What are the symptoms of women before menopause?

Women between the ages of 45 and 55 may face the arrival of menopause, and it is also very easy to experience menopause at this stage. Women must take good care of their daily lives during menopause. They must wear more clothes and keep warm. They must learn to wear cotton clothes when sleeping at night, pay attention to diet adjustments, exercise more, etc. So if a woman is about to go through menopause, what signs will there be before it?

What are the symptoms of women before menopause?

1. Changes in menstrual rhythm

The cycle is prolonged, the intervals between periods are extended, or there is no period for two or three months, but it resumes its natural pattern after a few months. This alternation of amenorrhea and regular menstruation can last for one or two years. Some women have shorter periods and too many periods during a period of time.

2. Changes in the appearance of menstrual blood

The blood becomes lighter in color, pink, or even black, mixed with small blood clots and fiber fragments. The amount of menstrual blood also changes, and for some women the amount of menstrual blood gradually decreases. But there is no increased or heavy bleeding. The length of the menstrual period also varies. Some women gradually get shorter, while for other women, the menstrual period is prolonged and can last up to 10 days.

3. Facial flushing and fever

It starts from the bottom and spreads upward to the entire face, with noticeable vascular dilation, redness, and sweating all over the face. At the same time, dizziness and vertigo may occur, and the degree of flushing varies. Sometimes it is limited to the face and neck, but it may also be frequent and severe.

4. Autonomic dysfunction, limb numbness

Especially at night, there are abnormal sensations in the extremities, cramps, heaviness in the lower limbs, as if the legs don't know where to put, lower abdominal pain, palpitations, precordial pain, headaches, dizziness, insomnia and fainting. They are often irritable, emotionally unstable, easily lose their temper, and are sometimes suspicious and depressed. Women generally experience some discomfort when they reach menopause, especially before menopause, when women's symptoms will be more obvious.

Generally, there are three symptoms from ovarian function decline to menstruation cessation, that is, before menopause:

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.

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.