I have been in horrible pain, I am 46, haven't had a period in well over 18 months. I have had spotting of dark blood, nasia, dizziness, lightheaded, bloated,lower right pelvic pain. This was my second visit to E.R. since 07 and they told me I have ovarian cysts. This last time the E.R. Dr. also told me I have fibroids, which another E.R. Dr. told me approx 14 years ago when I had the same problem, however, the regular gyn Dr. says it's nothing. It's my understanding that 12 months straight of no periods IS menopause and you shouldn't be getting cysts, but the Dr. says it's o.k. they sometimes form, and even though the E.R. Dr saw fibroids, he didn't and refused to do any further testing. I AM IN PAIN! I don't want to be taking pain medication, I want to live without pain. My current gyno told me I'm too young for menopause that the average age is 51, even though it runs in my family, he told me in about 5 years I won't hurt anymore.