Menstrual disorders at the age of 45 can be regulated by taking oral medications such as estradiol valerate and progesterone, and by improving lifestyle. The 45-year-old menstrual disorders are mostly considered to be related to women’s perimenopausal period, and may also be related to women’s recent stress, changes in the living environment, malnutrition and so on. 1. Drugs: When a woman reaches the age of 45, she gradually enters the perimenopausal period, at which time the body’s hormone levels will gradually be disrupted, and the lack of estrogen and progesterone secretion will lead to menstrual disorders. Generally speaking, if perimenopause, menstrual disorders are a physiological phenomenon, and no special intervention is needed. If you want to carry out treatment, you can follow the doctor’s instructions to choose estrogen and progesterone treatment, such as estradiol valerate, progesterone and so on. 2. Lifestyle management: If the menstrual disorders are caused by short-term mental stress or malnutrition, they can be improved by regular work and rest, proper exercise and increased nutrition. If you are 45 years old and have menstrual disorders, you need to consult a doctor for an examination to identify the specific cause and then carry out targeted regulation and treatment.