Menopause at age 48 is normal. 80% of Chinese women go through menopause between the ages of 44-54, with an average of 49.5 years, so menopause at age 48 is normal. Women’s ovarian function starts to decline from the age of 37. The time between the beginning of ovarian function decline and complete loss of 1 year can be associated with perimenopausal manifestations. The exact timing of menopause varies from person to person and is related to genetic factors, environmental factors, smoking, estrogen levels, infections, pelvic tumors, and other factors. Menopause can be accompanied by autonomic nervous system dysfunction, which can be improved by adjusting lifestyle habits, relaxing, listening to soothing music, and increasing the intake of fruits and vegetables. If the symptoms are serious, you can seek medical examination to clarify the cause and be guided by your doctor to take oral medication to relieve the symptoms of plant nerve disorder and take estradiolam to improve sleep. 48 years old menopause is normal and there is no need to be too anxious. If the symptoms of perimenopause are severe, hormone replacement therapy can be considered. It is necessary to exclude the contraindications related to hormone therapy before hormone therapy is performed.