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    Heavy Periods
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    An_267688 posted:
    Greetings,
    I skipped a period last month for the first time and now my period is here and will not stop. I have had a physical, bloodwork, ultrasounds from the heart down of everything, and have seen 3 doctors. Everything was normal and nothing new. I have bloating in stomach area and breast go up and down in size.It is going on 2 weeks and my cycle is still here. Is there anything that can slow or stop it? I drink ginger and red raspberry tea. The doctors call it perio menopause. I am concerned due to the constant blood loss. The doctors say there is nothing to worry about unless I feel faint or dizzy. All help appreciated.
     
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    Mary Jane Minkin, MD responded:
    Dear An_267688,
    This type of bleeding is fairly common in the perimenopausal time period. Indeed, as we head towards menopause we stop ovulating well-and when we ovulate we make progesterone, which acts like the policeman of the lining of the uterus, to give us nice controlled periods. So a couple of thoughts: gvien that you have lost a fair amount of blood, it sounds like you might benefit from some iron tablets-over the counter iron, 325 mg tablets, one a day, could be helpful. Also to help control this type of bleeding, you might benefit from some progesterone therapy. Another possibility to help control bleeding like this would be a low dose birth control pill, if you are a good healthy candidate (non smoker, good blood pressure).
    So don't give up-and do check in with your health care provider, to make this transition easier for you.
    Good luck,
    Mary Jane
     
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    zgreen0324 replied to Mary Jane Minkin, MD's response:
    Hello I am 51 years old and have been perimenopausal for a while now...my period had stopped for about a year but started back in January...and it has been on since then...I have only had a less than a handful of days that I was not bleeding...some days very heavy with clotting and bad cramping other day heavy spotting and again with cramping. Today as I type this I am in a lot of pelvic pain with heavy spotting. My OB/GYN has put me on a birth control pill and tells me to take 2 a day until the bleeding stops...it may stop for a day or two but comes right back...at this point I am very anemic...exhausted...I am taking a multi vitamin and iron. I do have fibroids but is there anything I can do about this constant bleeding and pain.
     
    avatar
    Mary Jane Minkin, MD replied to zgreen0324's response:
    Dear zgreen0324,
    I presume that your gynecologist has sampled the lining of your uterus (a biopsy or even a D and C) to rule out any overgrowth of the lining of the uterus. Presuming that's normal, there are a few other options. You might be a candidate for a Mirena IUD - it is coated with progesterone, and for many women it significantly reduces the bleeding. Another possibility would be a transcervical resection of the fibroids and possibly a uterine ablation; this is less involved than a hysterectomy and could certainly be helpful.
    Do keep taking your iron, and do check in regularly with your gynecologist,
    Good luck,
    Mary Jane


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