Painful period, mood swings, depression. What is going on?
Patient: Hi, I m 46 years old and I have had a regular monthly cycle every 4 weeks on the dot. The last 6 months my periods have been very painful with terrible mood swings and almost depression . The last period I had was on November 16th 2012 and I have had not had a period since. I would describe myself as healthy and I have no apparent health issues and I have not been in a relationship for a while so I know for a fact its not pregnancy. Should I be concerned its a relief not to have them..... Doctor: Hi,  Welcome to HealthcareMagic Forum  As you are 46 years old, you are in peri menopausal age. Menstrual cycle stop around 45-50 years of age. Before that women used to have irregular and prolong gap between the periods which is frequently associated with anxiety, depression, mood swings and hot flushes.  You can meet gynecologist and psychiatrist to rule out other pathology. Anti depressants and hormone replacement therapy provide relief in symptoms.  Wish you Good Health and all the best.  Regards, Dr. Ashish Mittal www.99doctor.com