08/13/2026
Changing periods can be part of perimenopause—but “you’re probably in perimenopause” should not automatically end the conversation.
Bleeding patterns may also be influenced by fibroids, polyps, adenomyosis, medications, thyroid concerns, pregnancy, and other gynecologic or medical conditions.
Make an appointment if your bleeding is significantly different from your normal, interferes with daily life, or is accompanied by additional symptoms.
You do not need to decide whether your bleeding is “bad enough” before bringing it up.
Tell us what changed. We can help determine what happens next.