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.
It's best to have a Pap and/or HPV test between 10 and 20 days after the first day of your last period, according to the National Cancer Institute. If you're in the middle of perimenopause and have irregular periods, this can be difficult to time. But OB-GYNs understand.