Bleeding During Perimenopause

Irregular periods are common and normal during perimenopause, but not all changes in bleeding are from perimenopause or menopause. Other things can cause abnormal bleeding. Talk to your health care provider if:

• the bleeding is very heavy or comes with clots
• the bleeding lasts longer than 7 days
• you have spotting or bleeding between periods
• you're bleeding from the vagina after sex