Case Studies

Heavy Menstrual Bleeding in a Perimenopausal Patient

Ms. F, a 48-year-old AA, G2, P2, woman presented to the clinic for her annual exam. She states that she has been having “hot flashes” but her menses continue to be regular. She also notes that her periods are heavier, with clots and more cramping than she’s experienced before. She “doesn’t use contraception” because she assumes, at her age, she will not be at risk for a pregnancy.