Disparities in health care provide compelling evidence that issues of race or skin color for the descendants of slaves and other ethnic minorities persist in the 21 st century. Nurses providing care for African Americans must bridge the racial divide and incorporate culturally relevant content in the health history.
Irregular Bleeding. In general, irregular periods are very common during the perimenopause. The most common early menstrual irregularity noticed in the perimenopause is a shortening of cycle length. Women with prior 28 day cycles will commonly describe 24 to 26 day cycles during the early perimenopause.
Some women will skip cycles for a couple of months at a time during perimenopause, but if a woman experiences 12 months straight without a cycle during this time, that's menopause. The main symptom of menopause is, of course, no periods for 12 months straight.