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prolonged menstrual bleeding and perimenopause
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puddlejumpingthroughlife posted:
I am on day 28 of prolonged, heavy menstrual bleeding. I am also peri menopausal. My last period was in July, and lasted about 12 days. My periods have been irregular for about 2 years now, and there is no predicting how long it will be until my next period. At this point, I'm wondering if there is some correlation to the perimenopause and this extended bleeding. I've also recently been diagnosed withs stage 2 Primary Biliary Cirrhosis, and I've read that there can sometimes be a connection between liver disease and heaving menstrual bleeding. I will consult with my gyn this week, but am also wondering if anyone else has experienced this before the onset of menopause, or in conjunction with liver disease.
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Anon_6061 responded:
Prolonged and/or heavy bleeding, as well as changes in cycle length, are fairly common during perimenopause since ovulations can be sporadic. The lack of ovulations causes the lining to build up which must then be shed.

There are hormonal (such as birth control pills, progestins) and non-hormonal (such as OTC or Rx NSAID's - Motrin, Aleve, tranexamic acid - Lysteda) meds that are effective in reducing flow. Here's a table showing the various pharmaceutical treatments for heavy bleeding and their percent effectiveness - http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0015970/table/ch8.t1/?report=objectonly .
Here's the full document from which this link was taken -
http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0015970/ .

If the heavy bleeding has caused iron deficiency (as determined by blood work), iron can be taken to restore and maintain iron levels. Taking iron with vitamin C and away from foods high in phytates will maximize absorption. Of course, these are things you should discuss with her doctor (GP or gynecologist).


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