Common "Perimenopause" queries answered by top doctors | iCliniq


Perimenopause, otherwise called menopause transition, is the time your body starts the natural transition to menopause. This marks the end of the child-bearing years. In perimenopause, the ovaries start to produce less estrogen causing irregular periods. Menopausal symptoms such as a change in period cycle, mood swings, and sleep disturbances are also seen in perimenopause.

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I need to postpone my periods as I have function at home. Kindly help.

Query: Hello doctor, I am a 52-year-old female. I had my last period two months back. Last month I did not have my periods. Now I have a function at home that I need to attend around the same date as my periods. I tried a natural method to prepone my periods, but it did not work. I need your help to postpo...  Read Full »

Dr. Sameer Kumar

Answer: Hello, Welcome back to As your cycle is irregular now, and you seem to be in your perimenopausal age group, it is still unsure whether you would get your menses this month or not. But if you want to be safe, I suggest getting an ultrasound pelvis done to check for endometrial thicknes...  Read Full »

On Gestin for delayed period. When should I expect my period?

Query: Hi doctor, I am suffering with delayed periods. Consulted a gynecologist and started Gestin since 1 week. But still have not got my periods. Home pregnancy tests done and turned out to be negative thrice. Please help.  Read Full »

Dr. Sabita Laskar

Answer: Hello, Welcome to Tablet Gestin (Allylestrenol) contains natural progesterone, which is given for 5 days to bring about withdrawal bleeding. You have not mentioned how long you have taken the drug. Withdrawal bleeding usually occurs 48 hours after stopping the drug to up to 7 days. ...  Read Full »

Though I take medications for fibroids, I get on and off bleeding. Why?

Query: Hello doctor,I am 48 years old. I have two fibroids that are 3.5 inches in total size, and was advised to take 2 x 500 mg three times a day. It completely stopped the bleeding, but the bleeding started again after three days. I have had on-and-off bleeding for two weeks now. Is this a common problem...  Read Full »

Dr. Sravanthi Nuthalapati

Answer: Hello, Welcome to It would have been helpful if you could attach the report of your ultrasound for me to have a look. Based on what you mentioned about the total size of two fibroids being around 3.5 inches, I am assuming each one must be less than 2 inches, and not so huge. Fibroids ...  Read Full »

I am having irregular periods and feeling fatigued. Why?

Query: Hi doctor, I am 48 years old. I have been experiencing irregular periods, which I realize as normal as I am entering menopause age. Last month, I did not get my period. But, this month it has been a heavy and lengthy one for more than 17 days now. I felt the normal fatigue and today, I have been fe...  Read Full »

Dr. Mavani Jimesh Himatbhai

Answer: Hi, Welcome to If you have bleeding and you have to change two to three pads per day, then you do not have to do anything for bleeding on urgent basis. At 48 years of age, if you are bleeding heavily, then better get an appointment and check your cervix and the other things. If requir...  Read Full »

My wife has heavy clots and pain during periods. Why?

Query: Hello doctor, My wife usually has a period for six to seven days. On the first two days, she has pain. At times, she has heavy clots also. The doctor had asked us to do the scanning and some test. The scanning report is attached. 'There is anteverted and bulky uterus which measures 4.6 x 4 x 2.2 in...  Read Full »

Dr. Sameer Kumar

Answer: Hello, Welcome to The scan (attachment removed to protect patient identity) shows a bulky uterus which can be due to adenomyosis or possible fibroids in situ, but the absence of fibroids is evident. She is likely to experience painful menses and heavy bleeding due to adenomyosis as we...  Read Full »

I have not lost even a pound despite proper exercise and diet. Why?

Query: Hi doctor, I have been having trouble losing weight, despite a regimented workout schedule and eating properly for over two months. I have not lost a single pound. I had a blood or saliva test and it showed low Progesterone of 32 and prostaglandin E2 (PGE2) of 11. My thyroid, cortisol, DHEAS (Dehyd...  Read Full »

Dr. Shaikh Sadaf

Answer: Hi, Welcome to I understand your concern. From the reports you have attached (attachments removed to protect patient identity), it does not seem that you have low progesterone since it is at par with your age. During peri-menopause or menopausal at your age which you have mentioned t...  Read Full »

I am perimenopausal and have not got periods. Am I pregnant?

Query: Hello doctor, I am a 46-year-old female and my periods have become increasingly irregular. They used to be around 24 days in length but my current cycle is 36 days. My basal body temperature indicated that I may have ovulated on day 10. But I have not menstruated at all this cycle - not even spottin...  Read Full »

Dr. Deepika Joshi

Answer: Hello, Welcome to No, you have not ovulated on day 10 because if it would have been so you would have had your period by now. Menstruation usually occurs 14 days after ovulation and the duration between ovulation and menstruation is always fixed. Ovulation occurs only once in one cycl...  Read Full »

Do fibroids continue to shrink after six months of UFE?

Query: Hi doctor, I am an anxious lady. I am 50 years old. I am in a stage of perimenopause. I have a severe phobia of menstrual blood loss. A year back, I had UFE for an intramural fibroid. Previously of doing this procedure, I took Norethisterone on long term due to anxiety of blood loss. I had slight...  Read Full »

Dr. Balakrishnan R

Answer: Hi, Welcome to First of all, you are absolutely healthy and leading a healthy life. You are 50 years old and reaching menopause in a few years. Estrogen hormones from ovaries make fibroids grow. Once it gets stopped, there is an absence of periods and fibroids. This sense of negativis...  Read Full »

Why is there an irregular flow of spotting and heavy flow in a peri-menopausal woman?

Query: Hi doctor, I am a 43-year-old female. During my last period, I had only spotting for three days. This month I had a heavy period. Here the doctor checked my USG, blood tests, and urine test reports. She said everything is normal. She prescribed Tranexamic acid and Provera, a Progestin pill 5 mg thr...  Read Full »

Dr. Sameer Kumar

Answer: Hello, Welcome to For you, as this was just the first episode of hypomenorrhea (scanty period) followed by menorrhagia (heavy period) with continuous irregular shedding in the form of spotting per vaginum, you can wait upon it to stop or can start Duoluton L (Levonorgestrel and Ethiny...  Read Full »

I have a slight thickening of my womb lining. Is it serious?

Query: Hello doctor,I went for a routine ultrasound scan and was told that my womb lining was slightly thick. However, I was told that they would not be considered but to just keep an eye on such heavy bleeding I am going through perimenopause. This was done the day before I started to have a period. The g...  Read Full »

Dr. Sanap Sneha Umrao

Answer: Hello, Welcome to I understand your concern. From the reports attached (attachment removed to protect the patient's identity), the thickness of the uterine lining is on the higher side. Also, the risk of endometrial cancer is increased in women not having if you have no children. So, ...  Read Full »

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