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Perimenopause: Symptoms like hot flashes and mood swings start as you gradually move toward menopause. Periods often become irregular. Periods often become irregular.
Women typically begin perimenopause in their 40s, but many aren’t quite sure how it differs from menopause. Our wellness expert answers this question and more.
Implantation bleeding may be confused with a regular period. [4] [5] Heavy vaginal bleeding in the first trimester or bleeding associated with pain, may be a sign of a complication, such as a miscarriage or an ectopic pregnancy, that would need to be assessed by a healthcare provider. [6]
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Early pregnancy bleeding (also called first trimester bleeding) is vaginal bleeding before 14 weeks of gestational age. [ 1 ] [ 2 ] If the bleeding is significant, hemorrhagic shock may occur. [ 1 ] Concern for shock is increased in those who have loss of consciousness , chest pain, shortness of breath , or shoulder pain.
Vaginal bleeding occurs during 15–25% of first trimester pregnancies. [29] Of these, half go on to miscarry and half bring the fetus to term. [ 30 ] There are a number of causes including complications to the placenta , such as placental abruption and placenta previa .
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Placental abruption defined as the separation of the placenta from the uterus prior to delivery, is a major cause of third trimester vaginal bleeding and complicates about 1% of pregnancies. [13] [50] Symptomatic presentations are variable: Some women can entirely ignore the symptoms, while others have mild bleeding or abdominal discomfort and ...