If your periods have transformed from manageable to monstrous in your 40s, you’re not alone. Heavy bleeding is one of the hallmark symptoms of perimenopause — but not all heavy bleeding is normal, and knowing the difference is key.
During perimenopause, ovulation becomes irregular. Without consistent ovulation, progesterone levels drop, allowing estrogen to dominate. This creates a thicker uterine lining, leading to heavier, longer, and more painful periods.
Common perimenopause bleeding changes include:
• Needing to change pads/tampons every 1–2 hours
• Passing large clots
• Bleeding longer than 7 days
• Periods that arrive too early or weeks late
When to seek medical evaluation:
• Bleeding after sex
• Bleeding between periods
• Bleeding after months of skipped cycles
• Sudden severe pain
• Dizziness or fatigue from blood loss
Heavy bleeding isn’t something you need to “tolerate.” Treatment options include hormone therapy, progesterone support, IUDs, cycle regulation, and interventions for underlying conditions like fibroids or polyps.
You deserve periods that don’t disrupt your life or drain your energy.
If heavy bleeding is affecting your daily life or causing concern, let’s evaluate the cause and create a treatment plan. Schedule your menstrual health consultation today.
