I have had regular periods my whole life. At age 46, experienced occasional hot flashes. Then at age 47 hot flashes rarely occurred, but I experienced over 8 months with no period. Next came a few days of breast tenderness and white vaginal discharge. Next, I had an extremely heavy period for 30 days. Period finally stopped (after prescribed progestin), but it continued for two weeks after medication before stopping. Ultrasound showed two small cysts, which dissolved within next two months. My doctor and I assumed this was part of hormone changes during perimenopause. Now, 6 months later - no periods have restarted. Currently feeling bloated, like possibly cysts have formed and/or the endometrial lining is building up again. Other Symptoms: Have seen thinning of hair for 8 years (after birth of second child) which continues today. Have always had mildy excessive facial hair, leg hair, and arm hair. In past year and a half, my sex drive has been much less. After reading many books and articles related to menopause, ovarian cysts, PCOS etc., I am quite unsure how to proceed. I would appreciate any guidance or suggestions. Hormone levels all within normal limits last checked. Pap and pelvic exams all ok. I am most hoping to avoid another extremely heavy period and related anemia after last episode.