Brief Answer: May use progesterone pills for few months Detailed Answer: Hi, Thanks for the query. As your ultrasound report is normal, the possible cause for your menorrhagia is hormonal imbalance. Better to check the thyroid profile once. Primulot contains norethisterone. This helps in curing the menorrhagia by decreasing the estrogen predominance. Possibly using the tablets for around 6 months may cure your problem. If the bleeding persists, better to go for premenstrual D & C once. This helps for diagnostic and therapeutic purposes. One more option is using progesterone containing intra uterine contraceptive device like mirena. This can be kept in place for around 5 years. This helps in decreasing the bleeding by acting on uterine endometrium. Hope I have answered your query. I will be available to answer followup queries. If you are satisfied with the answer, please give your review at the end of the discussion. Take care.

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Brief Answer: D&C followed by progesterone pills Detailed Answer: Hi, Yes, hormonal imbalance can be seen in perimenopausal age group. Usually taking the hormonal pills for few months can decrease imbalance in hormonal levels and can cure the problem. According to your age and symptoms, better to go for premenstrual D & C once. By this the tissue can be examined to find out the cause for menorrhagia. Then you can continue with progesterone pills as told by your doctor. Possibly this will cure your problem and also rule out fears about major problems. Progesterone pills may have side effects like bloating sensation of the abdomen, nausea etc. But these will subside soon. Better to decrease weight. Reduction of 1 to 2 kgs also helps in regularization of the cycles to some extent. Take care.

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