instruction: hi doctor I am 43 years old I am having three children up to february my menses cycles were at routine monthly normally at 10 12 the of every month my hop level is at but for the first time in the march I had no cycle and in april I just had spotting now from the est may I am having full bleeding till today the same case happens with my sister at the age of 41 she faced the same issue and on consulting the doctor she was advised progyluton tablet my 5 my for 21 days trihemic 600 tablet due to lockdown I cannot contact my doctor can you please guide me can I follow the prescription of my sister
output: hi I understand your concern normal age for menopause is 42 to 52 years during which menses become irregular with excessive bleeding sometimes so in your case you might be transiting into menopause however if you have excessive bleeding during menses then take tablet pause of tranexamic acid and mefenamic acid three times daily if bleeding is heavy also women must take calcium supplement after 30 years please take tablet calcimax once daily after food if your bleeding does not subside with the above medication please get an ultrasound pelvis to rule out the other causes