Thanks for the query to H.C.M. Forum.
44 years age with 200 lbs weight , weight is more than stipulated and this may be the one cause of frequent urination
2nd cause may be due to diabetes
, so please get in blood for sugar level.
Watery spots with blood spots are due to change in hormones.
At the age of 44 years estrogen
decreases ,while F S H and L H ( follicular stimulating hormonne & Leutinizing Hormone) increases.
Due to this imbalance of these hormones there develops irregularity in bleeding ( sometimes less, sometimes more and scanty).
Consult a Gynaecologist and his opinion will reveals something abnormal , if any.
Hope I have answered your question.
If further any question I will help.
Get well soon.