Extensive and/or frequent bleeding is not unusual in menopausal women - it is inconvenient and perhaps potentially life threatening, but not usually. Women have experienced it for hundreds of years, more now (last 100 years) as the population has aged significantly. But we have a convenient relief - used to be a hysterectomy, but now most go for ablation first. If that does not work then the hys. Alternatives include waiting it out and increasing your iron and fluid intake and exercise. So is treatment a medical necessity or a convenience?