Is it normal to have menopause at 41?

Written by Huang Shuai

Obstetrics and Gynecology

Updated on March 04, 2025

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Menopause occurring at 41 years old generally warrants a visit to the hospital for an examination. Normally, the average age for menopause is between 45 and 55 years old. Menopause before 40 years old, due to ovarian function issues, is usually considered premature ovarian failure. At 41, it is important to investigate the causes of menopause. The most common cause is typically a decline or failure in ovarian function. After ovarian function decline at 41, if there are no contraindications, hormone replacement therapy is usually recommended. Besides the ovaries, certain diseases of the uterus can also lead to menopause. Therefore, menopause at 41 is not considered normal.

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Will amenorrhea cause nipple pain?

Women experiencing amenorrhea may also feel pain in their nipples, which is generally considered a normal, temporary physiological reaction. This occurs because, prior to the cessation of menstruation, the secretion rate of endogenous estrogen decreases, and the breast tissue cannot quickly adapt to this change, leading to breast pain. If the pain persists or becomes severe, it is also important to watch out for pathological diseases, such as breast hyperplasia and other conditions. Do not squeeze the breasts with your hands, avoid wearing tight bras, and timely breast ultrasound examinations should be conducted to guide treatment based on the results.

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How to treat amenorrhea?

Amenorrhea is generally defined in medicine as a condition where menstruation stops for three consecutive months. There are physiological and pathological types of amenorrhea. Physiological amenorrhea, such as not menstruating during breastfeeding or pregnancy, is considered normal and does not require medication for treatment. Pathological amenorrhea usually occurs when someone who normally has regular periods suddenly stops menstruating for three months. In such cases, it is essential to visit a hospital for relevant examinations and then treat accordingly based on the results. Common issues include ovarian dysfunction, premature ovarian failure, and elevated prolactin levels, all of which can lead to amenorrhea. Treatment should be chosen based on the examination results.

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Will there be ovulation during amenorrhea?

In our professional field, amenorrhea is actually defined as not having menstruation for over six months, or missing three menstrual cycles—this is what we professionally regard as amenorrhea. What most people talk about as amenorrhea refers to the situation where menstruation does not occur when expected. In cases where menstruation does not occur when expected, is ovulation still possible? In fact, it is possible to ovulate under such circumstances. Generally speaking, for a woman with regular menstrual cycles, if she does not get her period when expected, the first considerations are usually pregnancy or an anovulatory menstrual cycle, both of which are common occurrences. Of course, for women with irregular menstrual cycles, or even for those with regular cycles who do not get their period when expected, it is possible that ovulation may be delayed. How long can it be delayed? The timing can sometimes be uncertain, it is entirely possible for ovulation to occur sometime after the expected menstrual date. Therefore, during the period after the expected time of menstruation, it is indeed entirely possible for ovulation to occur.

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Why do breasts swell and hurt after menstruation stops?

If menstruation has ceased and breast pain and swelling occur, it is first necessary to determine how long it has been since the last menstrual period. If the expected period is delayed and breast discomfort arises, a visit to the hospital for a pregnancy test is recommended. For women of childbearing age who are not pregnant, it is considered normal for periods to shift slightly, typically by about a week. Medically, if menstruation has stopped for three consecutive months, it is referred to as amenorrhea. If there has been no menstruation for three months accompanied by breast pain and swelling, and pregnancy is ruled out, a breast ultrasound should be performed to check for any organic breast diseases. If no organic diseases are found, the possibility of galactorrhea-amenorrhea syndrome cannot be dismissed, and further medical tests and appropriate treatment at a hospital are necessary.

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What to eat to induce menstruation when it has stopped?

In cases of amenorrhea, it is advised to regularly drink fresh soy milk, which contains soy isoflavones, supplementing plant-based estrogens. Additionally, consuming royal jelly, which contains animal estrogens, as well as eating black beans, peanuts, and onions can be beneficial. Clinically, the most typical presentation of amenorrhea is the absence of menstruation or a sudden cessation of menstrual periods. There are many causes of amenorrhea, including menopausal syndrome, exposure to cold, fatigue, emotions, medications, diseases, bacterial infections, hormonal imbalances, and an increase in male hormones, all of which can lead to amenorrhea. Dietary adjustments should be noted, and if there is no improvement, it is necessary to visit a hospital for relevant examinations.