Bleeding for 20 days

As a pcos gurly, I must say this is a first. I was first diagnosed around 2016 so almost 10 years ago. I was able to manage it here and there til this year. I’ve been going through anxiety and depression this year so it’s been tough on top of the hormonal imbalance problems. It’s also triggering my gout. And this has been the worst

Menstrual bleeding 22 days as of the moment Gout/arthritis attack - 16 days and hasn’t totally subsided.

Im totally getting worried about my help. So im seeking advise on what should I adress first.