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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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 »

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. R Balakrishnan Menon

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 negat...  Read Full »

How to treat heavy menstrual bleeding occurring for 13 days?

Query: Hi doctor, My wife is 46 years old. She is having heavy bleeding during menstruation. She did not have her periods for eight months. Now, she started to have periods before 13 days and it is continuing to date. She uses five to six sanitary pads a day. Also, she has abdominal pain and constipation ...  Read Full »


Dr. Sameer Kumar

Answer: Hi, Welcome to iclin iq.com. From the history, it is clear that she is in her peri-menopausal stage and so she is experiencing menorrhagia or excessive bleeding for 13 days. It is commonly seen in peri-menopausal women. She has been given antifibrinolytics in the form of Trenaxa (Tranexamic acid) ...  Read Full »

Why is my periods late?

Query: Hi doctor,I missed my period and my actual due date was 20 days ago. But, the pregnancy test shows negative and this is happening for the first time. My period is always regular. What could cause this? What will the reason behind this?  Read Full »


Dr. Jimesh H Mavani

Answer: Hi, Welcome to icliniq.com. At the age of 35 years and with the concern of your weight 39.92 and BMI 14.2, you may have early menopause. Do a thyroid test. Sometimes, due to thyroid also your periods can get elongated. Or it is more likely perimenopausal period from which you are passing and...  Read Full »

Are my symptoms due to PCOS or perimenopause?

Query: Hi doctor, I am 24 years old. Ever since my first period, my cycles have always been irregular. For almost 7 to 8 years, I had irregular cycles. I had a scan and nothing abnormal was seen. My doctor said that I should just leave nature do its work. A year back, I started with yoga. Also, I started f...  Read Full »


Dr. Purushottam Sah

Answer: Hi, Welcome to icliniq.com. Firstly, you need to do blood tests Hb (hemoglobin), TC (total blood count), DC (differential count), sugar postprandial, prolactin, TSH (thyroid-stimulating hormone), FSH (follicle stimulating hormone) and testosterone. Also, an ultrasound of pelvis to see the cause of m...  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 icliniq.com. 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 »

Please advise on estradiol levels in a healthy woman.

Query: Hi doctor, My wife has a normal regular menstrual cycle and her age is 35. I am attaching the estradiol (E2) hormone report of my wife. The blood serum sample was taken on the 23rd day of her menstrual cycle. The estradiol (E2) level is 179.48 pg/mL. We have been married since 3 years and have a 2...  Read Full »


Dr. Sanjay Kumar Bhattacharyya

Answer: Hello, Welcome to icliniq.com. There are two major types of estrogen, the female sex hormone. They are estradiol and estrone. In younger woman, the first one is in abundant quantity and the second one is in less. And near menopause, the level just reverses. It means there is more production of es...  Read Full »

What is the cause of recurrent chest pain in my mother?

Query: Hello doctor, My mother is having severe chest pain and this has been the case every year during this period. She has consulted a lot many doctors and she took all the prescriptions as per them every year then it goes away only to reappear again during the next year. She is also being upset due to...  Read Full »


Dr. Anshul Varshney

Answer: Hi, Welcome to icliniq.com. You need to understand first of all that every chest pain should be taken as heart problems until proved otherwise. So if previously ECG (electrocardiography) has been done, you should get it done again. If the cardiac part is clear, I would say that she probably has p...  Read Full »

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