Perimenopause is the time before menopause begins and extends up to a year after the last menstrual period. The mean age is 47.5 years at the onset, and this average is often variable. In general, it may last from one to four years, but for some women, this transition period may last longer than 5 to 7 years. During perimenopause, women have much abnormal bleeding in frequency, duration, and abundance relative to the period of regular menstrual cycles and thus are a frequent reason for consultation in gynecologic emergencies. Indeed, about 70% of gynecologic visits in perimenopausal women involve bleeding. As a result, management of these disorders requires a distinction between this functional disorder and the sometimes-severe organic disorder that increases in frequency during this period of the woman's life. Hence, further radiological investigations are needed to make a positive diagnosis and choose the therapeutic decision.
Pelvic Ultrasonography, Perimenopausal, Abnormal Uterine Bleeding
