Heavy Menstrual Bleeding in Perimenopause Can Cause Fatigue, Study Shows
Abnormal menstrual bleeding during perimenopause strongly correlates with fatigue, according to recent research. This finding helps explain why females are 2-4 times more likely to experience debilitating fatigue during midlife.
tired woman gazing through bus window
Research shows that 1 in 3 perimenopausal females experience abnormal uterine bleeding, which can lead to iron deficiency anemia and subsequent fatigue if left untreated.
Common Signs of Perimenopausal Menstrual Changes:
- Irregular menstrual cycles
- Menses lasting longer than 7 days
- Unusually heavy flow requiring frequent product changes
- Large blood clots
- Bleeding that disrupts daily activities
Additional Perimenopause Symptoms:
- Hot flashes
- Sleep difficulties
- Chronic pain
- Depression and mood changes
Treatment Options:
- Hormonal treatments (oral contraceptives)
- Non-hormonal medications (NSAIDs)
- Progestin-containing IUDs
- Endometrial ablation
- Hysterectomy (severe cases only)
Self-Care Strategies:
- Track menstrual changes
- Use appropriate menstrual products
- Take iron supplements if recommended
- Practice stress management
- Maintain a balanced diet
- Exercise regularly
Important: Abnormal uterine bleeding should always be evaluated by a healthcare provider, as it could indicate serious conditions like uterine cancer. Women experiencing heavy or prolonged bleeding during perimenopause should seek medical attention rather than simply enduring the discomfort.
The condition is treatable, and early intervention can prevent complications and improve quality of life. Regular communication with healthcare providers about menstrual changes during perimenopause is essential for proper management and treatment.