What should I do if my period does not come at the age of 45?

If you don't have your period at the age of 45, it may be a normal menopause phenomenon, and generally no treatment is needed. It may also be caused by diseases such as uterine coldness and hyperprolactinemia, which can be improved by external medication or oral Western medicine.

If the patient has cold abdomen, cold hands and feet in addition to amenorrhea, it may be caused by uterine cold. At this time, the patient can consider using the warm meridian pain relief paste for treatment according to the doctor's advice. This medicine is composed of twelve kinds of medicinal materials such as angelica, white peony root, chuanxiong, and salvia miltiorrhiza. It has the effects of warming the meridians and dispersing cold, removing blood stasis and relieving pain. It can be applied to the navel of the Shenque point, Guanyuan point, and the Guilai point on both sides. It can improve the discomfort caused by uterine cold through the matching of medicinal points.

If a patient has hyperprolactinemia, the level of prolactin in the body will increase, causing the ovaries to lose their ability to respond to gonadotropins, which in turn leads to reduced estrogen synthesis and amenorrhea. Such patients can take bromocriptine mesylate tablets, vitamin B6 tablets and other medications under the guidance of a doctor to reduce the level of prolactin in the body.