At the age of 46, if your menstrual period has lasted for more than two months, is it menopause?

Patient's question:

I have had issues with heavy menstrual bleeding for a long time, and the ultrasound shows the endometrium is thick and the color is very light. Is it possible I'm going through menopause? The doctor suggested performing a D&C procedure. I have heart disease; can I undergo this? Is there now a painless D&C procedure available?
History of Treatment and Effect: I have taken many medications for heavy menstrual bleeding, but they haven't worked. I also took Gongxuening, but it didn't help either.
Desired Help: Do I really need a D&C? Can medication be used instead?
Thank you for your attention.

Doctor's answer:

Hello! Based on your age, menopause at this age is a bit early. However, you can confirm whether it is due to a problem with hormone excretion by undergoing a thorough endocrine examination. I don't recommend using the D&C method to stop the bleeding. First, have a detailed check of the six endocrine tests, and then determine the necessary additional treatments based on the results. It is recommended that patients pay more attention to their diet in daily life and avoid stimulating foods. Rest more!

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