A 46-year-old woman who is experiencing prolonged menstrual bleeding lasting more than 8-9 days, accompanied by persistent joint pain in the arms and calves? Despite consulting with medical professionals 2-3 times, a conclusive diagnosis has not been reached
The prolonged menstrual bleeding in a 46-year-old woman could be indicative of perimenopausal bleeding, potentially stemming from hormonal imbalances preceding menopause. The accompanying bone ache may serve as a notable symptom. It would be pertinent to inquire about her use of contraception, medical history, BMI, and any prior investigative procedures. I recommend a pelvic scan to assess the thickness of the uterine lining and a hormonal profile examination to elucidate the underlying cause of these symptoms. This comprehensive approach will aid in arriving at a more precise diagnosis and appropriate management plan.
