What to do about menopause at age 45
Sep 09, 2024
Source: Cainiu Health
Dr. Zhang Lu
Introduction
Menopause at the age of 45 may be caused by natural ovarian function decline, pregnancy, polycystic ovary syndrome, hyperprolactinemia, hypothalamic amenorrhea, or other reasons. When the above conditions occur, treatment methods such as general management and medication can be carried out under the guidance of a doctor. It is important to maintain good daily habits, avoid excessive fatigue and mental stress, and pay attention to balanced nutrition.
In general, menopause at age 45 may be caused by natural ovarian function decline, pregnancy, polycystic ovary syndrome (PCOS), hyperprolactinemia, hypothalamic amenorrhea, or other reasons. When the above conditions occur, treatment methods such as general management and medication can be adopted under the guidance of a doctor. Specific analysis is as follows:
1. Natural Ovarian Function Decline
With increasing age, ovarian function gradually declines, leading to reduced hormone levels and resulting in menopause around age 45. Usually, no special treatment is required; maintaining healthy lifestyle habits and a positive mental state is recommended.
2. Pregnancy
After implantation of a fertilized egg, the endometrium no longer sheds, thus stopping menstruation and causing amenorrhea at age 45. Once pregnancy is confirmed, regular prenatal checkups are necessary.
3. Polycystic Ovary Syndrome (PCOS)
Due to factors such as emotional changes and irregular sleep patterns, hormonal imbalances may develop, resulting in excess androgen production and polycystic changes in the ovaries. This can lead to infrequent menstruation or amenorrhea at age 45, possibly accompanied by symptoms such as hirsutism, acne, and obesity. Patients may follow medical advice to take medications such as cyproterone acetate tablets, clomiphene citrate capsules, or ethinylestradiol-cyproterone acetate tablets.
4. Hyperprolactinemia
Hyperprolactinemia is a condition triggered by factors such as emotional stress, excessive fatigue, or intense physical activity. Excessive prolactin secretion suppresses pituitary gonadotropin release, potentially causing amenorrhea at age 45. Common symptoms include galactorrhea and infertility. Under a doctor's recommendation, patients may take medications such as bromocriptine mesylate tablets, vitamin B6 tablets, or prednisone acetate tablets to alleviate symptoms.
5. Hypothalamic Amenorrhea
Factors such as psychological stress and malnutrition can impair hypothalamic function, leading to amenorrhea at age 45. Symptoms may include headaches and insomnia. Under medical supervision, patients may use medications such as fluoxetine hydrochloride capsules, amlodipine besylate tablets, or ferrous sulfate tablets to improve their condition.
Maintaining healthy lifestyle habits, avoiding excessive fatigue and mental stress, ensuring balanced nutrition, and undergoing regular health checkups can help detect potential health issues early.
