Is the absence of menstruation an indication of menopause?

Patient's question:

46-year-old female, no menstrual period this month, breast tenderness before the period, but still no period after 6 days. There was more sexual activity with her husband 5 days before the period, both morning and evening. How is the absence of menstruation related to this? Is the absence of menstruation a sign of menopause?

Doctor's answer:

Menstruation delayed by 6 days, had unprotected sex without contraception. First, go to the hospital for a thorough check of hCG to rule out the possibility of pregnancy. Then, have a detailed check of the six hormones. Based on your age, menopause is possible, but it could also be irregular menstruation. Go to the hospital for a thorough check of the six hormones to identify the cause. If you have a relatively professional job and pay special attention to your appearance, it is recommended to consult the hospital for estrogen anesthesia to alleviate the decline in hormone levels caused by menopause.

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