Hi. Im 46 years old. Not on any tyoe of birth control. Im a little over 3 months late. I've never been late like that. I felt a little light headed the other day. May feel a little nausea every once in a while. Also getting a milky discharge no odor.

Hello Anonymous,

Welcome to EmpowHER. Thank you for asking our thoughts on your situation.

If indeed you were pregnant, that would mean you were now at the end of the first trimester.
hCG levels at 9 – 12 weeks from the last menstrual period range from :25,700 – 288,000 mIU/ml.
A level of 5 is very low at this late date.

Has your physician suggested an ultrasound?

Women start perimenopause at different ages. You may notice signs of progression toward menopause, such as menstrual irregularity, sometime in your 40s. But some women notice changes as early as their mid-30s.

The level of your estrogen — the main female hormone — rises and falls unevenly during perimenopause. Your menstrual cycles may lengthen or shorten, and you may begin having menstrual cycles in which your ovaries don't release an egg.

If you have a space of 60 days or more between periods, you're likely in late perimenopause.

No one test or sign is enough to determine if you've entered perimenopause. Your doctor takes many things into consideration, including your age, menstrual history, and what symptoms or body changes you're experiencing.

Some doctors may order tests to check your hormone levels. But other than checking thyroid function, which can affect hormone levels, hormone testing is rarely necessary or useful to evaluate perimenopause.

Regards,
Maryann