Complications

Irregular periods are a hallmark of perimenopause. Most of the time this is normal and nothing to be concerned about. However, see your doctor if:

• Bleeding is extremely heavy — you're changing tampons or pads every hour or two for two or more hours
• Bleeding lasts longer than seven days
• Bleeding occurs between periods
• Periods regularly occur less than 21 days apart

Signs such as these may mean there's a problem with your reproductive system that requires diagnosis and treatment.