Uterine bleeding - bloods say not perimenopause

Hi - I hope someone can help me with figuring this out.
I have been bleeding more or less continuously since end April this year and thought I was in perimenopause as I had the horrible clots etc. However since then there has been a reduced number of episodes like that - but the bleed continues with only around 3 weeks in total scattered throughout the last 4-5 months where there was no bleeding.
I had an untrasound and there is 1 tiny 2cm anterior fibroid ( a red herring according to my consultant as it is on the outsidee wall of the womb) and an indication of polyp through hyperplasia on the inside top of the womb.
My bloods (FSH and Oestrogen) returned a verdict of me not being in perimenopause and I am due a hydroscopy early October. I am still bleeding.
What could be the reason? I am 44, somewhat overweight (but not obese) and was under huge stress at the time it started. The stress has diminished since.
Many thanks.
M

[Machelle Seibel, MD]

There are many causes for abnormal bleeding. Stress and polyps are two common ones. One other possibility is low iron caused by the extra bleeding you've been having. Ask your doctor to check your iron levels with your next blood test. Taking iron will resolve that cause. Take the iron for at least 3 months if levels are low. The hysteroscopy (looking inside the uterus with a small telescope) should be able to see and treat any polyps. Hopefully, these measures will address your problem. It is likely that the small fibroid on the outside of the uterus is not a factor.
Machelle M. Seibel, MD