Can irregular periods and excessive menstrual flow be a symptom of menopause in me?

Question

Hi doctor,

I am a 47-year-old woman, and since last year, I have had excessive periods that did not stop. I visited the doctor, and they said it was menopause but could not make sure. My endometrium sheds little by little with the blood, and pieces come out with blood, but the flow does not stop. It is very irregular, too, the longest one I had was for about a whole one and a half months, and the doctor had to stop it with injections and medications, and now it has started again today. I had a biopsy, so I will attach my reports here. Please look into it.

Answer 1

Hi

Welcome to icliniq.com.

I went through your query and attached reports (attachment removed to protect the patient's identity) and understood your concern.

The ultrasound sound report shows that your endometrial lining, or the inner lining of your uterus, is 20 mm thicker according to your age. However, the biopsy report does not show that you have any cancer. So do not worry. It is quite common at your age to have disorders of the lining of your uterus due to hormonal imbalances.

For treatment of this, I would suggest you consult your local gynecologist for a Mirena IUCD (intrauterine contraceptive device) insertion inside the uterus. Mirena is a T-shaped plastic frame (like copper T) inserted into the uterus, releasing a type of hormone progesterone that will correct the thickened endometrial lining. It is not painful and very effective.

I hope this answers your question. Feel free to reach out with any further questions.

Answer 2

Hi,

Welcome back to icliniq.com.

The heavy blood will settle once the endometrial lining thins out by putting a Mirena. Taking hormonal tablets like Norethisterone (synthetic hormone) is not good at your age. You can take Tranexamic acid 500 mg tablet twice a day after food. Heavy bleeding can stop transiently, but for long-term bleeding control, you need to put in a Mirena.