Could prolonged menstrual periods in middle-aged women be a sign of menopause?

Prolonged menstrual periods in middle-aged individuals may be a sign of perimenopausal symptoms. Before menopause, various manifestations such as irregular cycles and abnormal menstruation may occur, reflecting the process of ovarian dysfunction and gradual decline due to aging, shifting from instability toward cessation. Some women maintain regular periods until menopause suddenly stops, although this is uncommon. If such symptoms appear suddenly, it is advisable to check hormone levels to better assess changes in the body's hormonal status.