Consult Reply by Dr. Aarti Vazirani. OBGYN

Hello
Thanks for writing to us with your health concern.
Your reports show that you are peri menopausal.
If you are asymptomatic, there is no need to start HRT at all.
However, your history is suggestive of DUB - dysfunctional uterine bleeding.
This condition is apt to worsen during menopausal transition, hence if you take cyclical progesterone ( Provera as he suggested ), for a few months, then you would not experience such heavy periods / irregular cycles.
It would sort of regulate your cycles, and is not HRT in the technical sense.
Another option is to wait and watch, take no drugs, and if the heavy periods resume, you can then opt to start Provera.
All the best.
Please feel free to ask for further clarifications.