Evaluation & Management of Bleeding in Perimenopausal Women

The perimenopause is defined as the onset of intermenstrual cycle variability (±7 days) through two years after the final menstrual period. Menopause is achieved after 12 completed months of amenorrhea. During the menopausal transition, menstrual cycle inconsistencies are a reflection of the decreasing number of ovarian follicles and the resulting variability of hormone secretion and oligovulation.