Delayed menstruation at 46 years old, what to do. Menopausal syndrome and menstruation. Early menopause is a nuisance or danger

When a woman reaches 45 years of age, her menstrual cycle changes, and this does not always lead to improved well-being. During this period, menstruation should decrease and disappear altogether. Therefore, cycle irregularity should be perceived as normal; it informs about weakened ovarian function. If within for long years menstruation lasted from five to seven days, then after 45 three days is the norm. When the cycle gets longer, this should not be confusing. The amount of discharge can vary from heavy to scanty and this is not a problem. If the duration is more than seven days, then there is no need to worry either.

Menstruation at 45 undergoes certain changes

What does heavy menstruation at the age of “over” indicate?

But when after 45 years everything is the same as before, immediately visit a gynecologist. Between the ages of 40 and 45, there are frequent cases when there is no menstruation at all. This indicates that menopause has occurred earlier than expected. Basically, menopause manifests itself at the age of 51-55.

Some women after 45 years of age have problems when their periods are heavy. If previously regular menstruation lasted from three to five days and the discharge was average, then at 45 menstruation lasts longer and becomes more abundant: “it pours like a bucket.”

This is the first signal that menopause is “just around the corner.” Go to a gynecologist for advice to avoid subsequent complications. Such symptoms can warn of various diseases.

Specialist using ultrasound and laboratory tests will conduct an examination for the presence of various pathologies. If the established diagnosis does not confirm the disease, then treatment with hormones will be prescribed to make menopause easier for you.

Laboratory analysis will confirm or deny the onset of menopause

Minor discharge

Some women who reach 45 years of age stop having periods. For others, they still continue, but the discharge is in small quantities, they are characteristic of spotting “clumps” that were present during normal periods. The cycle loses regularity and functions within a range of 25 to 40 days. This is an indicator that the ovaries have stopped working 100%, and menopause will occur in the near future.

Often scanty periods occur in combination with the following phenomena:

• bad feeling;
• there are frequent hot flashes;
• problems with sleep appear;
• sweating increases;
• sexual desire decreases;
• attacks of tachycardia appear;
• there is dryness and burning in the vaginal area;
• hair fall out;
• the skin becomes less elastic and dry.

If you find any of the above symptoms, then menopause will not take long to arrive.

If spotting does not go away within six to seven days, you should start to worry. And if the temperature also rises or there is pain in the pubic area or pain in the ovarian area, be sure to contact a specialist. Sometimes such symptoms lead to diseases that are inflammatory in nature or even oncology. A consultation and examination with a gynecologist will help you figure out the exact problem.

Tachycardia may accompany scanty periods

Cause of long periods after 45 years

If your menstrual cycle is prolonged, you are worried about frequent bleeding - this is not a good sign. Frequent pathologies in gynecology occur in women after 45 years of age, and long periods are warned about them.

• The inflammatory process may progress.
• One of the options is a disease of the genital organs.
• Coagulation disorders also occur.
• Long periods can be caused by prolonged use of medications.

What do they indicate?

There are frequent cases when menstruation occurs several times a month, or bleeding occurs between menstruation. If such phenomena are present in a woman’s body, this is manifested by polymenorrhea. It appears in women over 45 years of age as a result of weakened functioning of the ovaries, which produce estrogen. It regulates the duration and frequency of menstruation.

In cases where menstruation is not related to the functioning of the ovaries and the diagnosis of polymenorrhea has not been confirmed, other diseases manifest themselves.

After 45 years, a woman should listen to her body carefully and, if necessary, seek help from a medical institution.

Polymenorrhea is called excessive bleeding

Reasons for missed periods after 45 In fact, there are quite a lot of reasons that affect the delay of menstruation after 45 years. Let's focus on the main ones. As mentioned earlier, one of the reasons is the fading of the ovaries. Frequent failures appear in stressful situations and when women. An emotional delay in menstruation occurs when a woman is in a state of strong impression. And this is not only bad, but also something good that overwhelms the feelings. Gynecological diseases of the reproductive system can cause a delay in menstruation.

