Hello,
Since your USG (Uterus) does not show any pathology, you do not have polyp, fibroid or
endometriosis.
You are in the menopausal phase, menopause is a normal physiological process in women aged 45-55.
In this phase a natural decline of the reproductive hormones take place. Estrogen & progestin increase & decline in an irregular pattern & that causes irregular bleeding & spotting.
In some months you may have periods longer & heavier. If you are bleeding continuously, you are suggested to visit a gynae.
Get physically examined & evaluated. You may need a
hormone replacement therapy (lowest & shortest therapy is recommended to avoid the risk of
breast cancer, MI, Stroke, etc) or
progesterone & antidepressants if needed.
You are suggested to lead a healthy lifestyle, maintain low BMI, exercise regularly, nutritious diet, supplement with vitamin D & calcium.
Stay away from
cigarette smoking, alcohol or addictions if any.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Nupur K, General & Family Physician