In the gynecology clinic, a 42-year-old sister Zhu told me that her menstruation in the last year only came once every 2 to 3 months. Is it irregular or near menopause? I gave her a corresponding check, combined with her menstrual situation, I told her that it was just that she had entered menopause and had menstrual disorders.
From blooming to blooming, menstruation has been accompanied by female friends of childbearing age like a shadow, arriving as scheduled and ending in time. What symptoms do women experience when they reach menopause?
Menopause, the medical professional term is “perimenopause”, perimenopause refers to the period from the beginning of menopause to the last menstruation. The perimenopausal period is entered at the age of 40, which can be as short as 1 to 2 years and as long as 10 to 20 years. Why do menopausal women experience menstrual changes?
With age, women enter menopause, at which time the ovarian function gradually declines and the balance becomes imbalanced. The first is that the function of the corpus luteum is progressively declining. When the follicles develop to a certain level, they will not grow up, but will wither on their own and no longer ovulate. Without ovulation, there will be no formation of the corpus luteum, which is manifested by the decline and gradual failure of fertility. “Flowers can be folded and straight beards are folded. Don’t wait for the flowers to be broken without flowers.” This ancient poem describes the fertility of women very appropriately.
Menopausal women can have the following conditions
The menstrual cycle is disordered and the interval between menstrual cycles is prolonged, from the original normal monthly menstruation to one menstrual cramp for 2 to 3 months or longer. However, there are also women who experience a shortened menstrual cycle. With the gradual extension of the menstrual interval to 4 to 5 months or half a year, the menstruation will only occur once, and then it will stop completely.
Menstrual flow changes. Some menopausal women have reduced menstrual flow, and some women have uterine bleeding after menopause for a period of time, which lasts for 2 to 4 weeks. The amount of blood and the duration are related to the duration of the action of estrogen and the speed of withdrawal.
Abnormal menstruation changes from a normal menstrual cycle to irregular uterine bleeding. Sometimes the menstrual period is prolonged or becomes continuous bleeding and dripping, which lasts for more than 1 to 2 months; sometimes a large number of uterine bleeding may occur, and the patient may develop anemia, chlorosis, general weakness, palpitation, and shortness of breath. In severe cases, hemoglobin may be significantly reduced. There is even anemia; some patients will experience repeated uterine bleeding.
Suddenly menopause and menstruation disappeared unconsciously. A small number of women have had normal menstrual cycles and menstrual periods in the past, but then their menstruation abruptly stopped and menopause occurred. Of course, the diagnosis of menopause usually requires a retrospective to confirm, and the absence of menstruation lasts for at least 12 months before it can be confirmed.
Since one of the manifestations of menopause in women over the age of 40 is menstrual disorders, for women of this age, once menstrual disorders appear, do they not need diagnosis and treatment?
the answer is negative. For female friends over the age of 40, once the menstrual cycle is disordered, especially if there are abnormalities such as excessive amenorrhea, excessive menstrual bleeding, or dripping, it is recommended that you go to the gynecology department as soon as possible. The doctor will conduct a detailed examination of you, first to rule out bleeding caused by the tumor, or to perform an endometrial biopsy. After the organic disease is ruled out, the treatment is carried out according to the menstrual disorders of menopause.