What causes heavy menstrual bleeding and endometrial hyperplasia?

Patient's question:

Female, for about half a year, menstruation has been very heavy for 2 months. Dilation and curettage were performed, and there were no problems, just pure endometrial fibrosis. Cervical cancer screening also showed no issues. Now menstruation comes more than a month later, and each time it is very heavy, unbearable. Is it a lack of progesterone? What caused it? How to treat it. Also, pay more attention to rest and try to avoid staying up late. Exercise more.

Doctor's answer:

When the patient reaches this age and is in the perimenopausal stage, it is considered that ovarian function is declining and endocrine disorders are involved. Menstruation becomes very irregular, and the lack of progesterone will not necessarily lead to heavy bleeding. It is recommended to take oral hemostatic drugs such as Anluoxue or Duanliuwei. Additionally, the report of the six hormone tests is incomplete. The diet should be more regular, and it is best to avoid spicy foods as much as possible. Eat more light and simple foods. Paying attention to diet is correct.

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