hi, thank you for your query. your symtpoms point towards peri-menopause The common symptoms experienced by women during this time are- -Irregular periods - this is usually the first symptom; menstrual pattern changes. Some women may experience a period every two to three weeks, while others will not have one for months at a time. -passage of clots is also a common symptom -Lower fertility - during the peri-menopausal stage of a woman s life, her estrogen levels will drop significantly -Vaginal dryness -Hot flashes - a sudden feeling of heat in the upper body,sweating,tachycardia. -moodiness -urinary problems -sleep disorders -nausea When the ovaries start producing less of hormones estrogen and progesterone, the peri-menopause will start. In fact, by the time a woman is in her late 30s the ovaries start producing less progesterone and estrogen.the ovaries eventually shut down completely and the woman no longer has any more menstrual periods. in this duration due to the hormonal imbalance there will be a change in period patterrns.some females experience heavy bleeding with cramps whereas some might not have periods at all.it is also not unusual to get clots in the menstrual blood.there can be some spotting too as its due to the residual blood and membrane in the uterus. there are various treatments fro menopause such as hormone replacement therapy,eating food rich in natural estrogen. Paroxetine has been approved by the FDA for the treatment of hot flashes. other drugs are Omega-3,Vaginal estrogen etc. exercise is also beneficial in such cases. hence you need not be worried all these symptoms are due to natural progression of the body. thank you, wishing you good health