instruction: my wife age 46 suffering from heavy blooding during menstruation period she came into same phase after eight months almost eight months no periods at all periods started on 13 days back continue till date using 6 senetary pads during each day also passing through senior abdominal pain several days also having complain of constipation since last three days consult local physician and than gynecologist in my city she is swallowing medicines as per below tranexa of trexakind thrice a day spasmodart voveran if abdominal pain persists shelcal one per day from yesterday she is taking injection of aquairon 25mg three prescribed by local gynecologist one taken also feeling weakness I want second opinion and finest treatment suggestions online please guide on above case and suggest finest treatment
output: hello thanks for the query with the history it is clear that she is in her peri menopausal status and experiencing menorrhagia or excessive bleeding since 13 days which is often seen in peri menopausal women she has been given antifibrinolytics in form or tranexa of which is fine but if bleeding is still not getting controlled then she would require an ultrasound pelvis first to check for her present endometrial thickness if the endometrial thickness is still more than my then she would have to be started on progesterone pills for 10 days to control bleeding along with diosmin and antifibrinolytics together also if she is feeling dizziness and weakness then she may require hospitalization for intravenous support as well regards