When you are over 40 years old, you enter the perimenopause, which is often referred to as menopause. If irregular vaginal bleeding and menstrual disorders occur at this time, we should first rule out organic lesions, such as uterine fibroids, endometrial lesions, endometrial polyps, and ovarian tumors. If there is no problem with ultrasound examination, this situation may be related to menopause. It is recommended to go to the hospital for ultrasound and sex hormone six to see if the ovarian function is low, and treatment should be carried out according to the specific cause of the examination. If you have menstrual disorders during menopause, you can use progesterone to regulate your menstruation. During this time, you should pay attention to exercise, relaxation, calcium supplementation and adding vitamins.