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.
The average length of perimenopause is 4 years, but for some women this stage may last only a few months or continue for 10 years.Perimenopause ends when a woman has gone 12 months without having her period.omen in perimenopause have at least some these symptoms: 1  Hot flashes. 2  Breast tenderness. 3  Worse premenstrual syndrome. 4  Lower sex drive. 5  Fatigue. 6  Irregular periods. 7  Vaginal dryness; discomfort during sex. 8  Urine leakage when coughing or sneezing. 9  Urinary urgency (an urgent need to urinate more frequently). 10  Mood swings. 11  Trouble sleeping.