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.
Symptoms. The most common symptoms of perimenopause are hot flashes and menstrual irregularities, but it isn't unusual to experience other precursors to menopause. Women can suffer periodic sleep disruptions, mood swings and urinary problems throughout perimenopause, according to the National Institutes of Health.