Do irregular periods at the age of 45 suggest menopause?

Q. Is it possible to get natural conception at the age of 45 years?

Answered by
Dr. Arul Amuthan L
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Jan 05, 2020 and last reviewed on: Jun 19, 2023

Hello doctor,

I am 45 years now and still not blessed with a child due to late marriage. This is my third year after marriage. I get my periods regularly but this month I got my period as usual on the correct date. And after one week, again I got my period with a lot of clots. Is this sign of menopause? Or all the cysts are coming out? Please advise how to become a mother in my case.


Hello doctor,

Welcome to

Age is an important factor in getting conception of an embryo. The best healthy ovum is usually released during the early years of life. Thus, at a late age, we might have an unhealthy ovum. So, if you are trying to conceive, you approach a gynecologist to check the status of your uterus, endometrium, ovary, ovum, and hormonal levels. If there is something wrong, we can specifically give the treatments. Mostly, at this age, menopause is possible. Other things such as fibroid uterus should be ruled out through an ultrasonogram. If menopausal is attained, then the estrogen, and progesterone level in the blood will be at the lower level. I suggest you go for a lab investigation to rule out the cause.

In the allopathy system, you may try in-vitro fertilization techniques for conceiving. In Ayurveda, take tablets Aloes compounds (Kumari, Hirabol, Kambhoji) two in the morning, two in the afternoon and two in the evening after food. Continue this tablet for three months. If you do not have a fibroid uterus and menopause, you will get conceived. If a fibroid is there, we can treat it with other drugs or do surgery to remove the fibroid. If menopause is attained, then no hope for natural conception. Invitro fertilization may be helpful. Simultaneously, the semen analysis of your husband is to be done. If a couple gets their kid at the age of 47, by the time they reach 70 years, their child enters college. This is how late marriages affect the care of the next generation.

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