S2 Ep99: When Perimenopausal BLEEDING is the Problem

Years before estrogen production completely shuts down, hormone levels start to fluctuate wildly during that special time of life known as perimenopause. Perimenopausal hormonal fluctuations result in the same symptoms that many women experience when they are in full menopause, hot flashes, vaginal dryness, and insomnia. But there is a bonus symptom that post-menopausal women don’t experience - irregular and unpredictable bleeding. In this episode, I discuss: WHY perimenopause women have irregular bleeding How your clinician should evaluate abnormal bleeding Strategies to manage perimenopausal bleeding Progestogen  Birth Control Pills  Progestogen IUD  Endometrial Ablation  Hysterectomy  Do nothing!  What to do if there is HYPERPLASIA For more information on this topic: Episode 23:  Welcome to Peri-menopauseEpisode 40 Don’t Go with This Flow- Post Menopause BleedingEpisode 56 Too Young For Menopause? with Dr. Hannah ShortEpisode 57 Uterine Cancer: Reducing Your RiskEpisode 80 When Progesterone is a Problem Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat                               And, it’s not too late to register for                              Mastering Menopause – Get Away!                 Fabulous Retreats with Real Experts to Get Real Solutionshttps://www.drstreicher.com/mastering-menopause-get-awayMeet the Expertshttps://www.drstreicher.com/mastering-menopause-get-away#meet-the-expertsLauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. Sign up to receive DR. STREICHER’S FREE NEWSLETTERDr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. Subscribe and Follow Dr. Streicher on DrStreicher.comInstagram @DrStreichTwitter @DrStreicherFacebook  @DrStreicherYouTube  DrStreicherTVBooks by Lauren Streicher, MD Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and painHot Flash Hell: A Gynecologist's Guide to Turning Down the HeatSex Rx- Hormones, Health, and Your Best Sex EverThe Essential Guide to Hysterectomy