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.
This phase presents similar symptoms to menopause that gradually increase, including fatigue, irritability, mood swings, and weight gain. The difference is that women in perimenopause continue to have periods, although they may be irregular. When you do not have a period for 12 months, you have entered menopause. Early menopause occurs in women between the ages of 40 and 45, and occurs naturally, in other words, is not medically or surgically initiated.