After 45, frequent physical and strong mental stress can be a source of delays. When a woman lets her lifestyle take its course, does not adhere to the regime, gains extra pounds, and often gets sick colds, which leads to weakened immunity - these are a number of reasons for long-term disruptions and the fact that menstruation may be delayed. Other causes may be diseases of the endocrinological system, an enlarged thyroid gland. Certain medicines are a source of failure.

The first thing every woman should do after 45 years of age, when the delay in menstruation lasts more than seven days, is to buy a pregnancy test and make sure that there is no pregnancy.

If the test is negative and you feel normal, there is no specific pain, fatigue, irritability, elevated temperature, then you can wait until one month has passed. And then be sure to consult a doctor.

Elimination of menstrual irregularities after 45 years

In many cases, the treatment for menstrual irregularities for women over 45 years of age is hormonal therapy. With its help, your well-being improves, and the manifestation of menopause becomes less painful. If a woman is diagnosed with cancer, hormonal treatment cannot be used. Therefore, every loving and self-respecting woman should contact a qualified specialist after 45 years of age, undergo an examination, and only after that draw conclusions whether her periods are okay in order to take medications.

The site is a medical portal for online consultations of pediatric and adult doctors of all specialties. You can ask a question on the topic "delayed periods at 46 years old" and get a free online doctor’s consultation.

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Questions and answers on: missed period at 46 years old

2014-04-16 17:06:11

Lyudmila asks:

Hello! I am 47 years old, and over the past 2 years I have been experiencing delays in my periods. Last year it was in July, the delay was 2.5 months, then everything got better. After the new year, the last menstruation was on January 5, and for 5 days it was normal, and then for another 5 days there was a slight discharge and after that there was no menstruation again.. I took a test a week ago, no pregnancy. How to prolong the presence of menstruation and what you can drink to postpone menopause...Thank you!

Answers Sitenok Alena Ivanovna:

Hello, Lyudmila! Unfortunately, there are no drugs that can “push back” menopause. In your case, we can recommend both phytoestrogens and hormone replacement therapy, but to choose a method, you need to see a doctor as soon as possible.

2013-02-24 13:39:01

Yana asks:

Hello, please tell me what to do: I had a situation where my boyfriend ejaculated a little inside me, can I take a pill like Postinor if I have had constant delays in my periods for a year, due to a hormonal imbalance, and the doctor prescribed me to take it? Dostinex tablets and progesterone injections. Is it possible to take a birth control pill so as not to cause even more harm to the body?

Answers:

Hello, you did not indicate your diagnosis; before taking the drug, carefully read its instructions - contraindications. The ideal solution is to urgently visit a gynecologist; the doctor will tell you the best solution for you, taking into account all the factors.

2012-09-25 01:00:57

Yuri asks:

Hello! Help with advice! We had sex when the girl had her period (the first day of her period), the condom broke, and there was ejaculation inside the vagina. Healthy girl, late menstruation Last year there was nothing, everything was like clockwork. We waited for the pharmacy to open (3 hours after sexual intercourse), bought a drug called “Plan B” (the active substance is the hormone progestin). Following the instructions, she took two 0.75 tablets (there are only two of them in the package). The instructions say that this is enough, plus there was very little time after intercourse (3 hours, as I already mentioned). There was no vomiting, the drug was absorbed. Additionally, he offered the girl to go to the doctor with her, but he flatly refused, saying that he would have prescribed the same thing anyway.
I have never been in such situations, the girl is also worried, despite the fact that she was in a similar situation a year ago and said that it turned out okay then. There is still concern about whether you did everything that was needed and whether these pills are enough to prevent pregnancy?
Looking forward to your response! Thanks in advance!

2011-11-09 13:50:23

Svetlana asks:

Good evening. At the age of 47, my period is almost two weeks late. It’s as if someone is pushing in the lower abdomen. But the fact is that almost 10 months ago I had my fallopian tubes tied, could this be pregnancy? I’ve had periods for the last 3 months.

