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Newton, MA
A 48-year-old female asked:

I am 48. irregular bleeding for 2014. exam normal 9-14. just perimenopause? off pill 11-13-6-14 per md. md put me back on 7-14 till now. what to do?

2 doctor answers3 doctors weighed in
Dr. Benjamin Schwartz
Gynecologic Oncology 26 years experience
Pelvic ultrasound: I would recommend a pelvic ultrasound and then probably endometrial biopsy or a D&C pending the results of the ultrasound.
Dr. Mary David
Specializes in Obstetrics and Gynecology
Probably perimenopau: At 48 the most likely cause is the perimenopause. Low dose birth control pills are certainly one way to manage this as is cyclic progestational therapy, or even endometrial ablation or a Mirena (levonorgestrel) IUD. The choice depends on you and your particular risk factors and type of bleeding (heavy, light, prolonged, or just unpredictable). Hope this helps.

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Last updated Mar 8, 2015

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