What are the reasons for heavy menstrual flow and endometrial hyperplasia?

Patient's question:

I am 42 years old this year. My menstrual period has been very heavy for 2 months. I had a D&C, and there were no problems, just pure endometrial fibrosis. The cervical cancer test was also normal. Now my menstrual period comes more than a month later, and each time the flow is very heavy, which is unbearable. Is it a lack of progesterone? What caused it? How can it be treated?

Doctor's answer:

At this age, women are in the perimenopausal stage, which is characterized by the decline of ovarian function and endocrine disorders. Menstruation becomes irregular, and a lack of progesterone can lead to heavy bleeding. An imbalance in hormone secretion by the female body's endocrine glands is a common cause of endometrial hyperplasia. It is recommended to take oral hemostatic drugs, pay attention to personal hygiene, and be mindful of dietary habits. Additionally, the report for the six hormone tests is incomplete.

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