Is it normal to have menstrual disorders at 44?

Menstrual disorders at the age of forty-four, there are pathological and physiological reasons, physiological factors caused by mild symptoms is normal, but the symptoms are obvious, and even cause anemia is abnormal; if the menstrual disorders are caused by pathological factors, they are abnormal.
1. Physiological factors, forty-four years old has entered perimenopause, ovarian function decline, estrogen reduction, so there can be menstrual disorders, such as abnormal menstrual flow, irregular menstrual cycle, etc., the symptoms are mild physiological phenomenon. However, if the bleeding is heavy and even causes anemia symptoms such as panic and pallor, it is abnormal and belongs to the category of anovulatory abnormal uterine bleeding, which needs to be treated.
2. Pathological factors may cause increased or decreased menstrual flow, amenorrhea, abnormal lactation and so on, all of which are abnormal.
(1) Organic diseases, most commonly seen in uterine fibroids, endometrium, etc. They may affect the uterine contraction and interfere with the intrauterine environment, thus causing heavy menstrual flow and prolonged menstrual period.
(2) Functional factors, such as abnormal thyroid function, hyperprolactinemia, etc. These diseases may interfere with estrogen secretion and affect ovulation, thus leading to menstrual disorders.
It can be seen that at the age of forty-four, irregular menstruation should go to the hospital in time for examination, such as ultrasound, endocrine, blood routine and so on, and it should be judged whether it is normal or not through the examination, clinical manifestations and so on.