Heavy early periods with blood clots , what could be the cause and what will be the remedy?

Menometrorrhagia: At your age, a change in your menstrual pattern could be a warning sign of problems with your hormonal system, your coagulation system, or your uterus. You need to see your gynecologist promptly so they can determine the source of the problem. The treatment will be oriented toward what they find. No prognosis is possible without a diagnosis.

Heavy bleeding: There are many causes of heavy periods. Some common causes include not ovulating regularly; uterine fibroids; uterine polyps; or an efficient uterus that bleeds heavily all at once. There are cures, some medical and some surgical. There is also a new process called endometrial ablation. Once the cause is known, then you can, with the help of your doctor, decide on what to do.

Many things: Women at 40 years of age need to rule out cancer first and foremost. A biopsy of the uterus by your doctor is recommended. After that, possibly an ultrasound to see if a fibroid or polyp is the cause. Test the thyroid and the pituitary as well. If all those are negative, then assume it's hormonal and treat accordingly, assuming no risk factors such as hypertension or smoking.

Cause likely hormone: Periods that are heavy and coming early are most likely caused by hormones being off, such as low Progesterone levels, abnormal thyroid or prolactin for instance. It is also possible that fibroids or polyps are the cause. See your doctor and identify the cause, then you can figure out best treatment. Treatments could be bcp, Mirena (levonorgestrel) iud, ablation, for instance.