Good afternoon! I am a 49 year old female in perimenopause. I get hot flashes mostly at night and they usually stop when I start my monthly cycle. However, this last cycle just isn't stopping. I flowed heavy for 3 days, day 4 was clotting and I've been spotting for the last 16 days. It stopped for a couple days, but when my husband and I had sex on Saturday, I stopped spotting again......and the hot flashes are keeping me up at night. Also my left ovary is tender. No swelling or bloating, just tender as if I was ovulating. Should I be concerned and wait it out to see if I start my cycle on Saturday, or should I see a physician? I've never felt this way before, so it's kinda scary. I am looking forward to the day when the bleeding stops :)