Menopause is a physiological process that inevitably occurs in the life course of every woman. Menopause indicates the decline of ovarian function and the end of reproductive capacity. Menopause is defined as the complete cessation of menstruation for more than one year. The average age of menopause is 49.5 years for urban women and 47.5 years for rural women in China, and menopause before the age of 40 due to the decline of ovarian function is called premature ovarian failure, which is a pathological phenomenon. Therefore, menopause at age 47 is within the normal range. The menopausal transition occurs mostly gradually, and if a series of symptoms occur during this process due to a decrease in sex hormones, it is called perimenopausal syndrome. If the symptoms are obvious, such as hot flashes, psychoneurological symptoms (agitation and irritability, anxiety, depression without self-control), and genitourinary tract symptoms (recurrent vaginitis, urinary tract infections, urinary incontinence), hormone replacement therapy can be applied, and hormone replacement can prevent cardiovascular diseases or osteoporosis, etc.. However, it is important to first exclude contraindications to hormone replacement during gynecological examination, and then to provide targeted and individualized treatment according to your situation, and to follow up regularly. In conclusion, menopause at the age of 47 is still a normal age for menopause, and if there are indications for hormone replacement, you can take the relevant treatment as prescribed by your doctor.