How to deal with irregular menstruation and how to suppress it?

Patient's question:

Gender: Female
Age: 45
Medical History: Irregular menstruation for 1 year
Irregular menstruation for a year. This time it started on the 7th. In the beginning, the flow was very light, but recently it has increased. I have taken Gongxuening for 3 days, but it hasn't helped. I have uterine fibroids and ovarian cysts. My six sex hormone tests show low luteinizing hormone. Today, there is a very small amount of blood clots, and I have a slight lower abdominal pain.
Hello expert, what should I do? Thank you
What kind of help do you need: Hello expert, what should I do? Thank you

Doctor's answer:

Uterine fibroids and ovarian cysts both affect menstruation. Uterine fibroids can lead to excessive menstrual bleeding, prolonged periods, extended cycles, and symptoms like blood clots. If an ovarian cyst is simple, there's no issue; it just needs to be monitored for any changes in size.
The six hormone tests indicate low luteal phase levels. You can take progesterone appropriately, and this medication poses no harm to the body. However, it should be taken under the guidance of a doctor. If a uterine fibroid is larger than 5 cm, surgery may need to be considered. This can be done through open surgery or laparoscopic surgery.