Menopause and more frequent periods: what to know

Before periods stop completely, ovulation may become less predictable. The lining of the womb can then build and shed on a different schedule, causing shorter cycles, missed periods followed by bleeding, or changes in flow. Menopause itself is reached after twelve months without a period; bleeding after that point is not treated as a routine menopause symptom. Other causes can include fibroids, polyps, thyroid problems, medication effects, infection, or pregnancy when it remains possible.

Record the first and last day of each episode, how often you change period products, clots, pelvic pain, and any bleeding after sex. Note medicines such as hormone therapy, blood thinners, or supplements. Arrange a primary-care or gynaecology appointment if the pattern is new or continues. Assessment may include a pregnancy test, blood test, pelvic examination, or imaging depending on your history.

Seek urgent help if bleeding is soaking through products repeatedly, you feel faint or unusually weak, or you have severe pelvic pain. Arrange prompt review for bleeding after twelve months without periods, bleeding between periods, or bleeding after sex. These signs do not identify a cause by themselves, but they should not be ignored.

Ask whether your bleeding pattern fits the menopause transition, whether anaemia should be checked, and which tests would clarify the cause. Discuss whether current medicines or hormone treatment could be contributing and what changes should trigger urgent review.