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Heart and Circulatory Conditions
I am a 55-year-old woman. Since, 2001, I have been on warfarin (Coumadin) for mitral valve replacement. Could taking warfarin be the reason I still have monthly periods?
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Harvard Medical School
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General Medical Questions
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Q: I am a 55-year-old woman. Since, 2001, I have been on warfarin (Coumadin) for mitral valve replacement. Could taking warfarin be the reason I still have monthly periods?
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The Trusted Source
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Joan Marie Bengtson, M.D.

Joan Marie Bengtson, M.D., is assistant professor of obstetrics, gynecology and reproductive biology at Harvard Medical School and a member of the Department of Obstetrics, Gynecology & Reproduction at Brigham and Women's Hospital.

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February 02, 2010
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A:

Warfarin (Coumadin) is an anticoagulant drug. These types of drugs are sometimes called "blood thinners." They treat and prevent blood clots from forming inside blood vessels and around artificial heart valves. A side effect of anticoagulants is an increased risk of bleeding and bruising from cuts and injuries.

Women who use anticoagulants will sometimes experience an increase in the amount of menstrual blood flow. However, using Coumadin will not delay your menopause or cause irregular bleeding.

The average age of menopause is 51, but some women continue to have periods until their mid-50's. If you experience heavy, prolonged, or irregular bleeding you should see your doctor to determine the cause.

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