Answers Medical consultant of the website portal:

Hello Svetlana! The effectiveness of female sterilization is 96-99.8% (depending on the sterilization method), that is, pregnancy, although unlikely, is possible. About methods early diagnosis pregnancy, read the article materials on our medical portal. About others possible reasons For delays in menstruation, read the article on our medical portal. Take care of your health!

2009-08-05 15:58:05

Ekaterina, 19 years old, asks:

Hello! My periods were always late and I took hormones for two years and then quit on my own! I started being sexually active at 18! Every time I get my period, my stomach hurts terribly, so much so that I have to take pills! An ultrasound showed me that I have polycystic disease! Is this scary?

Answers Medical consultant of the website portal:

Hello! Polycystic ovary syndrome is a very serious condition. One of its most unpleasant consequences is infertility, go to the doctor. This topic is often discussed on our website; you can read in detail at the link Polycystic ovary syndrome. All the best!

2009-07-02 00:03:33

Natalya asks:

Hello! I really need your advice. My period is a week late. I am 25 years old. The last sexual intercourse was about a month ago (I don’t remember exactly). Tests - show negative result. The first day of the last month was 06/15/2009. I feel as usual, I don’t see anything suspicious. There are no allocations. The work schedule is standard for me (I have been working with this schedule for about 3 years). The average cycle is about 30 days. Delays are rare, but no more than 5 - 7 days (climate change, or tired, etc. - I think so). Is pregnancy possible? If not, what caused this delay? After how many days should the test show positive? result? Thank you.

Answers Medical consultant of the website portal:

Hello! A pregnancy test can be considered valid 2 weeks after possible conception. If you followed the instructions for the tests, then pregnancy is practically impossible. There can be a lot of reasons for a delay in menstruation; only a gynecologist at an appointment can find out what exactly your problem is. It may be necessary to conduct some additional studies (hormone levels, pelvic ultrasound, urogenital smear). You can fully educate yourself about the delay of menstruation by reading the article. All the best!

2009-02-13 20:32:31

I ask:

Is it possible to delay menstruation at 47 years of age as a result of taking any medications?

Answers Karapetyan Eliz Martinovna:

Hello! A delay in menstruation quite often occurs from taking medications (sometimes from uncontrolled use). If you really have a delay in your period, it is better to visit your doctor and tell him what medications you are taking. It is also worth visiting a doctor in order to exclude other causes of delay, and these may be other diseases (including inflammatory diseases of the ovaries), stress, hormonal disorders. Get better!

2007-12-27 16:43:37

Tatiana asks:

Good afternoon Tell me what can cause a delay in menstruation. The girl is 15 years old. The first menstruation began at age 14, lasted 4 months and stopped. She started gaining weight. I haven't had my period for 6 months now. What to do? And should I worry?

Answers Consultant at the medical laboratory "Sinevo Ukraine":

Good afternoon The girl is now in a period of hormonal maturation, this also affects minor deviations in the cycle (5-10 days). Cycle instability can also be associated with stress, overload, nutrition and rhythm of life, and changes in hormone levels. The cycle can also be affected by climate change or rising temperatures. However, long delays during this period (more than 1-3 months) may signal possible problems with ovaries. Moreover, the girl has experienced weight gain, which may also indicate endocrine disorders. Your girl needs to consult a gynecologist and gynecologist-endocrinologist, undergo an examination, take tests, and have an ultrasound. This will help to find out the cause of the problem menstrual cycle and avoid serious consequences in the future. Do not be ill!

2016-11-27 21:24:52

Elizabeth asks:

Hello. I have the following question: I am 24 years old, my child is 2.5 months old, I stopped breastfeeding him when he was 6 months old, my milk disappeared. I had an abortion almost a year ago. There is clear discharge from the chest and white looks like milk. Menstruation is four days late. My breasts have increased in size and my nipples ache, I suddenly began to gain weight, everything is like during pregnancy, only I am not pregnant. There are mood changes. What could it be?

