OB-GYN (Obstetrician-Gynecologist) Questions OB-GYN

Cycle issue?

My period is acting up. It's been 2 years. I do get my periods regularly. But first 4-5 days I spot and then 6th and 7th day heavy flow and 8th and 9th day it offsets. The last 2 periods were even worse. I spot for 7 days and then 8th and 9th day heavy flow and 10th and 11th day it offsets.

I really need to know if I need to be worried.

Female | 37 years old
Complaint duration: 2 years

3 Answers

Spotting pre-period is a sign of low Progesterone; this happens with perimenopause, so you are likely heading into that phase of your hormone career sooner than what medicine likes to tell you, which is 1-year pre-menopause. You may continue to have this type of multi-day spotting for several more years to come unless you get your levels checked and take natural micronized Progesterone to balance your hormones out. Have your doctor check your hormone levels on day 21 of your cycle (day 1 is the first real day of your cycle, not the spotting), and have your doctor balance your Progesterone with your Estradiol. If your doctor is not able to do this for you, then get a copy of my book, Full Bloom on Amazon. There is a chapter toward the back of the book about how to talk to your doctor and let them know the labs that you need drawn.
Not pregnant.
There are many things that can cause your menses to be longer and heavier. Visit your gynecologist. She can make sure there is nothing concerning and discuss options to treat if desired.