Why is my menstruation not normal when I am almost 50?

Menstruation is exclusive to the female body. Generally, women will have menstruation between the ages of 14 and 16, and the menstrual period is about 7-4 days. As women's bodies and age increase, the menstrual period is prone to some changes. In addition, women's menstruation is prone to change after childbirth. Abnormal menstruation in 50-year-old women may be a sign of menopause. Maintain a good attitude and eat more light food.

Why is my menstruation not normal when I am almost 50?

I'm approaching menopause. Women in menopause often experience mood swings and menstrual disorders. The current menstrual cycle disorder may be a manifestation of menopausal menstrual disorder, or it may be an organic lesion of the uterus and its appendages. For women over 40 years old, uterine fibroids, ovarian lesions, etc. are prone to occur due to changes in hormone levels in the female body. In this case, you should go to a regular hospital for an ultrasound and endocrine examination. If organic lesions are found, you should receive timely treatment to prevent adverse lesions.

Clinical manifestations

Menopause represents the decline of ovarian function, depletion of estrogen secretion, cessation of menstruation, and termination of reproductive function. It is generally divided into three stages: premenopause, menopause and postmenopause. Menopause is calculated based on the time of a woman's last menstrual period. Most women go through menopause naturally between the ages of 45 and 55.

The sudden and obvious lack of estrogen after menopause can cause some discomfort, and some people may experience it before menopause. It is often manifested by changes in mood and emotions, irritability, excitability, insomnia, anxiety, inner uneasiness, depression, paroxysmal facial flushing, hot flashes, sweating, dry and itchy skin, sometimes a crawling feeling on the skin, loss of skin elasticity, increased wrinkles, gradual muscle relaxation, occasional pain, fatigue or weakness, headache, dizziness and unstable blood pressure, etc. These symptoms are called menopausal syndrome.

1. Recent symptoms

(1) Menstrual disorders

(2) Vasomotor symptoms

(3) Symptoms of autonomic dysfunction

(4) Psychoneural symptoms

2. Long-term symptoms

(1) Urogenital tract symptoms

(2) Osteoporosis

(3) Alzheimer's disease

(4) Cardiovascular disease

examine

1. Serum follicle stimulating hormone (FSH) and estrogen (E2) determination

FSH>10U/L during the menopausal transition period indicates a decrease in ovarian reserve function. Amenorrhea, FSH>40U/L and E2<10-20pg/ml indicate ovarian reserve failure.

2. Clomiphene stimulation test

Take clomiphene orally from the fifth day of menstruation, 50 mg per day, for a total of five days. Measure serum follicle-stimulating hormone on the first day of stopping the medication. If serum FSH>12U/L, it indicates a decrease in ovarian reserve function.

diagnosis

It is not difficult to diagnose based on medical history and examination.

The diagnosis of natural menopause is based on a retrospective assessment of perimenopausal women who have had amenorrhea for one year, with or without perimenopausal symptoms, and most do not require auxiliary examinations. Artificial menopause is not difficult to diagnose by analyzing the causes of menopause.

For women who have had amenorrhea for a short period of time, a pelvic examination must be performed to understand the size of the uterus; if necessary, a urine pregnancy test and B-ultrasound examination should be performed to rule out early pregnancy. Because perimenopausal women may occasionally ovulate and become pregnant, it is important not to assume that they are in menopause and treat it as such.

treat

Treatment purpose: To relieve short-term symptoms, detect and effectively prevent osteoporosis, arteriosclerosis and other geriatric diseases at an early stage. In principle, the goal should be to maintain the health of the body. Long-term medication is required to prevent postmenopausal degenerative diseases.