 [ Symptoms ] at 42 i have always had five day periods now i am having two periods a month should i see my doctor  the last few years they have become heavier with lots of cramping and lasting up to 10 days [ Disease ] there can be multiple explanations for your periods being unusual for you it could be related to early perimenopausal changes but before we assume that it would be good to rule out other causes of this type of bleeding    even something like hypothyroidism could give you these symptoms so i would definitely check in with your health care provider    she will want to examine you she may want to do an ultrasound to look into the body of the uterus she might even want to do a sampling of the lining of the uterus endometrial biopsy she also probably will want to check your thyroid and your blood count    you might well need some extra iron given your bleeding but the good news is no matter what the cause it can usually be helped    so do check in with your health care provider both for a diagnosis and intervention    to make you feel better