My mother is going through menopause, and she has a very heavy and continuous flow of menstrual blood. What should we 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 medication and received injections to stop bleeding, but it hasn't helped. Now, because of excessive blood loss, her physical condition has declined, and I'm very worried.
Duration and course 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 and treatment history and effectiveness: She has received injections to stop bleeding at the hospital and has been taking medication.

Doctor's answer:

Hello: It is recommended to adopt hormone therapy! If the symptoms of menopausal syndrome are severe, the above treatment effects are unsatisfactory, 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 Nylestrin 5 mg, taken orally once a month. After symptom improvement, reduce to 1–2 mg, taken orally twice a month.
③ For menopausal women with excessive menstrual bleeding, it is best to undergo a diagnostic to rule out other conditions.
At the same time, androgens such as methyltestosterone can be used: 10 mg daily, taken sublingually twice, for 10–15 days. Alternatively, testosterone propionate 25 mg can be given intramuscularly twice a week for a total of 6 times. The androgen dosage generally should not exceed 200 mg per month.
Hormone therapy should aim to alleviate symptoms with the minimum effective dose, primarily using intermittent medication. After symptom relief, the dosage should be gradually reduced until the medication is stopped.