What should I do if I have heavy menstrual bleeding?

Patient's question:

Doctor,
I am writing to you because my mother is 50 years old. Her menstrual cycle has always been regular, but in the past two months, her menstrual flow has been unusually heavy and prolonged. Last month, she experienced severe bleeding that lasted for an extended period. She had to receive three days of hemostatic injections to stop the bleeding, which eventually improved. This month, the same thing happened again. She feels generally unwell and looks pale. She went to the hospital for a comprehensive examination, and the results showed only thickening of the uterine wall, with no other abnormalities.
Could you please advise if there are other treatment methods besides stopping the bleeding for such heavy bleeding? What should we do to prevent this from happening again in the future? Thank you!

Doctor's answer:

There may be a possibility of menstrual disorders during menopause, as she is in the menopausal stage and close to the age of menopause. Women in menopause often experience emotional instability and menstrual irregularities. The current menstrual cycle irregularities could be a manifestation of menopausal menstrual disorders, or they could be due to organic lesions in the uterus and its appendages. Women over the age of 40 are prone to conditions such as uterine fibroids and ovarian disorders due to hormonal changes in the body. In such cases, it is advisable to visit a regular hospital for an ultrasound and endocrine examination. If any organic lesions are found, timely treatment should be administered to prevent adverse developments.

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