A GP guide to perimenopausal bleeding

Abnormal bleeding is common during menopausal transition, and a systematic approach is warranted to exclude significant pathology and manage potentially debilitating symptoms
Dr Shimona Lai Dr Madeleine Jones

Abnormal uterine bleeding is a common presentation in primary healthcare, and for perimenopausal women in particular there can be significant changes in menstruation that can be highly distressing for some.1

These include heavy menstrual bleeding, irregular menses, intermenstrual bleeding and post-coital bleeding.2