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    premenopause or menopause ?
    Anon_230843 posted:
    Please help my body is going thru some serious changes & I don't know if it's normal or if I should see a doctor.I am 44 i'll be 45 in february my periods are not on a monthly basis anymore when I do have a period mind you iv'e never been a heavy bleeder but now when i do bleed i bleed very heavy alot of blood clots for the first couple of days. and now this month lots of cramping not much bleeding I have too wear pads & when I go to the restroom i noticed pads have blood (coffee colored) .I have been like this for 2 weeks now is this normal or should I be alarmed?PLEASE HELP I would greatly appreciate some help.
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    Mary Jane Minkin, MD responded:
    Dear Anon_230843,
    Certainly could be perimenopausal-as we have discussed on this site, as we go through menopause, the first thing that happens is that we stop ovulating well, and we make less progesterone, which I always refer to as the policeman of the lining of the uterus. And when we make less "policeman", we can end up with heavier periods, and irregular bleeding: nothing is checking the growth. So progestin in some form would likely to help you. One way that works well for many women, if they are pill candidates, are low dose birth control pills. However, I would suggest checking in with your doc-because we always like to rule out weird things in the uterus-like overgrowth of the lining, or polyps-so (s)he'd probably want tot do a sampling of the lining of your uterus, or ultrasound, first-and then if all is OK, try some hormonal (progesterone) intervention. But it should be easily resolved-
    Good luck,
    Mary Jane

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    For more information, visit the North American Menopause Society website