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    Tinie1P posted:
    I am 41 and have been having problems with my periods. They seem to have a mind of their own. I will have one, one month then skip a few months. Also they are very heavy flow when i do have them. Any suggenstions?
    Mary Jane Minkin, MD responded:
    Dear Tinie1P,
    This certainly could be the beginning of perimenopause. As you have probably read on the site, this is a very difficult diagnosis to make, and often it is made retrospectively. One way to help control the bleeding issue is to take some progesterone periodically; it will trick the uterus into thinking you have ovulated (which is when your body makes progesterone) and then, when you stop taking the progesterone, you will get a withdrawal, or clean out bleed, which is usually much better than a heavy non progesterone controlled bleed. Another option for women who are good candidates are low dose birth control pills. So there are several options for folks.
    Good luck,
    Mary Jane

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