Years before estrogen production completely shuts down, hormone levels start to fluctuate wildly during that special time of life known as perimenopause. Perimenopausal hormonal fluctuations result in the same symptoms that many women experience when they are in full menopause, hot flashes, vaginal dryness, and insomnia. But there is a bonus symptom that post-menopausal women don’t experience - irregular and unpredictable bleeding. 
In this episode, I discuss:

WHY perimenopause women have irregular bleeding
How your clinician should evaluate abnormal bleeding
Strategies to manage perimenopausal bleeding
 Progestogen 


Birth Control Pills 
Progestogen IUD 
Endometrial Ablation 
Hysterectomy 
Do nothing! 



What to do if there is HYPERPLASIA


For more information on this topic: 
Episode 23:  Welcome to Peri-menopause
Episode 40 Don’t Go with This Flow- Post Menopause Bleeding
Episode 56 Too Young For Menopause? with Dr. Hannah Short
Episode 57 Uterine Cancer: Reducing Your Risk
Episode 80 When Progesterone is a Problem 

Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat

                               And, it’s not too late to register for 

                             Mastering Menopause – Get Away!
                 Fabulous Retreats with Real Experts to Get Real Solutions
https://www.drstreicher.com/mastering-menopause-get-away

Meet the Experts
https://www.drstreicher.com/mastering-menopause-get-away#meet-the-experts



Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. 

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Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. 

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Books by Lauren Streicher, MD

 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain

Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat

Sex Rx- Hormones, Health, and Your Best Sex Ever

The Essential Guide to Hysterectomy