Approaching menopause, menstruation is always irregular. What should I do?

Patient's question:

At the age of 52, it has been about 40 days since my last menstrual period, and this time it has been 10 days. The day before yesterday, I went to the central hospital for an examination, including an ultrasound, blood test, and urine test. Could you please explain why my menstrual period is still not clean even though I am approaching menopause?

Doctor's answer:

Menstruation is always not clean, common reasons include improper placement of an intrauterine device (IUD) inside the uterus. It should be removed promptly and alternative contraception methods should be used. Gynecological inflammation can also cause irregular menstruation. Appropriate antibiotics should be used to treat the inflammation. Jieryin can be used to clean the external genitalia, and Xiaomieling suppositories can be inserted into the vagina, which is effective for both candidiasis and bacterial vaginosis. Cervical polyps, cervical lesions, uneven endometrial shedding, and endometrial polyps can also lead to prolonged menstruation. Gynecological examinations, TCT, HPV, and color Doppler ultrasound should be performed in the hospital. If necessary, corresponding surgical treatments may be required.

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