Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Perimenopause and no period for months

Resolved Question:


I'm a healthy 47 year old woman. I haven't had a period in over 3 months. I went to my OB for a work up. He did bloodwork and a TSV ultrasound. Results are as follows:
FSH - 58.5
Estradiol - 24
LH - 40
U/s showed: Uterine lining 3-4mm, one small fibroid and a cyst
Other than an occasional hotflash, I feel fine. I do not want to start HRT but he did recommend Provera to induce my period because he said when my period does come it will be very heavy. Not sure this is what I want to take and looking for some advice. I will say before this lack of menses, I was having super heavy periods, clotting which caused me to become very anemic. My hemoglobin and ferritin are back in the normal range.


Category: OBGYN

Ask Your Own Question

Category: Infertility Specialist
 19 Doctors Online

Consult Reply by Dr. Aarti Vazirani. OBGYN

Thanks for writing to us with your health concern.
Your reports show that you are peri menopausal.
If you are asymptomatic, there is no need to start HRT at all.
However, your history is suggestive of DUB - dysfunctional uterine bleeding.
This condition is apt to worsen during menopausal transition, hence if you take cyclical progesterone ( Provera as he suggested ), for a few months, then you would not experience such heavy periods / irregular cycles.
It would sort of regulate your cycles, and is not HRT in the technical sense.
Another option is to wait and watch, take no drugs, and if the heavy periods resume, you can then opt to start Provera.
All the best.
Please feel free to ask for further clarifications.

Dr. Aarti Vazirani
Category: Infertility Specialist
Residency: Obstetrics & Gynecolog, BJMC,Civil hospital, Ahmedabad, 2008
Post Graduate: MS (Obstetrics & Gynecology), B.J. Medical College, Ahmedabad, 2008
Medical School: MBBS, B.J. Medical College, Ahmedabad, 2004
Dr. Aarti Vazirani and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation



Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news