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.
Heavy vaginal bleeding or bleeding that occurs after 12 weeks may indicate a serious problem, such as placenta previa. Ovulation can cause midcycle bleeding. Perimenopausal Women. If you are age 40 or older, abnormal vaginal bleeding may mean that you are entering perimenopause. In a woman who has not had a menstrual period for 12 months, vaginal bleeding is always abnormal and should be discussed with a health professional.