I am a menopausal woman and my periods are very irregular but up until this month was not really concerned. I am passing a large amount of clots along with very heavy bleeding. My Dr said if I continue to do this for a couple days to go to the emergency room. (Closest ER 45 min away). I have noticed a strong urine odor along with the heavy flow and that has added to my concern.
Causes of post menopausal bleeding could be ovarian cyst fibroids and endometriosis, diseases of pituitary gland, hormonal imbalance of estrogen and progesterone, thyroid hormone imbalance and benign or malignant pathologies of uterus. Your doctor may consider tests like blood sugar levels, thyroid function test, prolactin, follicle-stimulating hormone (FSA), estrogen, and testosterone. Imaging studies, such as ultrasound, X-ray, and CT scan or MRI brain may also be recommended in certain individuals.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.
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