What should I do if my period does not come at 46? Is it menopause?

If menstruation does not come after 46 years, it may be menopause, or it may be caused by mental stress, polycystic ovary syndrome, uterine polyps, uterine fibroids, etc. It can be treated by oral medication, surgery, etc. If you feel unwell, it is recommended to see a doctor in time.

1. High mental stress:

If you are under too much mental stress for a long time, it will affect the regulatory function of the hypothalamus-pituitary-ovarian axis and cause menstrual abnormalities. You should maintain a good attitude and avoid excessive anxiety.

2. Menopause:

It is usually caused by decreased estrogen levels and progesterone levels. After the disease occurs, ovarian failure will occur, leading to amenorrhea, resulting in the phenomenon of 46-year-old women not having menstruation. Under the guidance of a doctor, you can take drugs such as estradiol valerate tablets, conjugated estrogen tablets, and nialstradiol tablets.

3. Polycystic ovary syndrome:

It is generally related to genetic factors, environmental factors, etc., which will affect the endocrine function and cause it to be disordered. The level of sex hormones will become unbalanced, resulting in no menstruation in 46-year-old women. You can take oral dydrogesterone tablets, ethinyl estradiol cyproterone acetate tablets, medroxyprogesterone acetate tablets and other drugs as prescribed by the doctor.

4. Uterine polyps:

It is usually caused by excessively high estrogen levels, inflammatory factors and other reasons. Once the disease occurs, it will affect the normal shedding of the endometrium and cause menstrual abnormalities. It can be treated under the doctor's operation through hysteroscopic polypectomy, curettage, hysterectomy and other methods.

5. Uterine fibroids:

It is generally related to genetic factors, abnormal hormone levels and other reasons. After the disease occurs, the cervix may be blocked, resulting in the inability to discharge menstrual blood normally, which manifests as amenorrhea. It needs to be treated with myomectomy, hysterectomy and other methods under the operation of a doctor.

During treatment, you should take a rest and avoid strenuous exercise or physical labor, which will help your body recover.