Reasons why I can’t have menstruation at 42 years old

The lack of menstruation at 42 years old may be related to perimenopause, polycystic ovary syndrome, hyperprolactinemia, premature ovarian failure, thyroid dysfunction and other factors. It is recommended to seek medical examination promptly and provide targeted treatment after the cause is determined.

1. Perimenopause

After the age of 40, the ovarian function of women gradually declines, and the decrease in estrogen levels may lead to menstrual cycle disorders or amenorrhea. It is often accompanied by symptoms such as hot flashes, night sweats, and mood swings. Symptoms can be relieved through hormone replacement therapy. Drugs such as estradiol valerate tablets and progesterone capsules must be used under the guidance of a doctor.

2. Polycystic ovary syndrome

The disease is related to factors such as insulin resistance and excessive androgen, and manifests as oligomenorrhea or amenorrhea, which may be accompanied by symptoms such as acne and hirsutism. Treatment includes lifestyle modification and drug therapy, such as metformin tablets, ethinyl estradiol cyproterone tablets, etc.

3. Hyperprolactinemia

Factors such as pituitary tumors or drugs lead to an increase in prolactin, which can inhibit ovulation and cause amenorrhea, which may be accompanied by nipple discharge. The diagnosis needs to be confirmed through brain MRI, and medications such as bromocriptine mesylate tablets are commonly used for treatment.

4. Premature ovarian failure

Ovarian failure before the age of 40 is called premature ovarian failure, which may be related to chromosomal abnormalities and autoimmune diseases. If it manifests as amenorrhea and infertility, it needs to be confirmed by six items of sex hormones, and sequential therapy with estrogen and progesterone can be used.

5. Abnormal thyroid function

Hyperthyroidism or hypothyroidism can affect the menstrual cycle. Hyperthyroidism may cause oligomenorrhea, while hypothyroidism is common with oligomenorrhea. Thyroid function needs to be checked and controlled with medications such as levothyroxine sodium tablets or methimazole tablets.

It is recommended to maintain a regular schedule, avoid excessive dieting or strenuous exercise, and supplement phytoestrogens such as soy products in an appropriate amount. Have regular gynecological exams, including ultrasounds and hormone level testing. If menopause lasts for more than 3 months or is accompanied by symptoms such as abnormal bleeding and headache, you must seek medical attention immediately. Depending on the cause of the disease, long-term medication management may be required, and hormonal drugs should not be taken by oneself.