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Periods and bleeding in perimenopause

Cycles that change length, heavier or lighter flow, spotting and clots: what is expected and which bleeding to take to a doctor.

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Irregular periods in perimenopause

How cycles change in perimenopause: periods closer together, longer periods, skipped months and long gaps, what is expected, and which changes to report.

Quick answers

Is spotting between periods normal in perimenopause?
ACOG lists bleeding or spotting between periods as not normal, even in perimenopause, so it is worth reporting to a doctor.
How long is a normal cycle?
ACOG gives 24 to 38 days from the start of one period to the start of the next, with bleeding lasting up to 8 days.

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