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Monday, July 27, 2009 smc, Community Member, asks

Q: I'm 43 and missed my period. I had all the pms symptoms but never started. Could it be perimenopause

I'm 43 and missed my period. I had all the PMS symptoms but never started. Could it be perimenopause? I am still having breast tenderness.

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Answers (2)
Sandy Greenquist, Health Pro
8/ 4/09 5:27pm



Yes, this could be perimenopause. You can start having symptoms, including changes in your periods, years before your last period. Very often, women find that they will have all the typical symptoms that previously signalled a period was coming--significant mood swings, cravings, weepiness, backache, bloating, headache, breast tenderness, etc--but then no bleeding follows. This can continue even after your periods have stopped completely, though the symptoms are not usually as pronounced. Unless your symptoms are worrisome or worsen or you have erratic or uncontrolled bleeding, you do not necessarily need to see your doctor. Your best bet right now is to learn all you can about hormones, menopause and healthy aging.


Good luck to you,




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Jen, Community Member
8/ 1/09 9:07pm


Have you had any symptoms of "peri-menopause".  Have you had your hormone panel checked?  If you are using BC pills might it be possible that your period is just changing it's cycle?  That sometimes happens.  If not, then you might be, but it does seem a bit early.  Typical "Average" age for the on-set of menpause is 51.  Have you changed your diet, been under undue stress, over exercising?  Many things can effect your period from not coming.  Check with your doctor of course.

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By smc, Community Member— Last Modified: 08/15/14, First Published: 07/27/09