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Cycles & Bleeding

Heavy periods, irregular cycles, spotting, ovulation changes — navigating the shift.

40 articles · Page 1 of 4

Woman sitting thoughtfully, holding a pregnancy test with a contemplative expression

Miscarriage Risk and Perimenopause: What the Data Actually Shows

Miscarriage risk rises through perimenopause for reasons that go beyond simple age, and the experience of loss at this life stage carries its own particular weight. Here's what the numbers show and why it happens.

Woman researching hormone terms and reading about oestrogen and progesterone

Oestrogen Dominance: What the Term Actually Means, and Does It Hold Up?

"Oestrogen dominance" gets used constantly online to explain perimenopause symptoms. Here's what the term is actually describing, where the science is solid, and where it gets oversold.

A woman checking a calendar and marking dates

Perimenopause With Regular Periods: Is That Possible?

Yes, you can be well into perimenopause while your periods still arrive on schedule. Here's why cycles can stay regular even as other symptoms start, and how doctors actually diagnose it.

A woman sitting quietly by a window, deep in thought

Bleeding After Sex in Perimenopause: Causes and When to Worry

Light bleeding or spotting after sex is common in perimenopause and usually has a simple hormonal explanation, but a few causes need a doctor's attention. Here's how to tell the difference.

Woman marking dates on a calendar, tracking her menstrual cycle

How Do You Know You've Had Your Last Period?

Menopause can only be confirmed looking backward, after 12 full months without a period. Here is how retrospective diagnosis actually works and why you can't know your last period was truly the last one until well after it happens.

Woman reviewing hormonal treatment options with her doctor

Birth Control vs HRT in Perimenopause: Which Makes Sense Now

Hormonal birth control and hormone therapy both use hormones, but they do very different jobs in perimenopause. Here is how they compare, and how to think about which one, or both, might fit your situation.

Indian woman in consultation with her doctor discussing starting hormone therapy while still having periods

Starting HRT While Still Getting Periods: What You Need to Know

You do not have to wait for your periods to stop to start hormone therapy. Here is how HRT works while you are still cycling, what changes, and what to discuss with your doctor first.

Indian woman speaking with a doctor after being told she is too young for perimenopause

"You're Too Young for Menopause": Responding to Medical Dismissal

If a doctor has told you that you are too young for your symptoms to be perimenopause, here is why that response is often wrong, what the actual age range looks like, and how to respond so you get properly evaluated.

Woman learning why postmenopausal bleeding always needs medical assessment

Postmenopausal Bleeding: Why Any Bleeding After Menopause Always Needs Checking

Any vaginal bleeding after you have gone 12 full months without a period is called postmenopausal bleeding, and it always needs medical assessment. Here is why this rule has no exceptions, and what the evaluation usually involves.

Indian woman managing perimenopause symptoms while observing a religious fast

Managing Perimenopause Through Navratri, Karva Chauth, and Other Fasting Festivals

Religious and festival fasting is a meaningful part of life for many Indian women, but perimenopause changes how your body copes with it. Here is how to observe your fasts safely and comfortably during this transition.