What causes irregular menstruation at age 46?
Mar 05, 2024
Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
In general, irregular menstruation in a 46-year-old woman may be caused by factors such as stress, declining ovarian function, endocrine disorders, uterine fibroids, and polycystic ovary syndrome. It is recommended that patients seek timely medical evaluation upon experiencing such symptoms to identify the underlying cause and receive appropriate targeted treatment. Additionally, maintaining regular sleep patterns, avoiding late nights, and minimizing emotional fluctuations can help facilitate a smoother transition into menopause.
In general, irregular menstruation at age 46 may be caused by stress, declining ovarian function, endocrine disorders, uterine fibroids, or polycystic ovary syndrome (PCOS). Women experiencing such symptoms should seek timely medical evaluation to determine the underlying cause and receive appropriate treatment. Specific analysis is as follows:
1. Stress: Stress can disrupt hormonal balance, thereby affecting menstrual cycle and flow. Prolonged work-related, family, or emotional stress may lead to irregular periods. Ensuring adequate rest and proper relaxation in daily life can help alleviate these symptoms.
2. Declining ovarian function: At around age 46, women typically experience gradual ovarian decline, with a significant reduction in the number of follicles. This often leads to incomplete follicular development and menstrual irregularities. Symptoms commonly include reduced menstrual flow or prolonged cycles. Special treatment is usually not required, but maintaining regular作息 (daily routines), avoiding emotional fluctuations, and ensuring sufficient sleep are recommended.
3. Endocrine disorders: These may manifest as dysfunctional uterine bleeding during the perimenopausal period, increased menstrual flow, or prolonged vaginal spotting, which in severe cases may lead to anemia. Hormonal therapy under medical guidance—such as progesterone supplements (e.g., dydrogesterone capsules), Wuji Baifeng Pills, or Jia Wei Xiao Yao Pills—may be prescribed.
4. Uterine fibroids: Uterine fibroids are benign tumors formed by the proliferation of smooth muscle tissue in the uterus and are the most common benign tumors in women. Many patients are asymptomatic and discover them incidentally during routine exams; however, some may experience abnormal menstruation, abdominal masses, increased vaginal discharge, or pelvic pressure. Under a doctor’s supervision, medications such as Hongjin Xiaojie Tablets, Gynecological Hemostatic Capsules, or Guizhi Fuling Pills may be used to relieve symptoms.
5. Polycystic ovary syndrome (PCOS): PCOS is a common endocrine disorder that causes ovarian dysfunction and abnormal hormone secretion, leading to irregular menstruation and disrupted ovulation. Under medical guidance, medications such as dydrogesterone tablets, letrozole tablets, or bromocriptine mesylate tablets may be used to manage symptoms.
Maintaining regular作息 (daily routines), avoiding late nights and emotional fluctuations, can help women transition smoothly through the menopausal transition.
