I'm 47, cycles started shortening (from 28/29 days gradually down to 23/24 over a couple of years) about 3 years ago and have now become completely erratic. I've had a couple of really long (16/17 days) periods in the last year or so but both times there was a big gap (2-3 months) before or after so didn't feel too bad but now the last 3 have been 14 days plus but still on around a 26/27 day cycle so I'm bleeding for more than half the month.
A good chunk of that time the bleeding is heavy, not soaking a pad in less than an hour heavy but heavier than normal for me and full of clots (sorry tmi) although mercifully painless. I'm starting to feel a bit run down so will look at boosting iron but I suppose I just want to know whether I should be speaking to the GP at this stage and whether it's HRT I should be asking for or just something like Tranexamic acid to reduce the bleeding?
Smears are up to date and I have no worrying symptoms (bleeding after sex/unexplained weight loss etc) but do have a fair few (currently manageable) other peri symptoms so pretty sure it's all peri linked. GP wasn't great last time I broached anything peri related (although it's unusual to see the same one twice at my surgery so pretty much pot luck) so just want to be clear about what I need to ask for and when.