What are the signs of menopause?

Patient's question:

I am 40 years old. My period started on the 3rd of this month and ended on the 8th. Then, on the 13th, it came again and was very heavy. Does this mean I am going through menopause? Or could it be a medical condition? I still have very heavy periods now. Can I get an ultrasound?

Doctor's answer:

Hello, your current condition cannot yet determine whether you are experiencing menopause. Based on your age, the possibility of menopause is not very high. If you are bleeding heavily now, it is not suitable to have an ultrasound examination, as the uterus appears as a liquid dark area during the examination, which generally lacks significance. If the bleeding duration is long, you can take appropriate oral hemostatic medication and wait until the bleeding stops before having an ultrasound examination.
Irregular vaginal bleeding should also consider the possibility of the following conditions: cervical polyps, acute vaginal inflammation, severe cervical erosion, submucosal uterine fibroids, etc. Additionally, sometimes due to the insertion of an intrauterine device, there may be some blood streaks mixed in the vaginal discharge.
It is recommended that you go to the hospital for examination and, under the guidance of a doctor, identify the cause and receive timely aetiological treatment.

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