What changes occur in the menstrual cycle before menopause?

Patient's question:

Now I am almost fifty years old, and it won't be long before I go through menopause. However, my menstrual cycle is currently normal, with the same amount and timing as before. I don't know how it will change when I approach menopause. Please help me understand what changes occur in the menstrual cycle before menopause?

Doctor's answer:

At the age of 50, most people in this age group are approaching menopause. During this stage, ovarian function begins to gradually decline, and hormone levels start to rise. Generally, there are certain changes in the menstrual cycle before menopause, primarily manifested as irregular periods, such as shorter menstrual cycles, temporary periods of amenorrhea, or a decrease in menstrual flow. These are all normal occurrences. Due to the improvement in living standards, the age of menopause tends to be delayed in most cases.

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