What should be done about heavy menstrual bleeding during the perimenopausal period?

Jan 09, 2023 Source: Cainiu Health
Disease description:

Recently, my menstrual flow has been extremely heavy, and I am currently in the perimenopausal period. What should I do about heavy menstrual bleeding during perimenopause?

Doctor's answer (1)
Dr. Zhao Xiaodong
Menorrhagia during the perimenopausal period requires treatment through medications, surgery, or other methods. Conditions such as uterine fibroids and adenomyosis can lead to increased frequency and persistent heavy bleeding. Treatment options include taking medications such as gonadotropin-releasing hormone (GnRH) agonists orally, or undergoing surgical removal. If reduced estrogen secretion leads to functional uterine bleeding, estrogen therapy with estradiol or valerate estradiol may be administered under a doctor's guidance.