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what could cause a 45 year old woman to have 2 periods back to back in one month?

Posted by kim

what could cause a 45 year ol woman to have 2 periods back to back in one month?
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Dear Kim,

It could be the onset of perimenopause or it could be something more serious that needs attention.  The only way to be sure is to have your hormonal status checked by your MD.  Other tests might include ultrasound or endometrial biopsy if your hormones do not indicate perimenopause.  (Although you could certainly be perimenopausal at age 45.)

Perimenopause in some women is heralded by skipped or absent periods; for others (myself included) there can be extra periods or heavy bleeding during one's periods.  This can last as little as a few months or as long as a year or even two.  (I bled for a year and a half 2.5 weeks out of 4.)

If the bleeding is due to hormonal changes of perimenopause, the main concern is anemia. Make sure you get plenty of iron either in red meat or via supplementation, and have your red blood cell count checked periodically.  While disconcerting, the heavy bleeding of perimenopause need not be cause for alarm.  However, it is important to rule out other conditions, so see your gynecologist for a check up and hormonal testing.

Good luck.  Let us know how it goes.

Lynette Sheppard RN  Health Maven, Menopause Community

Menopause Goddess Blog


I'm a 53 year ole woman am still having a period.Ihave bloating,breast tenderness severly at times.I gain anywhere form 5 to 10 1bs a month.Which almost calls for a second wardrobe.I also have bad abdominal cramps in the ovarian section.I feel like I'm trying to go through menopause.But I'm not for sure.Sometimes my periods come every 45 days apart and some times they come amost back to back.I have lost a lot of weight in the past.But since my body has started doing this I have put on 15 lbs.The only thing that has changed about my eating habits.Is the cravings I have which can start almost 2 to 3 weeks along with the breast tenderness.After I have my period the weight want go away it wants to linger on and on.Then poof I'm ready to start all overf again. This has been a nightmare.I don't know what to do is there anything I can get over the counter or some kind of suggestion. I do exercise daily but I have a bad back and have to be careful. All I can do is Cardio.Thank You. Teresa
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