Is menstrual regulation still needed at age 48 without menstruation?

Generally speaking, whether or not a 48-year-old woman needs treatment for absent menstruation mainly depends on the cause of the amenorrhea and her overall health condition. If the amenorrhea is physiological and her general health is good, treatment usually isn't necessary. However, if the amenorrhea is pathological and her health condition is poor, timely intervention is required. If experiencing discomfort, it is recommended to seek medical attention promptly. Detailed analysis is as follows:

If a 48-year-old woman's amenorrhea is a natural physiological phenomenon indicating the onset of perimenopause, and she experiences no discomfort such as abdominal pain or abnormal vaginal bleeding, treatment may not be necessary initially. With aging, the ovarian function declines and changes in hormone levels naturally lead to cessation of menstruation, which is a normal process requiring no special intervention. However, maintaining a healthy lifestyle—including balanced nutrition, moderate exercise, and sufficient sleep—is still important.

However, if amenorrhea in a 48-year-old woman is caused by pathological factors such as medication side effects, polycystic ovary syndrome (PCOS), abnormal thyroid function, or pituitary tumors, timely intervention is often necessary. This is to prevent complications such as irritability, hot flashes, and mood disturbances. It is recommended to promptly address the underlying cause and follow medical advice for hormone replacement therapy, emotional management, and other appropriate treatments.

Women should undergo regular gynecological examinations to monitor their health status. Additionally, maintaining good hygiene practices is important to reduce the risk of infections.