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woman holding a warm bag against her abdomen with heavy periods during menopause

Heavy Periods at 50: Guide for Navigating Perimenopause and Menopause

Written by: Ana María Kausel, Endocrinologist at Anzara Health

Published: 08-27-2024

As you approach your 50s, your body undergoes significant hormonal changes, often leading to heavy menstrual bleeding, known as menorrhagia.

This can be particularly distressing during perimenopause and menopause, as it disrupts daily life and raises concerns about overall health.

In this guide, I’ll share my insights as a women’s health endocrinologist to help you understand heavy periods at 50, what you can do about them, and how to regain control over your well-being.

Common Causes of Heavy Bleeding

Heavy bleeding during perimenopause and menopause often results from hormonal imbalances, specifically fluctuations in estrogen and progesterone.

These imbalances can cause the uterine lining to thicken excessively, leading to heavier periods.

Additionally, conditions like uterine fibroids (non-cancerous growths), adenomyosis (where the uterine lining grows into the uterine wall), and endometrial polyps (growths in the uterine lining) can exacerbate heavy bleeding.

Recognizing these underlying causes is crucial to address the symptoms effectively and prevent complications.

How to Stop Perimenopausal Bleeding

If you’re experiencing heavy bleeding during perimenopause, there are several options to consider.

Lifestyle changes, such as maintaining a healthy weight, reducing stress, and eating a balanced diet, can help regulate hormones.

Medical treatments, including hormonal therapies (like birth control pills or hormone replacement therapy), can help balance hormone levels and reduce bleeding.

In some cases, your doctor may recommend procedures such as endometrial ablation or a hysterectomy to manage severe symptoms.

Hormone Replacement Therapy (HRT) Options

HRT options are diverse, catering to individual needs and preferences.

Estrogen-only therapy is typically prescribed for women who’ve had a hysterectomy, while combined estrogen-progestin therapy is recommended for those with an intact uterus to prevent endometrial hyperplasia.

The mode of delivery can vary—from pills and patches to gels and vaginal rings—each with its own benefits and drawbacks.

It’s important to have a thorough discussion with your healthcare provider to choose the right HRT plan that balances symptom relief with potential risks.

Understanding Perimenopause Blood Clots

It’s not uncommon to notice blood clots during heavy menstrual bleeding in perimenopause.

These clots are usually a result of the body’s attempt to manage the increased blood flow by forming clumps of coagulated blood.

While small clots are generally harmless, larger or more frequent clots may indicate an underlying issue, such as uterine fibroids or a bleeding disorder.

If you’re concerned about the size or frequency of blood clots during your period, consult a healthcare provider for further evaluation and management.

Menopause Symptoms can Be Effectively Managed

Heavy bleeding during perimenopause and menopause can be overwhelming, but understanding its causes and treatment options can empower you to manage your symptoms effectively.

From lifestyle adjustments and medical treatments to hormone replacement therapy, there are multiple ways to regain control over your health.

Remember, you’re not alone in this journey—consulting with a knowledgeable healthcare provider can help you navigate this stage of life with confidence and ease.

About Anzara Health

At Anzara Health, we offer evidence-based solutions for women’s health, focusing on holistic well-being at every stage of life.

Our team of healthcare professionals is here to support you through the challenges of menopause, including managing heavy periods.

With our expert guidance and the latest scientific insights, we create personalized plans that address your specific needs.

Take control of your health and well-being—schedule an appointment with us today to find relief and support during menopause.

Sources Used for this Article

  1. American College of Obstetricians and Gynecologists. (2023). Abnormal Uterine Bleeding: Perimenopause. 
  2. National Institutes of Health. (2023). Hormone Replacement Therapy (HRT) for Menopause. 

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