Irregular Periods
One of the earliest signs of perimenopause is irregular periods. Whether they last longer, appear more or less frequently or are heavier or lighter, we can help you understand your irregular periods.

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As women transition into perimenopause, the ovaries fail to release an egg. When that happens, there is no progesterone to stabilize the lining of the uterus. The uterine lining keeps building irregularly and eventually will start to bleed a little here and a little there. Often, a month or two later when your cycle works correctly and an egg is released, you may experience a heavy period. Heavy periods are a common symptom in perimenopause for this reason.
Sometimes a change in bleeding patterns (whether it be time in between or heaviness of flow) can be a sign of something more serious, so a visit with your OB/GYN is recommended.
How we treat irregular periods in menopause
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We'll review your health history and listen to your symptoms.
Every woman's experience of menopause is as unique as she is. We'll first review your medical history, family history, and gynecological history prior to your telemedicine visit.
During the video visit, you'll share your experience with menopause, starting with your quality of life and other symptoms you're experiencing (like joint pain and anxiety).
The mindset we have at Gennev is to focus on health. We'll provide:
Lifestyle modifications
We will assess your nutritional needs to provide recommendations for a healthy, balanced diet and daily exercise. Our practitioners may also leverage cognitive behavioral therapy, mindfulness and relaxation techniques to support symptoms associated with mood changes.
Medical interventions
If you’re experiencing mood changes that are related to hormonal fluctuations, our doctors will review treatment options that may include hormone replacement therapy (HRT).
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Feel 100% again and thrive in menopause.
Our doctors and health coaches (RDNs) are by your side, answering your questions and to help monitor your symptoms. As your hormones fluctuate, your symptoms will change over time. Talk to your doctor about these changes and your Gennev doctor will adjust your treatment plan to match your new needs.