Possible Causes
a. Hormonal imbalances (e.g., polycystic ovary syndrome)
b. Uterine fibroids or polyps
c. Thyroid disorders
d. Use of certain medications (e.g., anticoagulants)

Important Symptoms to Note
a. Severe pain or cramping
b. Heavy bleeding or clots
c. Dizziness or fainting
d. Unexplained weight loss

Recommended Initial Tests
a. Pelvic ultrasound
b. Blood tests (hormone levels, thyroid function)
c. Pap smear

When to See a Specialist
a. If bleeding is heavy or persistent
b. If accompanied by severe pain or other concerning symptoms

Potential Treatments
a. Hormonal therapy (e.g., birth control pills)
b. Nonsteroidal anti-inflammatory drugs (NSAIDs)
c. Surgical options for fibroids or polyps if necessary