If you’re heading toward menopause and you have more bleeding than usual, you are not alone. Women often worry when that happens because they have heard that menstrual periods become less frequent and lighter during perimenopause. Some periods do, some don’t. The Study of Women’s Health Across the Nation (SWAN), that included 1,200 women ages 42 to 52, found that over the course of three years, 91% of the women had as many as three periods that lasted 10 days or more, and 78% had three or more days of heavy flow. This news can be reassuring, but it doesn’t mean you should keep quiet about noticeable bleeding changes, especially if you are overweight. Overweight women have a higher risk of uterine cancer (called endometrial cancer), and frequent or heavy bleeding can be a sign of cancer for any woman. Note also that the study said 3 long periods occurring over 3 years. If a woman is experiencing heavier and/or longer periods every month or bleeding frequently throughout the month, that should also be reported to your healthcare provider sooner rather than later.
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