Skip to content
Includes Expert Content
DonnaJayne posted:
I am 53 and in the beginning stages of menopause. I had a 71 day cycle before having a regular period. The the next month I started spotting at day 25 and it has continued for three weeks now. Is this normal?
Mary Jane Minkin, MD responded:
Dear DonnaJayne,
The answer is that this type of bleeding pattern is quite typical of perimenopause; we stop ovulating well-when we ovulate we make good amounts of progesterone; without that, we lose the regulator of uterine bleeding. If these patterns are annoying, many gyns recommend some progesterone intervention to "regulate" the bleeding. That being said, if the bleeding pattern sounds at all possibly related to abnormalities of the lining of the uterus (like possibly some overgrowth of the lining, for example) we often will do an ultrasound or endometrial sampling (biopsy)-which is quite straightforward and an office procedure-to rule out abnormalities in the lining. So do check in with your health care provider, but do not worry.
Good luck,
Mary Jane

Featuring Experts

Mary Jane Minkin, MD, is a nationally recognized obstetrician gynecologist, with a special interest in menopause. Dr. Minkin is clinical professor of ...More

Helpful Tips

Menopause - Younger Ages
For those of you out there that are going/gone through menopause at an early age, Yes it happens. It's unusual but it happened to me. I ... More
Was this Helpful?
21 of 32 found this helpful

Related Drug Reviews

  • Drug Name User Reviews

Report Problems With Your Medications to the FDA

FDAYou are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

For more information, visit the North American Menopause Society website