Heavy Periods during perimenopause

Patient : I am a 48 year old female and clearly perimenopausal. For the past year i have had heavy periods, I guess I lack progesterone and have iron-deficiency anemia. The progesterone cream works a little. I have done accupuncture, progesterone cream, herbs on and off but still heavy periods. I started counting how much blood loss and I estimate about 900ml in total per period which occurs every 27 days. I am on my fourth day of my period right now and I estimate I have lost 500ml of blood already and this could go on for 10 days!!!! I can't take this any more, the fatigue, my depressed mood, no motivation, my boyfriend is about to leave me. I can't do the non-bioidential hormones or really any hormones as the progestin gave me the worst pain. I am losing about a fifth of my blood a month (I am 145lb). What do you suggest?
Symptoms:  Excessive blood loss, iron-deficient anemia, insomnia, fatigue, waking up at 3am with heart racing, barely being able to get it together and generally just feeling in a pissed off mood!
Doctor :   This question is currently in queue and will be answered shortly by one of our doctors. In the meantime you may browse our library of answered questions by clicking here.

Related Q&A

Q: I am on day 5 taking zactin 20mg fluoxetine for menopause symptoms and I decided I don't want to take them can I just...

Q: I had an abnormal pap smear returned as CIN 3. I have had a biopsy - waiting for results. What does all this mean I a...

Q: I have slight brownish, bloody discharge from one nipple. I am 64 years old. Is the chance of malignancy high?

Q: I have microscopic blood in my urine every once in a while. It seems to happen more often when I have intercourse. I ...

Q: I entered menopause 2 years ago and yesterday I found I was bleeding. I had vaginal ultrasound and endometrium line i...


Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon