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Any negative experience — night sweats, uncontrollable emotions, sleep challenges — was attributed to perimenopause, so when I started having irregular bleeding, I knew it must be perimenopause.
You may experience lighter or less bleeding during perimenopause (the time before menopause) due to hormonal imbalances which can throw off or prevent ovulation, says Dr. Purdie. Perimenopause ...
The bleeding is usually light, often referred to as "spotting," though a few people may experience heavier bleeding. [citation needed] It is estimated that breakthrough bleeding affects around 25% of combined oral contraceptive pill (COCP) users during the initial 3 to 4 months of use, it then usually resolves on its own. [8] [9]
It is thus a progesterone withdrawal bleed. As there is no progesterone in the anovulatory cycle, bleeding is caused by the inability of estrogen—which needs to be present to stimulate the endometrium in the first place—to support a growing endometrium. Anovulatory bleeding is hence termed 'estrogen breakthrough bleeding'.
After menarche (a person’s first period) and during perimenopause (the transitional time before menopause officially occurs), cycles can be anovulatory, meaning ovulation doesn’t occur ...
Unscheduled bleeding that occurs during such hormonal treatment is termed "breakthrough bleeding" (BTB) Breakthrough bleeding may result from inconsistent use of hormonal treatment, although in the initial months after initiation of a method, it may occur even with perfect use, and may ultimately affect adherence to the medication regimen. [27]