Immediate Medical Attention
There are conditions that mimic menopausal symptoms but are manifestations of
different disorder. If you experience any one of the following, consult your doctor
or go to the emergency room if advised.
See or Call Your Doctor If:
|If you have extreme pain during intercourse|
|If you have pain or burning when urinating - Thick, white, or colored vaginal discharge|
|If you have fever and/or chills|
|If you have heavy bleeding with your periods or you pass many small clots or large ones
which can leave you pale and very tired.|
|If you have begun menstrual periods again after going without one for 6 months.|
|If your hot flashes are severe, frequent, or persistent enough that they seriously
disrupt your sleep, work, or daily activities.|
|If you experience long-term heavy bleeding, or any bleeding one year after your period
stops. This could be a sign of uterine cancer.|
|If you have the following risk factors for osteoporosis or you suspect osteoporosis:|
|Family history of osteoporosis|
|Small bone frame|
|Fair skin (Caucasian or Asian race)|
|Had surgery to remove ovaries before normal menopause or menopause before 48 years of
|Lack of calcium in diet|
|Lack of weight-bearing exercise|
|Use of steroid medicine|
|If you are taking hormone replacement therapy (HRT) and you have any of the following?|
|Return of menopausal symptoms|
All women should have regular pelvic exams-as often as once a year if they are sexually
active-so that any abnormalities can be detected and treated early. Here are some
menstrual irregularities that may require medical assistance. Tell your doctor about
theses and other menstrual irregularities. (We cover all menstrual irregularities; not
just from menopause.)
|You have missed menstrual periods or unusually heavy, painful periods; cramps, pain, or
sense of pressure in lower abdomen; vaginal spotting or bleeding. This might be ectopic
pregnancy ( pregnancy outside uterus, usually in Fallopian tube). Call doctor for
immediate appointment. If bleeding or abdominal pain is severe call 911 or go to emergency
|You have unusually heavy or painful periods, especially toward the end; pain in lower
abdomen, vagina, or lower back that may begin just before period and worsen just after;
pain during intercourse; blood in urine or stool while menstruating; nausea and vomiting
just before period begins. This could be endometriosis (disorder in which tissue that
normally lines uterus appears outside uterus and becomes attached to other reproductive or
abdominal organs) . If you are experiencing symptoms for the first time or if pain is
severe, call doctor for immediate appointment.|
|You have unusually heavy, irregular, or missed menstrual periods; pain in lower abdomen
or back; foul-smelling vaginal discharge; pain during intercourse; fever and sometimes
chills. You may have pelvic inflammatory disease (infection of reproductive organs, often
caused by sexually transmitted diseases). Call doctor for immediate appointment.|
|Compared to your usual pattern, you experience changes in heaviness of flow, length of
periods, or time between periods; aches or pain in abdomen; sensation of fullness,
swelling, or pressure in abdomen; frequent urination.|
You may have
|Noncancerous ovarian cyst|
|Noncancerous ovarian tumor|
Call your doctor for immediate appointment. It's important to diagnose condition as
soon as possible.
|You have unusually heavy or painful menstrual period that begins a week or more late.|
You may have early pregnancy and miscarriage. If you think you may be pregnant and you
are bleeding, call doctor for advice and appointment.
|You have bleeding or spotting during pregnancy.|
This is common. It may, however, signal a problem. Call your doctor for advice.
|You experience unusually heavy menstrual period soon after childbirth.|
This is quite normal. If, however, you have more than two heavy periods after giving
birth, call doctor for advice.
|You have no menstrual period for several months.|
You may have amenorrhea (absence of menstruation), which can be caused by emotional
distress, hormone imbalance, dieting or eating disorders (see anorexia and bulimia), or
strenuous athletic training. This also could be because of:
|Abnormality of reproductive organs.|
|Use of certain drugs.|
|Discontinuing use of birth control pills.|
Call doctor for advice and appointment. Note: If a girl is over 16 and has never had a
menstrual period, schedule appointment with doctor.
|You have unusually heavy periods; bleeding between periods; pain or discomfort in lower
back or abdomen; frequent urination; constipation; possibly sudden, sharp pain in lower
This may be a sign of uterine fibroid tumors. Sometimes tumor becomes misted, cutting off its blood supply and causing severe pain. Call
your doctor for advice and appointment. Write down dates you are bleeding and how many
pads or tampons you use each day.
|You experience unusually heavy or painful menstrual periods while using IUD or after you
stop taking birth control pills.|
This is a common side effect of IUDs. It is from the hormonal changes caused by going
off the Pill. Call doctor for advice about your birth control method.
|You experience menstrual flow that is always heavy; periods that last more than seven
days; large clots of blood.|
Probably no underlying disorder, but heavy bleeding can result in anemia. If bleeding
is extremely heavy (you use more than one pad or tampon in an hour), call doctor for
Next Topic: Common Sense
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