I had a similar issue a few months ago. I'm also 46 - I had polyps which were removed via Hysteroscopy and D&C. You should go to your doctor. I had to have two ultrasounds prior to the procedure, which is done under general anesthesia as an out-patient.
It can be hard to say if you are indeed experiencing perimenopause, but this was how I noticed the onset of mine. Months just prior to experiencing this, I noticed that my sexual appetite had dropped off and just after this occurred, I begain experiencing hot flashes.
If you are entering this phase, know that there may be times when what is happening to your body feels overwhelming. Also know that there are ways to handle that and people who have been there, who can help guide you. I found this blog to be a lifesaver in that respect.
Take care of yourself. I'd like to hear how it is going for you in the future.
It certainly can be a sign of perimenopause. Some women skip periods, some have extra periods or erratic bleeding. You are certainly of the age when perimenopause might be the cause, however to be sure you might want have your hormones tested. Your MD or nurse practitioner can tell you if you are entering the Menopause transition or if the bleeding is due to some other cause.
Good luck, keep us posted.
Lynette Sheppard RN Health Maven, Menopause Community
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