I am going through some gynecological stuff too at the moment. It IS age related, in the sense that mid 40's is when certain things regularly come into play, apparently. For example I have uterine polyps which everyone has, but mine are causing abnormal bleeding between periods. This has led to low iron along with the rectal bleeding I am still having some of. I am scheduled to see a gynecologist, and in the meantime my GI told me to take pregnancy vitamins to bring up my iron intake in a gentle way. I will need the polyps removed.
Without knowing your exact issues I think that you should go to your PCP or your GI and perhaps ask that they refer you to another gynecologist. An ultrasound is simple and at least that should have been done I would have thought.
45 years old. Diagnosed with moderate to severe Crohn's in April 2005. Hiatus hernia diagnosed in 2008. Had Crohn's under control until March last year when I had a major flare up and ended up in hospital. Diagnosis is now CD and IBS. Getting it under control again.
Currently taking: Salofalk 2000 mg, Calcium and Vitamin D, Matamucil, Yogurt for probiotics, Pregnancy Vitamins for iron etc., Salofalk suppositories as needed.