Why is the menstrual period significantly advanced

Patient's question:

I am 45 years old this year. In the past half year, my menstrual cycle has been continuously advancing. In the last two months, the situation has worsened, reaching two cycles per month, with normal flow and color. I do not feel any discomfort.
Is this a sign of premenopause? (My mother and sister did not go through menopause until they were around 50 years old.) Is it easy to get gynecological cancer by delaying menopause with moderate hormones?

Doctor's answer:

Hello, irregular menstruation is related to living environment, emotions, cold and stimulation, endocrine disorders, medication, and other factors. Do not be overly anxious. If the bleeding is heavier than normal menstrual flow or lasts more than 5 days, you should seek medical attention to rule out other conditions, such as vaginal, cervical, endometrial, or ovarian abnormalities. During bleeding, avoid overexertion and get plenty of rest; maintain external genital hygiene to prevent pelvic infection; avoid spicy, stimulating, or overly sweet foods. If the abdominal pain is severe, you can apply warm compresses to the abdomen. At the same time, maintain emotional stability and avoid excessive stress. Regularly engage in physical exercise to strengthen your body.

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