I would bleed for a whole month, skip a month, bleed
for another month, skip 2 months, bleed
again until I finally stopped having them altogether. I was having horrible pressure and pain like "the bottom was going to fall out". It hurt to relax to use the bathroom, it hurt to stand on my feet.
My gyno said everything looked fine, she didn't feel anything, but my family doctor ordered a MRI. I ended up having to have a cyst removed that was roughly the size of a tennis ball.