Created at 3:56 p.m. Oct, 28, 2025
Author: adavis98
Related Note: 1547638404121 2
Rationale for change

Bleeding after menopause, by definition, is considered abnormal uterine bleeding and is always pathologic. During perimenopausal period, can be physiologic.

Amboss writes "Perimenopause (also called the menopausal transition): the length of time from the first occurrence of irregular menstruation cycles to 12 months after the final menstrual period (FMP) [1][2]
Fluctuating hormonal levels lead to increasingly infrequent, lighter menstruation and vasomotor symptoms"
Source: AMBOSS - https://next.amboss.com/us/article/BO0zuT?q=perimenopause#gPbFVF

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