Ob-Gyn questions? Ask a gynecologist online.
Hi, It's Dr. C. Board certified Ob-gyne with 30+ years of experience. I can help you today.
I'm sorry that you're having trouble with heavy bleeding. Many women approaching menopause have such troubles. Usually it's due to hormonal changes. But it's important to have an evaluation into cause of the bleeding pattern. Thyroid disease and non-cancerous polyps of the uterus can cause abnormal bleeding. So can precancers and cancer but less often. Fibroids which are non-cancerous tumors can also cause abnormal bleeding. Most often the cause is hormonal and there are many treatments available.
The usual investigation includes a check of thyroid disease, a blood count to check for anemia and an ultrasound.
Sometimes there are other less common causes of abnormal bleeding such as liver disease and some medications. So a detailed history and exam are helpful.
I hope this has given you some guidance on next steps.
Please reply if I can clarify or give more details. I want to be sure you have the most helpful information for your situation.
If none, please leave a rating for my service. I aim for excellent and appreciate your feedback.
Anything else I can clarify? I'm happy to provide follow-up if needed.