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Does irregular bleeding signal menopause?

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Does irregular bleeding signal menopause?

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Over the last few months I have been passing a lot of blood clots with my menses. It usually happens on the 2nd & 3rd day, the worst being on the 2nd day. It is uncomfortable and I spend a lot of the day in the restroom changing pads. My menses still occur on a regular monthly cycle, and I bleed approximately six days. I am 41 yrs. old. I have been told that my uterus is enlarged, although I am not sure how much, and no further testing was discussed. Do I assume this is normal for my age? A: Your problem is hypermenorroe. With regular menstruations it is usually a problem with your uterus. When bleeding is causing anemia, further investigations are necessary. With age the mean amount of blood loss with a period increase from 30 ml to 60 ml. So you can decide for yourself if further testing is necessary.

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