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What could cause a woman in her late 40s to be having up to four periods per month?

Some Symptoms have been lack of sleep and tiredness.
Thank you for your question. I would recommend that you speak with your doctor about this question, as this is not normal and may represent something serious. Additionally, you will likely need some additional testing and perhaps treatment to be able to help you stay well. While many women will have variations off of the normal menstrual cycle, these variations should be discussed with a doctor if they are not the norm for that person and have persisted for any amount of time, among other reasons. In addition to whatever may be causing the frequency of your menstrual bleeding, there is also the fact that you may be losing excessive amounts of blood, perhaps faster than your body is able to make more. If you are having this many episodes of vaginal bleeding each month, then it implies that you are almost constantly on your period, which is not healthy for multiple reasons. This could explain the fatigue that you seem to be describing, as low blood counts can lead to a worn down feeling. As there are many possible explanations, you need to speak with your doctor about your concerns. He or she can direct and treat you. Please speak to your doctor.
This answer is for general informational purposes only and is not a substitute for professional medical advice.
If you think you may have a medical emergency, call your doctor or (in the United States) 911 immediately. Always seek the advice of your doctor before starting or changing treatment. Medical professionals who provide responses to health-related questions are intended third party beneficiaries with certain rights under Zocdoc’s Terms of Service.

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