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hi donnamarie,

Perimenopause (or "pre-menopause") symptoms include irregular cycles, or missed periods, however..you do not sound like you have either of these symptoms. Menopause does not typically begin until a woman is in her 50s, and perimenopause does not typically begin until a woman is in her mid-40s.

An IUD can cause irregular periods, breakthrough bleeding or spotting. This is all normal, and can occur in women who are not using any type of birth control. Many women's periods start out light, or spotting, then end as a heavy flow, and last for 4 days.

You know when your menstrual period needs medical evaluation if:
- bleeding for more than 7 days
- excessive bleeding (soaking more than one pad or tampon every hour)

Can you explain why you are concerned that your period is slightly "off"? This is very normal, and unless you are having other symptoms, there is nothing to be concerned about from your description. I am happy to hear that you had your IUD checked by your doctor!

Let us know if you have any further questions.

June 27, 2010 - 6:43am

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