What to do if you don’t have your period after 40

If a 40-year-old woman does not have her period, she should pay attention to it. There are many reasons for not having a period. It may be caused by gynecological diseases or it may be caused by the high pressure of work and life. In addition, you should also be alert to the causes of premature ovarian failure. If you do not pay attention to the maintenance of the ovaries, it may lead to premature ovarian decline, which has a greater impact on women's health.

What to do if you don’t have your period after 40

1. Etiological treatment

When a woman gives birth, the estrogen and progesterone cycles in her blood change and participate in coordinating the body's physiological activities, which become important factors in stabilizing the internal environment of the female body. After menopause, the continued low levels of estrogen and progesterone will cause physical and mental dysfunction in women. This series of diseases will affect women's physical health. These estrogen deficiencies can lead to health problems and must be treated actively.

2. Physiological supplementation

The purpose is to enable the organs in postmenopausal women to function physiologically as much as possible to maintain the health of the body, not to restore their endocrine conditions to the level of the ovarian cycle during the reproductive period, that is, physiological supplementation. Physiological supplementation mostly advocates the use of natural estrogens, which have the chemical structures of estrone, estradiol and estriol.

The dosage should be controlled so that the blood E2 concentration is around 220pmol/L, or within the equivalent estrogen activity range, and should not exceed 550pmol/L. Exceeding this level may lead to an increase in side effects. Since the estrogen and progesterone in the contraceptive are in large doses, highly active, and have a non-physiological chemical structure, they are not suitable for physiological supplementation in HRT.

3. During the menopausal transition period, HRT should focus on supplementing progesterone

During the menopausal transition period, the growth and development disorders of follicles gradually increase, and finally the functional follicles disappear from the ovaries. The corresponding changes in estrogen and progesterone during this period are: first, there is a relative deficiency of progesterone, and then deficiency; estrogen deficiency changes cyclically, although there may be a transient relative excess, the total amount gradually decreases, and finally to deficiency, resulting in relatively excessive or single unopposed estrogen stimulation for a long time. Some women may experience varying degrees of proliferative changes in the endometrium, and even malignant changes.

Therefore, during this period, the main focus should be cyclical progesterone supplementation to regulate the menstrual cycle and prevent endometrial proliferative lesions. As estrogen becomes gradually deficient, estrogen and other hormones are supplemented at the same time.

It is recommended that female friends should drink and consume fish, shrimp and other foods regularly, exercise regularly, and promote a healthy and beneficial lifestyle, especially quitting smoking in public places and at home, and eliminating passive smoking.