At the age of 48, women have already entered the perimenopause, a stage in which the function of the ovaries is less stable and can easily lead to menstrual disorders. If there is a particularly heavy menstrual flow, functional endometrial hyperplasia is usually considered, and some lesions of the endometrium should also be excluded. In this case, the first step is to do an ultrasound to find out the thickness of the endometrium. Diagnostic curettage and hormonal therapy are usually required to stop the bleeding. The scraped endometrial tissue is also recommended to be sent for pathological examination to see if abnormal endometrial lesions have occurred. At this stage, women should pay attention to rest and adjust their emotions appropriately, and if the hormone level is disordered, some hormones can be used to regulate it. If menstruation has been abnormal, it is important to seek medical attention at any time.