Can perimenopause cause skipped periods?

Yes. Skipped periods can be a normal part of perimenopause.

What’s usually happening is that ovulation becomes less predictable, and some months it may not happen at all. Since progesterone is made after ovulation, that can throw off the usual balance between estrogen and progesterone, which makes periods more erratic. That’s why periods in perimenopause can come earlier, later, be heavier, lighter, or skip entirely.

A couple of important notes. If pregnancy is possible for you, a missed period can still mean pregnancy, since you can still ovulate during perimenopause. And if bleeding is very heavy, lasts longer than usual, happens between periods or after sex, or if you have any bleeding after menopause, that should be checked by a doctor.

If you want a clear rundown, our article on perimenopause periods is helpful. If irregular periods are bothering you, here at Alloy we also offer a low-dose birth control pill that can help regulate cycles for some women in perimenopause.

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