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JAMA 2023

doi: 10.1016/j.ajhg.2018.12.001

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Spotting when wiping during perimenopause is common, affecting around 4050% of women who track their cycles during this transition Hormonal fluctuations, particularly estrogen and progesterone shifts, cause most perimenopausal spotting Conditions like uterine fibroids, polyps, and vaginal atrophy can also trigger spotting Tracking symptoms helps identify patterns and provides valuable information for healthcare providers Heavy bleeding, severe pain, or spotting after menopause requires prompt medical evaluation Finding blood when wiping can feel alarming, especially when periods become unpredictable

We map your full endocrine picture testosterone, estrogen, thyroid, cortisol, DHEA and titrate against symptoms and labs every quarter