Mom is in menopause with continuous and excessive bleeding, what should she do?

Patient's question:

Detailed medical condition and consultation purpose: My mother has just entered menopause, and her menstrual flow has not stopped yet since last month. The doctor said it's due to endocrine disorder, and she has taken hemostatic medicine and received hemostatic injections, but it still hasn't helped. Moreover, due to excessive blood loss, her physical condition has declined, and I am very worried.
Duration and onset of the current illness: Around October 1st, it has been almost two months.
Current general condition: During sleep, the menstrual flow is not much, but when she sits up or gets out of bed, it gushes out.
Medical history: None.
Previous diagnoses, treatments, and outcomes: She has received hemostatic injections at the hospital and has been taking medicine.

Doctor's answer:

Hello: It is recommended to adopt hormone therapy! If the symptoms of menopausal syndrome are severe, the above treatment effects are not satisfactory, or vaginitis and sexual dysfunction occur due to estrogen decline, estrogen can be appropriately supplemented to alleviate some symptoms of menopause. However, long-term estrogen use can stimulate endometrial growth and lead to cancer, so it should be used with caution. Usage: ① Estriol 1-4 mg, once daily, for 3 weeks, then stop for one week. ② Nylestriol 5 mg, taken orally once a month. After symptom improvement, change to 1-2 mg, taken orally twice a month. ③ For menopausal women with excessive menstrual bleeding, it is best to have a diagnostic curettage to rule out other lesions. At the same time, androgens such as methyltestosterone can be used, 10 mg daily, sublingually divided into 2 times, for 10-15 days. Or testosterone propionate 25 mg, intramuscularly twice a week, for a total of 6 times. The dosage of androgens generally does not exceed 200 mg per month. Hormone therapy should aim for the minimum effective dose that alleviates symptoms, with intermittent use as the main approach. After symptom relief, the dosage should be gradually reduced until the medication is stopped.