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.
Problems like heavy or prolonged periods often start in the run up to menopause as your body transitions due to hormonal changes. This stage is known as perimenopause. Period problems associated with menopause can also happen prematurely as a result of surgery, chemotherapy or radiotherapy.ne of the first signs of changing hormone levels is a change in the pattern of your monthly period. As your body transitions to menopause you may experience a range of symptoms that include changes in: 1  Regularity: time between monthly periods may get longer or shorter.