Ob-Gyn questions? Ask a gynecologist online.
Hello, I am Dr Owen, I am a Board Certified Ob/Gyn Medical Doctor and I want to help you.
Are you asking for medications to help bleeding and/or the hot flashes too?
Well MORE than likely this is just due to being perimenopausal as anytime after the age of 40 it is normal to start to have these symptoms
I'm looking for over the counter supplements or remedies or even foodstuffs I can consume to help reduce the bleeding moreso than the hotflashes (of course they're not fun either - so if there's something that could take care of both that would be excellent)
But you should get evaluated first too to make sure all is well and that this is just perimenopause because this could be a thyroid condition, a polyp, a fibroid, or possibly a precancerous/ cancerous condition - although it is VERY unlikely to be a cancerous condition - it is always good to get this evaluated.
What's involved in an evaluation usually? It is just a regular checkup?
Well as for bleeding - there really is very little to help for bleeding - but sometimes Ibuprofen/ advil helps 600mg every 6 hours, but a GOOD prescription that is NON hormonal to help for bleeding is called Lysteda (also known as Tranexamic acid)
The evaluation is a Pelvic exam, a PAP smear, a TSH thyroid blood test, a pelvic ultrasound, and an Endometrial biopsy (this takes a few seconds done in the ob/gyn office)
MORE than likely all the tests will be normal - and THEN you can assume this is Perimenopause.
Is there sedation involved during the biopsy?
To help with hot flashes - herbs such as Black cohosh, Chasteberry, Vitex or Dong quai can help
No, sedation is not needed - but to help with the minimal cramping you can get take Ibuprofen before you go to the doctor's office - it takes just a few seconds to do
Also, NON- hormonal prescriptions for hot flahses include a medication called Clonidine (also known as catapress)
I wish you well
Please click on EXCELLENT for helping you
and have a great weekend coming up