I was 49 with endometriosis and adenomyosis and couldn't stop bleeding. My breasts were tender almost all the time. Now I was much older so I had a hysterectomy. My uterine symptoms are gone and those glorious menopause symptoms are almost constant. But you...you need to ask for testing for adenomyosis and maybe fibroids, at minimum. Can you message your doctor's office and call his nurse? Or schedule a follow-up appt? Be your best advocate.