What Causes Increased Frequency In Menstrual Cycle And Regular Headache?

Posted on Thu, 18 Feb 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 18 Feb 2016 Answered on

Wed, 27 Apr 2016 Last reviewed on

Question : i am 45 years old. my periods are becoming more and more frequent. my last "normal" period lasted for 11 days then just 4 days later i started again. i am very tired and frequently emotional. i have deginerative disc disease so not sure if it has anything to do with my periods but my back has been killing me lately. i have also been having headaches on a regular basis. my last pap was in march 2015 and it was normal.

Answered by Dr. Sameer Kumar (28 minutes later)

Brief Answer:
menometrorrhagia

Detailed Answer:
Hello,
Thanks for the query to hcm,
Considering increasing frequency of menses ad menorrhagia accompanied warrants for an ultrasound pelvis to rule out any fibroid or adenomyosis. Also an endometrial biopsy is required to rule out any endometrial hyperplasia with or without atypia. Also a hormonal profile shall be required with especially for serum progesterone levels at day 21 of the cycle ( to rule out progesterone deficiency). If endometrial hyperplasia without atypia , then cyclical progesterone therapy should be opted for next 6 months else if atypia present hysterectomy would be an option.
So meet your gynecologist, discuss the options and take an informed decision.
After biopsy bleeding can be controlled with antifibrinolytics safely.
Regards

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Above answer was peer-reviewed by : Dr. Naveen Kumar