSH) increases with age so when levels are high, the doctor would be able to confirm that the woman is in fact starting perimenopause. You can check it yourself by using menopause test.

While perimenopause brown spotting is quite common, there are several health conditions when women should contact their doctor to exclude other causes for brown vaginal spotting. Following situations during perimenopause should be discussed with your doctor:

  • Heavy vaginal bleeding started after brown spotting;
  • Unexpected vaginal bleeding after 6 months having brown spotting;
  • Any vaginal bleeding that lasts longer than two weeks (with or without brown vaginal spotting).

The reason this is important is that some women going through perimenopause would be at greater risk of uterine cancer (especially women with high blood pressure, diabetes or obesity).


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