ACOG
From the American College of Obstetricians & Gynecologists
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Perimenopause is the normal transition between a woman’s usual menstrual cycles and her final period. Changes in vaginal bleeding are common during perimenopause, but even expected changes can be unsettling. Watch this video to learn what bleeding changes in perimenopause are common, what changes are concerning, and when to talk with your ob-gyn.

Menopause book cover.

Order Now: New Book on Menopause

More menopause information from ACOG is available in Menopause: What Your Ob-Gyn Wants You to Know.

 

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Published: October 2025

Last reviewed: October 2025