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Is it normal for a 45-year-old woman to have her menstrual period ten days early?

May 14, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
A 45-year-old female experiences her menstrual period ten days earlier than usual. This occasional occurrence may be a normal physiological phenomenon, but it could also result from pathological factors such as premature ovarian failure, uterine fibroids, endometriosis, or polycystic ovary syndrome. It is recommended to visit a gynecology department at a hospital as early as possible for relevant examinations and to follow medical advice for treatment based on the test results.

A 45-year-old woman experiencing menstruation ten days earlier than usual may be undergoing a normal physiological change, or it could be caused by pathological factors such as premature ovarian failure or uterine fibroids. It is recommended to identify the underlying cause before initiating treatment. The specific analysis is as follows:

1. Normal Phenomenon

The menstrual cycle is not fixed and can be influenced by environmental, psychological, and pharmacological factors, which may lead to earlier or delayed menstruation. If an occasional early period occurs without other discomfort, it is likely a normal variation; close observation is recommended.

2. Pathological Conditions

1) Premature Ovarian Failure
Declining ovarian reserve function may cause early follicular development, leading to earlier menstruation. This condition may progressively present with shortened menstrual cycles, reduced menstrual flow, irregular cycles, infrequent menstruation, or even amenorrhea. It is recommended to follow medical advice and use medications such as progesterone soft capsules, progesterone capsules, or estradiol valerate and cyproterone acetate tablets for hormonal regulation.

2) Uterine Fibroids
Fibroids located near the endometrium can interfere with endometrial shedding, causing early menstruation, increased bleeding, and prolonged periods. Under medical guidance, treatment options include mifepristone tablets, medroxyprogesterone acetate dispersible tablets, or ethinylestradiol and cyproterone acetate tablets. In some cases, surgical removal of the fibroid may be necessary.

In addition, conditions such as endometriosis or polycystic ovary syndrome (PCOS) may also be responsible. It is recommended to visit a gynecologist at a hospital as early as possible for relevant examinations and receive treatment based on diagnostic results under medical supervision.


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