Answers Medical consultant of the website portal:

Hello, Elizaveta! Such changes in the mammary gland may be associated with pregnancy, inflammatory diseases organs of the reproductive system, diseases of the endocrine glands, diseases of the mammary glands and other diseases. To find out the real cause of pain and discharge from the breasts, take a pregnancy test and see a gynecologist. Take care of your health!

At 45 years old, a woman cannot even be called elderly, let alone old. But the reproductive function of the body begins to fade. There are various signs by which you can understand that menopause is beginning. This condition is associated with the emergence of new health problems. And if a woman after 45 years of age does not pay attention to this, visit doctors in a timely manner if signs of age-related diseases arise, serious pathologies may develop. Strengthening immunity, physical activity, memory training will help delay aging, maintain vigor and attractiveness.

Content:

Features of the onset of menopause

At what age a woman reaches menopause depends on the physiological and genetic characteristics of her body. The process can be accelerated by the consequences of diseases she has suffered, especially those associated with endocrine disorders, pathological processes in the uterus and ovaries, as well as taking certain medications and smoking. Menopause occurs earlier if a woman has to endure severe psychological trials, physical overload, or live under conditions of prolonged stress.

After 45, menopause is considered normal. It happens that menopause occurs in 40-44 year olds, and this is due to heredity. For the same reason it can be at 55 years old. But quite often such deviations are provoked by some kind of health problems or unfavorable living conditions.

If menopause occurs before the age of 45, it is called early. Most often, menopausal symptoms appear at 48-52 years of age. If menstruation disappears at the age of 55-60, then menopause is considered late.

Note: The disorders that cause early or late menopause can accelerate the deterioration of general health and the occurrence of hormone-dependent tumors.

The end of reproductive function is due to the fact that the supply of eggs in the ovaries is depleted. This gradually leads to the disappearance of menstruation and a decrease in the production of female sex hormones. These substances regulate all vital processes in the body. A decrease in estrogen levels affects the functioning of the nervous, genitourinary, cardiovascular and other systems.

Video: The main signs of menopause, how they develop

Signs and symptoms of menopause

At 46-50 years old, women, as a rule, are still in the prime of life and do not think about the onset of old age. For many, even having children at this age is not something surprising.

The first signs of menopause include:

• hot flashes - periodically occurring sensations of heat in the upper body, increased sweating, which are suddenly replaced by chills;
• a sharp change in mood from euphoria to gloom and aggressiveness;
• causeless headaches;
• dizziness associated with vascular changes and impaired blood supply to the brain;
• neurotic pain in the heart;
• menstrual disorders;
• weakening libido.

The appearance of menopause symptoms in many women aged 46-49 causes bewilderment and even panic. Not everyone perceives menopause at this age as something natural. Often, women who have achieved success in their careers, who feel young and full of energy, treat such changes as a tragedy.

Disturbances in the cycle and nature of menstruation and even their absence (amenorrhea) are not an absolute indicator of the onset of premenopause at this age. Such symptoms also occur with serious diseases of the uterus and appendages. A woman has disturbing doubts about the cause of such ailments.

How to make sure that menopause has arrived

FSH (follicle stimulating hormone). This substance is produced by the pituitary gland and regulates the production of estrogen in the ovaries. During the reproductive period, its level constantly changes during the cycle: it increases in the initial phase, reaches a maximum during ovulation, and then drops to a minimum before the next menstruation. When menopause occurs, the level of this hormone remains constantly high.

Estradiol. During menopause, the level of the hormone is much lower than normal, as the number of maturing follicles in which it is produced decreases.

LH (luteinizing hormone). Produced by the corpus luteum of the ovary in phase 2 of the cycle. During menopause, the content of this substance in the blood is significantly higher than normal.

After taking the tests, a woman will be able to make sure that the deviations she is experiencing are natural. If they are very disturbing, then the condition can be alleviated, and often even the onset of illnesses can be delayed.

