What are the causes of abnormal menstruation in women in their forties?

Normal women's menstruation is cyclical and regular. If there is menstrual abnormality, it depends on the specific abnormal manifestation, because there are many different manifestations of menstrual abnormality.

1. Extension of menstrual cycle: Menstruation is extended from the original menstrual period to one month, two months or even three months.

2. Prolonged menstrual period: The normal menstrual period for women is 3-7 days, so some women may experience a prolonged menstrual period of -7 days, 10 days or even half a month.

3. Menstrual cycle disorder: There is no obvious regularity in menstruation, or the amount of menstrual blood increases or decreases.

Therefore, if the menstruation is irregular, it is impossible to tell the reason, and we must look at the specific clinical manifestations. If the menstrual disorder is frequent, the menstruation is frequent, and the menstrual blood volume increases, these may be organic diseases of the uterus or caused by endocrine abnormalities, and further examination and confirmation are required.

1. Color Doppler ultrasound examination: The purpose is to rule out diseases such as uterine fibroids, uterine mucosa, endometrial polyps, endometrial cancer, etc. that may cause menstrual changes.

2. Endocrine examination: Some endocrine abnormalities such as pituitary microadenoma, hyperprolactinemia, polycystic ovary syndrome, etc. may cause menstrual abnormalities.

If a woman notices significant changes in her menstruation, she should undergo appropriate examinations based on the specific clinical manifestations to determine the cause of the bleeding or menstrual abnormalities, and then receive systematic targeted treatment.