What should I do if my period hasn't come for more than 40 days at the age of 52? What should I do if my stomach is bloated?

What should I do if a 52-year-old woman has not had her period for more than 40 days and her stomach is bloated? This may be caused by physiological menopause, endocrine disorders, indigestion, pelvic inflammatory disease, ectopic pregnancy, etc. It is recommended to seek medical attention in time to avoid delaying further development of the disease.

1. Physiological menopause:

5. Women generally enter perimenopause at the age of 45-55. Ovarian function gradually declines, and the menstrual cycle may gradually lengthen. Amenorrhea may then occur. The action of hormones in the body may cause symptoms such as abdominal distension, abdominal discomfort, and irritability. No special treatment is required.

2. Endocrine disorders:

Factors such as staying up late for a long time, dieting to lose weight, mental stress, and long-term use of contraceptives may lead to endocrine disorders, thereby affecting gastrointestinal digestion and causing abdominal bloating. Patients take levonorgestrel tablets, Jiawei Xiaoyao Pills and other drugs under the guidance of a doctor.

3. Indigestion:

If a woman has already reached menopause, she may not have her period. She may eat more food and exercise less, which may lead to indigestion. In this case, she should follow the doctor's advice and take medications such as stomach-strengthening and digestion-promoting tablets and domperidone tablets.

4. Pelvic inflammatory disease:

It refers to the general term for inflammation of the female internal reproductive organs and the surrounding connective tissue and pelvic peritoneum. Patients may experience symptoms such as delayed menstruation and increased vaginal discharge. Due to inflammatory stimulation, pelvic effusion may occur, which may cause abdominal distension and abdominal pain. It is necessary to follow the doctor's advice to use drugs such as metronidazole tablets and azithromycin tablets.

5. Ectopic pregnancy:

The probability of occurrence is low, but if a woman still ovulates at the age of 50 and does not take contraceptive measures during intercourse, pregnancy may occur. If the fertilized egg is implanted somewhere outside the uterus, it may cause ectopic pregnancy and amenorrhea. As the embryo develops, it may compress the intestines and cause abdominal bloating, pain and other discomfort, which requires immediate surgical removal.

It is recommended that patients first seek medical attention to determine the cause, and then take appropriate treatment measures according to the doctor's advice. At the same time, symptoms can be alleviated by adjusting lifestyle and supplementing nutrition. During the perimenopausal period, women need to pay special attention to their physical health and have regular gynecological examinations and breast self-examinations. If you have any concerns or symptoms worsen, please consult a professional doctor in time.