What are the symptoms of premenopause in women?

When women reach middle age, their ovarian function will slowly decline as they age. When the ovarian function declines to a certain extent, women will experience menopause, which means they will no longer have menstruation. Some people are prone to menopausal syndrome before menopause because of the changes in hormones in the body, which can cause women to inexplicably experience many symptoms. The common symptoms are as follows.

What are the symptoms of premenopause in women?

1. Infrequent menstruation

The interval between menstrual cycles is long, from the normal 20 to 30 days to 2 to 3 months or even longer. The menstrual flow may be normal or less than before, and the interval between menstruation may gradually increase to 4 to 5 months or half a year, and then stop completely.

2. Menstrual cycle disorders

The normal menstrual cycle changes to irregular vaginal bleeding, and sometimes the menstrual period is prolonged or becomes continuous vaginal bleeding, which continues for 1 to 2 months. Heavy vaginal bleeding may also occur, and the patient may develop anemia, sallow complexion, general fatigue, palpitations, and shortness of breath. In severe cases, hemoglobin may be significantly reduced. Some women have repeated bleeding, but generally after 1 to 2 years, menstruation stops completely. At this time, the doctor should conduct a detailed examination, first excluding bleeding caused by tumors. For women over 40 years old, a comprehensive examination or endometrial biopsy should be performed. After excluding the tumor, treatment is then continued for menopausal menstrual disorders. Menstrual cycle disorders are most common before menopause. It is reported that an observation of 282 premenopausal women found that 181 of them had menstrual cycle disorders, accounting for 63.8%.

3. Sudden menopause

A small number of women have had normal menstrual cycles and periods in the past, but now suddenly go into menopause; others have normal cycles, with only a few periods where the amount of menstruation gradually decreases, and then menstruation suddenly stops. It was reported that 282 women with natural menopause were observed and found that 40 of them had sudden menopause, accounting for 14.1%. Therefore, the majority are the first two manifestations.

Another group of patients experience uterine bleeding after a period of amenorrhea, which lasts for 2 to 4 weeks. The amount of bleeding and the duration of bleeding are related to the duration of estrogen action and the speed of its withdrawal.

The diagnosis of menopause can only be confirmed in retrospect, and the diagnosis can only be established when the absence of menstruation has lasted for at least 6 months to 1 year.