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49 years old, erratic periods
pretzelogic posted:
I have suffered from severe dysmenorrhea and endometriosis for many years, now I am having very erratic periods. In charting my cycles, I am finding that sometimes I go as long as 60 days between and now as short as 18 days between and the bleeding is extremely heavy, with each cycle lasting between 9 and 15 days. I have always had a lot of clotting, but the bleeding is now so heavy, I often change every 30 minutes and working has become difficult. I have been considering endometrial ablation and would like to know if this is recommended and how to find the best surgeon to do the job.
I would also like to know if I should be concerned about any cancers that could related to this type of bleeding.
pretzelogic responded:
I should add that I can no longer take birth control pills to control my cycles as I had a bout w/ blood clots in my leg 4 years ago and there is a family history of early stroke. (I lost a brother at age 49 and our mother suffered multiple strokes before passing away).
Anon_6061 responded:
There are also non-hormonal meds that can reduce flow such as tranexamic acid (Lysteda) and NSAID's such as ibuprofen (Advil, Motrin) and naproxen (Aleve). Here's a table of hormonal and non-hormonal meds and their effectiveness in flow reduction -
Here's the full document on medications to treat heavy bleeding -

There's a lengthy discussion (166 replies) titled "endometrial ablation side effects" over on the Women's Health / Gynecology community. Here's a link to that discussion -

A transvaginal ultrasound done the day or two after your period could be done to ensure that your lining isn't too thick hence the cause of heavy bleeding. Fibroids and polyps can also cause heavy bleeding but are benign.

Based on your age, menopause may be right around the corner and this bleeding may be short-lived! Here's to hoping it improves soon!

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