What are the symptoms before amenorrhea?

Written by Li Shun Hua

Obstetrics and Gynecology

Updated on May 20, 2025

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Before menopause, women will experience some symptoms of menopause, which manifest as menstrual disorders, including excessive menstruation, insufficient menstruation, early menstruation, or missing periods for two to three months. The main symptoms of menopause include irritability, easy annoyance, hot flashes, night sweats, and poor sleep at night. These are all caused by menopause. At this time, hormone replacement therapy can be used. Hormone replacement therapy is very effective for treating menopausal syndrome, delaying aging in women, and protecting women's bones and heart.

Other Voices

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Written by Li Li Jie

Obstetrics and Gynecology

1min 2sec

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Is it normal for a 42-year-old to have menopause?

Menopause at age 42 is abnormal, as the menopause age for most women in our country is between 45 and 55 years old. The age at menopause is mainly related to genetics, nutritional status, climate, immune function, and other factors. Menopause at 42 suggests that ovarian function has already declined, and women often experience symptoms such as low mood, poor sleep quality, osteoporosis, and cardiovascular diseases. For this situation, it is recommended that women visit a reputable hospital for a diagnosis as soon as possible. A typical examination includes the sex hormone panel to check for ovarian function decline. If there is indeed a decline in ovarian function, hormone medications can be used under a doctor’s guidance to enhance resistance. It is crucial to avoid staying up late and maintain a good mood.

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Written by Huang Shuai

Obstetrics and Gynecology

48sec

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Is it normal to have menopause at 41?

Menopause occurring at 41 years old generally warrants a visit to the hospital for an examination. Normally, the average age for menopause is between 45 and 55 years old. Menopause before 40 years old, due to ovarian function issues, is usually considered premature ovarian failure. At 41, it is important to investigate the causes of menopause. The most common cause is typically a decline or failure in ovarian function. After ovarian function decline at 41, if there are no contraindications, hormone replacement therapy is usually recommended. Besides the ovaries, certain diseases of the uterus can also lead to menopause. Therefore, menopause at 41 is not considered normal.

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Written by Zhang Xiu Rong

Obstetrics and Gynecology

1min 18sec

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What should I do if my period has been absent for three months?

If a woman does not menstruate for three months, medically this is called amenorrhea. If she is relatively young, it is essential to visit a hospital for relevant examinations. Generally, an ultrasound is conducted first to check the thickness of the endometrial lining and to assess if there are any organic diseases affecting the uterus or ovaries. If the endometrium appears thin and there are no organic diseases, further examinations should include tests for six sex hormones, which are indicators of ovarian function. If the results suggest premature ovarian failure or some endocrine disorders, treatment can be tailored according to these findings. Moreover, if the woman has reached menopausal age and indeed has not menstruated for three months, this condition is considered amenorrhea, which might be physiological. Hence, if an older woman experiences amenorrhea, it is likely true menopausal amenorrhea. Additionally, if a woman who normally has regular menstrual cycles does not menstruate for three months, pregnancy cannot be ruled out, and it is crucial to conduct relevant tests for early pregnancy.

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Written by Jia Rui

Obstetrics and Gynecology

50sec

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What to do about amenorrhea and how to regulate it?

Amenorrhea is a common gynecological disease, and there are many causes that can lead to amenorrhea. Hormonal tests and ultrasound examinations can be conducted to identify the causes, and treatment can be carried out accordingly. There are many reasons for amenorrhea among women, such as poor lifestyle habits, excessive dieting, malnutrition, deficiency of kidney qi, lack of essence and blood, etc. Amenorrhea can easily cause disorders in the ovulation cycle, and in severe cases, it may lead to non-proliferative changes in the endometrium and lack of follicular development, ultimately leading to female infertility. It is suggested to drink some Chinese herbal medicine to regulate the condition of amenorrhea.

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Written by Huang Shuai

Obstetrics and Gynecology

1min 8sec

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Will there be ovulation during amenorrhea?

In our professional field, amenorrhea is actually defined as not having menstruation for over six months, or missing three menstrual cycles—this is what we professionally regard as amenorrhea. What most people talk about as amenorrhea refers to the situation where menstruation does not occur when expected. In cases where menstruation does not occur when expected, is ovulation still possible? In fact, it is possible to ovulate under such circumstances. Generally speaking, for a woman with regular menstrual cycles, if she does not get her period when expected, the first considerations are usually pregnancy or an anovulatory menstrual cycle, both of which are common occurrences. Of course, for women with irregular menstrual cycles, or even for those with regular cycles who do not get their period when expected, it is possible that ovulation may be delayed. How long can it be delayed? The timing can sometimes be uncertain, it is entirely possible for ovulation to occur sometime after the expected menstrual date. Therefore, during the period after the expected time of menstruation, it is indeed entirely possible for ovulation to occur.