Indeed, you may be entering perimenopause - the only way to be sure would be to have your hormones checked. You did the right thing, seeing your practitioner and getting the scan.
If this is perimenopause, you may not need to do anything except make sure that you don't become anemic should the bleeding become heavier. I had my period, heavy, for 3 weeks out of 4 for over a year. My doctor did ultrasounds and even an endometrial biopsy to make sure there was nothing else going on. There wasn't.
Heavy bleeding can be a normal variant for the Menopause transition. If this is your only symptom, the best remedy is to do nothing. Yes, it's annoying. Yes, it's messy. But it still can be normal.
Here's more info on heavy bleeding from and entry on our Menopause Goddess Blog:
Recently on one of the health websites where I am privileged to be an "expert" on Menopause, www. wellsphere. com,
a member raised a question about bleeding for over a month solid. Of peri- menopausal age, she was under- standably worried. Most of us think of menopause as a time of skipping or diminishing periods until they cease altogether. Because this question comes up frequently and because it was the case in my perimenopausal transition, I’m reprinting my answer to her for all concerned goddesses.
"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 journey.
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."
On a further note: I cannot tell you how many of my nurse-friends had D & C’s or hysterectomies after three weeks of bleeding. When they went to their OB-GYN’s, understandably a little freaked out, those were usually the only recommendations. While a surgical procedure may end up being the right choice for you, it is not necessarily the only or best one. I’ve said it before and I’ll say it again. You MUST be in charge of your own health care education and decisions."
I hope this helps. You may need another scan or even a biopsy if bleeding continues for months, just to make sure there is nothing more going on. If eveything is normal, the best bet is to just ride it out.
Please keep us posted on how it goes.
All my best,
Lynette Sheppard RN Health Maven, Menopause Community
Menopause Goddess Blog