Navigating Menopause: Irregular Periods and Health Concerns

Menopause?

I would like to ask about my mother, who is 46 years old this year.
I am unsure if she is approaching menopause.
Since March of this year, her menstrual cycle has not stopped after it starts; it occasionally stops for a few days, but then it returns.
This has been the case until now.
A few months ago, she visited a doctor who found what seemed to be two fibroids but did not recommend surgery.
Instead, the doctor prescribed medication and advised her to return for a uterine examination once her menstrual cycle had stopped.
However, after finishing the medication, her cycle has still not stopped, and she has not gone back to the hospital.
To this day, she refuses to go for further examination, insisting that it is just irregular periods before menopause.
However, she has been bleeding for such a long time, and just a few nights ago, she experienced a sudden heavy flow.
The next day, she said she could barely stand, which might indicate anemia.
What should I do? My mother does not want to see a doctor because we do not have health insurance, and she cannot afford to see a private doctor frequently.
She keeps saying it’s okay.
I have read online and am worried that there might be an issue with her cervix.
What should I do?

Xiao Hui, 20~29 year old female. Ask Date: 2006/09/08

Dr. Cai Yonglong reply Obstetrics and Gynecology

Dear Xiao Hui,
Greetings from the Department of Obstetrics and Gynecology at Tainan Hospital, Ministry of Health and Welfare.

1.
Your mother is 46 years old, which is close to the age of menopause.
If she has uterine fibroids along with abnormal bleeding (irregular menstruation or other types), anemia is a concern that necessitates a visit to the hospital for further evaluation (blood tests, ultrasound, etc.).
2.
If there is suspicion of cervical cancer or endometrial cancer, the doctor will also perform examinations (Pap smear or biopsy) for your mother.
3.
If she does not have health insurance, it is advisable to negotiate with the Bureau of National Health Insurance for installment payments to restore coverage.
Tainan Hospital cares about your health.

Reply Date: 2006/09/08

More Info

Navigating menopause can be a challenging time for many women, and it sounds like your mother is experiencing some concerning symptoms that warrant further attention. At 46 years old, she is indeed at an age where perimenopause, the transitional phase leading up to menopause, can begin. This phase is characterized by hormonal fluctuations that can lead to irregular menstrual cycles, which seems to be what your mother is experiencing.

Irregular periods can manifest in various ways, including heavier bleeding, prolonged periods, or missed cycles. The fact that your mother has been experiencing continuous bleeding since March, with episodes of heavy flow, is concerning. While it is common for women in perimenopause to experience changes in their menstrual cycle, persistent heavy bleeding can indicate underlying health issues that should not be ignored.

The presence of fibroids, as mentioned by her doctor, can also contribute to heavy menstrual bleeding and irregular cycles. Uterine fibroids are non-cancerous growths that can develop in the uterus and may cause symptoms such as heavy periods, pelvic pain, and pressure. While many women with fibroids may not require surgery, it is essential to monitor their symptoms closely, especially if they are experiencing significant changes in their menstrual patterns.

Given your mother's reluctance to seek further medical attention, it is crucial to encourage her to reconsider. Heavy bleeding can lead to anemia, which could explain her feeling weak and unable to stand. Anemia occurs when the body does not have enough healthy red blood cells to carry adequate oxygen to tissues, leading to fatigue, weakness, and other symptoms. If she is experiencing heavy menstrual bleeding, it is possible that she is losing significant amounts of blood, which could contribute to anemia.

Here are some steps you can take to help your mother:
1. Open Communication: Talk to her about your concerns. Express that you care about her health and well-being and that seeking medical advice is essential, especially given her symptoms.

2. Explore Financial Options: Since you mentioned that your family does not have health insurance, look into community health clinics or sliding scale clinics that offer services based on income. Many areas have resources that provide affordable care.

3. Educate on Symptoms: Share information about the potential risks associated with heavy bleeding and irregular periods. Sometimes, understanding the implications of ignoring these symptoms can motivate individuals to seek help.

4. Encourage a Check-Up: Suggest that she sees a healthcare provider for a thorough evaluation. A gynecologist can provide specialized care and may recommend treatments to manage her symptoms, whether through medication or other interventions.

5. Monitor Symptoms: Keep track of her symptoms, including the frequency and heaviness of her periods, any pain she experiences, and her overall energy levels. This information can be helpful for her healthcare provider.

6. Supportive Care: Encourage her to maintain a healthy diet rich in iron and vitamins to help combat potential anemia. Foods like leafy greens, beans, and lean meats can be beneficial.

In conclusion, while it is possible that your mother is experiencing typical perimenopausal symptoms, the severity and duration of her bleeding are concerning. It is essential for her to seek medical attention to rule out any serious conditions and to receive appropriate care. Your support and encouragement can make a significant difference in her willingness to seek help.

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