I am perimenopausal ( 49 and still having monthly flow) I have heavy spot/flow some after rides sometimes. I have a few fibroids, and have been warned by my GP that I will have spotting sometime. I carry tampax everywhere. I see it as a nuisance more than anything else. Me? If you get your regular exam I wouldn't worry about it, it is part of mother natures program.

Heavy monthly flow is part of the perimenopause thing. We call them "Freddy Kruger Days" when it's so bad I'd just assume not leave the house. The things they like to do about heavy flow include hysterectomy and uterine ablation.

Reducing estrogen is the whole point of menopause. Just getting there is a big nuisance.