Perimenopause periods and spotting—what is normal?

Every woman experiences the menopause transition differently. Cycles can become shorter, longer, heavier, lighter, or less predictable.

How perimenopause affects your period

Perimenopause is the transition before menopause. Hormone levels fluctuate, and cycle patterns can change over time.

Spotting

Spotting means light bleeding outside a period. It can occur during perimenopause, but it should not automatically be assumed to be hormonal.

When to stop reading and contact someone

• Very heavy bleeding or bleeding that causes dizziness or weakness
• Bleeding lasting longer than expected or recurring frequently
• Any bleeding after twelve months without a period
• Bleeding after sex
• Bleeding with severe pain, fever, fainting, or other concerning symptoms

If symptoms feel urgent or severe, seek urgent medical care. A shopping website cannot assess bleeding safely.