Knowing the cause of ailments will allow a woman to prevent many serious complications of the menopause and strengthen preventive measures various diseases, reverse Special attention for the appearance of unusual discharge, abdominal and lower back pain, and urinary problems. Pharmacies sell a test that can be used at home to verify that menopause has occurred (for example, Frautest for menopause). Urine testing is carried out periodically over several weeks for FSH levels. If the FSH level remains constantly high, this confirms the onset of menopause.

Features of manifestation

At 50-55 years old, a woman’s symptoms such as osteoporosis, cardiovascular diseases, hypertension, arrhythmia, urinary system dysfunction, and vaginal dryness play a predominant role. In more early age The main menopausal symptoms are nervous breakdowns(irritability, frequent mood swings, depression), as well as menstrual cycle disorders.

Menstruation comes irregularly, and delays of increasing duration occur. After heavy menstruation lasting 7-8 days, the next menstruation may be scanty and lasting 1-3 days. A sign of the onset of menopause may be the inability to get pregnant due to the fact that due to hormonal shifts, the cycles become anovulatory.

Additional signs of the onset of menopause after 45 years are:

1. Decreased immunity, the occurrence of frequent colds in women.
2. Increased susceptibility to urinary tract infections. Exacerbation of cystitis, manifestations of thrush.
3. Dry skin, deterioration of teeth, nails, hair loss. The appearance of these symptoms is explained by a slowdown in metabolism and impaired absorption of beneficial elements from food.
4. Deterioration of the condition of the mucous membranes. Because of this it appears increased dryness in the mouth, indigestion. One of the most characteristic symptoms menopause is a lack of vaginal mucus, which often causes sexual disorders, as well as infectious diseases uterus and appendages.
5. Increased fatigue, insomnia, numbness in fingers and toes.

Video: How to slow down and ease the symptoms of menopause

Diagnosis of pathologies

Regardless of the age at which menopause begins, a woman has an increased risk of developing diseases associated with the disorder. hormonal levels in organism. Such diseases often occur secretly.

For example, diseases of the thyroid gland are not detected immediately, but they cause irregular heart rhythms, heart failure, and increased blood pressure. A woman comes for examination when her body weight changes sharply for no reason, neuroses and fainting occur.

Even more serious consequences appear if, due to a hormonal surge, malignant tumors of the uterus are detected. Such diseases early stages difficult to distinguish from mild menstrual dysfunction. But the success of treatment depends entirely on the stage of development.

Warning: After 45 years in women, the manifestations of menopause mask the symptoms of the most serious diseases. To avoid them, at this age it is necessary not only to immediately consult a doctor in case of pathologies, but also to undergo regular preventive examinations.

At least once a year, it is necessary to do an ultrasound of the pelvic organs, mammography for the timely detection of breast tumors, and osteodensitometry (an X-ray method for determining bone density and mineral content). Regular visits to the gynecologist will allow you to notice signs of diseases of the genital organs in time, as well as recognize the presence of precancerous conditions (dysplasia, cervical erosion, disturbances in the structure of the endometrium, the formation of cysts, papillomas).

Treatment

At the age of 40-48 years, when the ovaries are just beginning to age, their work can be stimulated with the help of hormone replacement therapy drugs (Climen, Femoston). At this age, medications are taken not so much to relieve symptoms as to maintain normal level estrogen in the blood and slowing down aging. Their use is contraindicated in the presence of diseases of the liver, kidneys, heart, blood, endocrine organs, tumor processes in the body, and uterine bleeding. Therefore, before their appointment, a full examination is carried out. The drugs are used strictly according to the regimen prescribed by the doctor, in an individually selected dose.

Sometimes, to regulate hormonal levels, the doctor recommends that women take oral birth control pills with a low content of female sex hormones (zhanine, yarina). If the onset of menopause causes neurosis in a woman, then antidepressants are prescribed. An important role in strengthening the immune system and eliminating the deficiency of useful elements is played by taking vitamin and mineral complexes and proper nutrition.