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For immediate release: 28 January 2009

Vaginal bleeding: what’s normal and what’s not

Some women have a normal period one month and then never see one again. But most women aren’t this lucky. Instead, they find that their periods become lighter, shorter and more spaced out as they approach the menopause. Women on HRT may also experience regular withdrawal bleeds, with the pattern determined by the type of HRT product they choose to take. But how do you know if your bleeding pattern needs further investigation?

In the Winter 2008/9 issue of The Menopause Exchange newsletter, consultant gynaecologist Miss Joan Pitkin looks at the variation in women’s bleeding patterns during the perimenopause and when women should seek medical advice. She also covers treatments for heavy bleeding, including HRT, and withdrawal bleeding on the different HRT regimens.

“Menstrual cycles can become erratic in the perimenopause, and fortunately most changes in bleeding patterns turn out to be normal,” says Norma Goldman, founder and director of The Menopause Exchange. “HRT products can also cause regular vaginal bleeding, so women should discuss the most suitable one to suit their needs. Any unexpected bleeding should always be checked by a doctor.”

The Menopause Exchange covers a wide range of subjects, like menopausal symptoms, HRT and its alternatives, nutrition, lifestyle and medical conditions (e.g. breast cancer). It is completely independent – it is not sponsored by any companies and is funded purely by subscriptions from individuals and health professionals. Other articles in the Winter 2008/9 issue include easing hot flushes and night sweats without HRT, the types and forms of HRT (part 1) and cystitis and thrush at the menopause. The Menopause Exchange has an Ask the Experts panel, information service and fact sheets specifically for members.

For more information on The Menopause Exchange, write to The Menopause Exchange at PO Box 205, Bushey, Herts WD23 1ZS, call 020 8420 7245, fax 020 8954 2783 or send an e-mail to


1. The Menopause Exchange Newsletter was launched in June 1999.

2. The founder and director of The Menopause Exchange is Norma Goldman, a pharmacist with a Master’s degree in health promotion. She gives talks on the menopause at organisations, workplaces, exhibitions, health clubs, pharmacies and other venues. Her daughter, Victoria, the editor of the newsletter, is an experienced health journalist with a BSc. degree in Biomedical Science and a Master’s degree in Science Communication.

3. The aim of The Menopause Exchange is to raise the awareness of the menopause among women, healthcare professionals (e.g. nurses and pharmacists) and complementary practitioners.

4. Topics covered in previous issues of the newsletter include: HRT questions you forget to ask your doctor; aromatherapy and the menopause; phytoestrogen and herb safety; testing for osteoporosis; sleep better at the menopause; getting your libido back; anti-ageing beauty secrets; mood swings; and coping with a premature menopause.

5. UK annual membership (4 issues of the newsletter, regular fact sheets, use of the information service and ‘Ask the Experts’ panel) costs £18 for individuals; £22 for local organisations; £40 for companies/national organisations; corporate (over 10 copies) and overseas memberships are available on request.
All press enquiries to Norma Goldman on 020 8420 7245

This press release was distributed by ResponseSource Press Release Wire on behalf of The Menopause Exchange in the following categories: Health, Medical & Pharmaceutical, for more information visit