Patient's question:
My aunt said she hasn't had her period this month and it has been delayed by almost two weeks. Last month, everything was normal and she even had a heavy flow, so she found it quite strange. However, there are no other problems, so she guessed she might be menopausal. Could she be menopausal at 43?Doctor's answer:
If the menstrual flow was normal last month, not coming this month doesn't mean menopause is imminent. The normal age for menopause is between 45 and 55 years old, so it is indeed a bit early. If there has been sexual activity, pregnancy should be ruled out first. If not pregnant, an ultrasound can be done to check the thickness of the endometrium, or blood tests for six hormones can be taken on the second day after the next menstrual period to assess the hormone levels and understand the specific situation.