@lynnlee22 I would agree that at 39/40, this is early for these changes to happen, but it also may be that it is an inherited tendency. You would need a medical opinion about that and for them to rule out other possible causes that could cause unusual bleeding. Something could be missed if it was assumed to be from changing hormones and there could be something else that needs treatment. I went through these changes later as most women do. My doctor did begin bio-identical hormone replacement before I was in full menopause which helped because I was experiencing muscle stiffness and being tired a lot. Is that something you would consider? Bone density is affected by hormones, and hormone replacement can help retain minerals in bone.