Do irregular periods at age 45 indicate menopause?

Question

Hello doctor,

I am 45 years old and have not yet been blessed with a child due to my late marriage. This is my third year of marriage. I have regular periods, but this month I experienced my period as usual on the expected date. However, a week later, I had another period with a lot of clots. Could this be a sign of menopause, or is it possible that all the cysts are being expelled?

Please advise on how I might become a mother in my situation.

Answer 1

Hello doctor,

Welcome to icliniq.com.

I understand your concern.

Age is a crucial factor when it comes to conception. The healthiest eggs are usually released during the earlier years of life, so at a later age, the eggs might be less healthy. If you are trying to conceive, it is important to consult a gynecologist to assess the status of your uterus, endometrium, ovaries, eggs, and hormonal levels. If any issues are detected, specific treatments can be provided. At this age, menopause is a possibility, and conditions such as fibroids should be ruled out through an ultrasound. If menopause has occurred, estrogen and progesterone levels in the blood will be lower. I recommend getting a laboratory investigation to determine the cause.

In conventional medicine, in-vitro fertilization (IVF) techniques might be an option for conception. In Ayurveda, you could take aloe compounds (kumari, hirabol, and kambhoji) two tablets in the morning, two in the afternoon, and two in the evening after meals. Continue this regimen for three months. If you do not have a fibroid uterus or have not reached menopause, you may achieve conception. If a fibroid is present, it can be treated with other medications or through surgery to remove the fibroid. If menopause has occurred, natural conception is unlikely, but IVF may still be a viable option. Additionally, a semen analysis for your partner should be conducted. Consider that if a couple has a child at age 47, their child will be entering college by the time they are 70, illustrating how late marriages can impact the care of the next generation.

I hope this helps you.

Thank you.