Perimenopause

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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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 icliniq.com. 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 »

I am perimenopausal and I have not got my 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 and my current cycle is now 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 spo...  Read Full »


Dr. Deepika Joshi

Answer: Hello, Welcome to icliniq.com. 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 »

Will hysterectomy cure adenomyosis?

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 11.7 by 10.3 by...  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. 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 am going through perimenopause, and I noticed light bleeding from the anal opening. Is this normal?

Query: Hi doctor, I have periods. And I am going through preimenopause, where periods can be heavy. However, when I was wiping from the back, I noticed some very light blood; it was not bright red. Can this happen during the period? Please help.  Read Full »


Dr. Basuki Nath Bhagat

Answer: Hello, Welcome to icliniq. com. I have read your query and will guide you in your case. The menstrual period during perimenopause is experienced differently in each individual; however, the following changes occur in their periods during perimenopause: 1) Longer heavy periods. 2) Lighter and irregu...  Read Full »

I did not have periods for four months. Do I have menopause?

Query: Hello doctor, I have had irregular periods for the past year. My last period was four months back and lasted for around 20 days. Recently, I had a scan and blood tests done which indicated early menopause. My Prolactin is 7.8 ng/mL, and TSH (thyroid-stimulating hormone) is at 4.8 mIU/L. I take table...  Read Full »


Dr. Monica Mathur

Answer: Hello, Welcome to icliniq.com. Usually, menopause is considered to have occurred when you have had an absence of your menses for the last six months. As six months have not passed yet, it is difficult for me to say that you are having menopause. But definitely, you are in the perimenopause (around m...  Read Full »

Can I take I-pill after unprotected sex when I am perimenopausal?

Query: Hi doctor,I am 48 years female. For the last two years, I have been having perimenopause. My periods have been very infrequent. I get it once in four to five months. My last period was four months ago. Today I had intercourse with my husband, and some of his secretions might have entered my vagina. ...  Read Full »


Dr. Manwani Saloni Dilip

Answer: Hi, Welcome to icliniq.com. I understand your concern. I suggest you can use I-pill for this as of unprotected intercourse. Still, it would not be advisable to take it frequently as it can sometimes cause mood disturbances that aggravate menopausal symptoms. To confirm if you have entered menopause,...  Read Full »

I had a cyst in my left ovary with calcification. Is it concerning?

Query: Hi doctor,I have had an ultrasound of my ovaries, and on my left ovary they found a cyst measuring 3.7 cm X 2.76 cm containing calcification. They are referring me to a gynecologist. I am concerned about this. I had no symptoms. They told me that they are not overly worried but I am.  Read Full »


Dr. Reetika Joshi

Answer: Hi,Welcome to icliniq.com. I fully understand your concern and will surely help you out. I have gone through the details presented by you and have also seen the image shared by you (attachments removed to protect the patient's identity). The size is not something to worry about and could have disa...  Read Full »

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 icliniq.com. 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 thic...  Read Full »

Kindly review my report and suggest a method to conceive in my perimenopause period.

Query: Hi doctor, I am a 34-year-old female, and I think I am experiencing perimenopause. My cycles used to be 27 days long, but now they are only 24 days. I also have endometriosis and have been chronically stressed because of it for the last five years. I am getting anxious in the evenings, feel tired...  Read Full »


Dr. Richa Agarwal

Answer: Hello,Welcome to icliniq.com. Thanks for trusting us about your health care.I have gone through your reports, and I understand your concerns (attachments removed to protect the patient’s identity).As per your description, these symptoms could be due to hormonal imbalance. But as you missed your pe...  Read Full »

What happens in the perimenopausal stage?

Query: Hi doctor, My mother is a 49-year-old female. She feels tired and weary of getting more blood loss during periods, and there has been more pain in the last two days. This year, it is the third time of getting more frequent blood during the periods. Please help.  Read Full »


Dr. Richa Agarwal

Answer: Hello, Welcome to icliniq.com. I have gone through your history and understand your concerns. As per your description, these symptoms could be due to hormonal imbalance, as your mother is in the perimenopausal stage. Get your pelvic ultrasound to see the endometrial thickness and get D and C (Dil...  Read Full »

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