@rainee2025
What type of doctor are you seeing for metformin and ozempic prescriptions? Is it an endocrinologist? If so, have them check your hormones. The combination of menopause hormone changes, lichen sclerosis, obesity, anxiety/stress, etc. could all be contributing to your post menopausal bleeding. Depending on what you are dealing with breast health, that could also be contributing. You may want to focus on overall health and see a nutritionist/dietitian to review diet and supplements to recommend changes and getting more exercise (just start slow with walking). Managing anxiety and stress is important, too, with medications and/or therapy. The therapy can help you focus on self care. While addressing overall health, you can keep an eye on the bleeding to see if it improves with diet changes, exercise, weight loss, stress reduction, reducing anxiety, etc. A hysterectomy is an extreme step and may not be necessary. Most doctors would not approve removal of organs if not warranted and only due to fear of future potential cancer. Genetics and family history may change their thinking on this but insurance companies also require clinically valid reasons for surgery like hysterectomy.