What is the reason for low menstruation at 45 years old?
With the improvement of health awareness, many women around the age of 45 have begun to pay attention to the problem of reduced menstrual flow. Reduced menstrual flow may be a physiological change, or it may be related to disease or lifestyle habits. This article will combine the hot discussions on the entire network in the past 10 days, analyze the possible reasons, and provide structured data for reference.
1. Analysis of common causes

| Reason type | Specific performance | Related symptoms |
|---|---|---|
| perimenopausal changes | Decreased ovarian function and decreased estrogen | Hot flashes, insomnia, mood swings |
| endocrine diseases | Thyroid dysfunction, polycystic ovary syndrome | Weight changes, hair abnormalities |
| Uterine lesions | Intrauterine adhesions and thin endometrium | Abdominal pain, infertility |
| lifestyle factors | Excessive dieting and excessive stress | Fatigue, decreased immunity |
2. Recent hot topics on the Internet
1.perimenopausal management: There is a hot discussion on social platforms about "how to judge whether you have entered menopause." Experts recommend using FSH hormone testing combined with symptom assessment.
2.TCM conditioning plan: The short video platform has popularized the "Siwu Decoction with Modified and Subtracted Prescriptions", but attention should be paid to individual differences and it is recommended to use it after syndrome differentiation with traditional Chinese medicine.
3.Hormone replacement therapy controversy: Medical forums discuss the pros and cons of HRT therapy. Data shows that about 32% of women choose short-term medication to relieve symptoms.
| intervention method | Support ratio | main concerns |
|---|---|---|
| Chinese medicine conditioning | 41% | Slow results |
| Western medicine treatment | 28% | side effects |
| lifestyle adjustments | 31% | Difficult to persist |
3. Suggested inspection items
If there is a significant decrease in menstrual flow (<20ml/cycle), it is recommended to conduct the following examinations:
| Check items | best time | reference price |
|---|---|---|
| Six items of sex hormones | Day 2-5 of menstruation | 200-400 yuan |
| thyroid function | any time | 150-300 yuan |
| Pelvic B-ultrasound | After menstruation is clean | 100-250 yuan |
4. Health management suggestions
1.Nutritional supplements: Increase the intake of soy isoflavones and vitamin E, but the daily soy products should not exceed 100g.
2.sports coaching: Aerobic exercise (such as brisk walking, swimming) 3 times a week, combined with Kegel exercises to improve pelvic floor function.
3.emotion regulation: Mindfulness meditation can reduce stress hormone levels, and studies have shown that it can improve 34% of menstrual abnormalities.
5. Danger signs to be alert to
It is recommended to seek medical attention immediately when accompanied by the following symptoms:
• Sudden amenorrhea for more than 3 months
• Abnormal uterine bleeding
• Symptoms of severe osteoporosis
Note: The data in this article are based on public information from the Self-Defense and Health Commission and medical platform user surveys. Please follow medical advice for individual circumstances.
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