Whether 45-year-old menstruation needs to be adjusted depends on the patient’s situation, normal menopausal patients do not need to be adjusted without discomfort symptoms, such as discomfort symptoms such as discomfort symptoms need to be adjusted. 1. no need to adjust: women menopause transition can start at the age of 40, perimenopause can appear irregular menstruation, menstrual delay. The average age of women in China during menopause is around 49.5 years old, and most of them are between 44 and 54 years old. 45 years old menstruation is a normal physiological manifestation, and if there is no special abnormal symptom, you can not need to adjust, and naturally enter the menopause. 2. Need to adjust: women 45 years old does not menstruation, may appear vasodilatation symptoms such as a burst of fever and other symptoms, autonomic nervous disorders such as dizziness, neuropsychiatric symptoms, etc., symptoms are obvious, can be adjusted through psychological guidance, appropriate exercise, intake of protein-containing, calcium-rich food, and, if necessary, given to the hormone supplementation therapy, such as estradiol valerate, nil estradiol. If you feel unwell, you should consult a doctor in time and take active treatment, and do not use medication privately, so as not to cause danger.