Actually, it CAN be normal. Heavy and/or prolonged bleeding during perimenopause can be a normal variant. I had my period every other week (and heavy flows) for a little over a year. Because prolonged bleeding (called dysfunctional uterine bleeding) can be a symptom of more serious conditions, it is important to be checked out by a physician. A pelvic ultrasound and/or endometrial biopsy can rule out pathology. Even if no serious condition is found, you must be monitored for anemia. Regular red blood cell and hemoglobin counts are recommended. I simply increased my intake of red meat and took iron supplements and was never anemic.
Even in the absence of disease, if bleeding persists, your MD may recommend a “simple” D & C (dilation and curettage) or even hysterectomy. I’d get a second opinion or even a third. Remember that NO surgical procedure is simple - each has risks, including that of general anesthesia. A good rule of thumb is to always try the least interventional remedy first.
It took me three tries to find an enlightened gynecologist who felt that heavy bleeding was a normal variant. After ultrasounds and an endometrial biopsy (performed in her office) returned as “normal with menopausal thickening of uterine lining), together we monitored me for anemia and eventually I began skipping periods as I continued on my menopause transition.
Hope this helps - let me know if you have further questions. For more info - check out our blogsite at www.menopausegoddessblog.org. Good luck. Lynette Sheppard RN
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