Does menopause stop periods?

During perimenopause, ovulation and hormone levels become less predictable. Periods may come closer together or farther apart, and bleeding may become lighter, heavier, or different in duration. Menopause is defined retrospectively after twelve months without a period. Symptoms can include hot flushes, night sweats, vaginal dryness, low sex drive, sleep changes, and mood changes, but some people have few symptoms.

A missed period before menopause is not automatically caused by menopause. Pregnancy, stress, weight changes, intense exercise, thyroid problems, and medicines may also affect cycles. A clinician can help distinguish these possibilities and discuss symptoms that are affecting daily life.

Keep a record of bleeding dates, flow, pain, and other symptoms. Test for pregnancy when it is possible. Make an appointment if your pattern changes suddenly, periods stop earlier than expected, or symptoms are difficult to manage. Bring a list of medicines and supplements so treatment advice can be tailored.

Get prompt medical advice for any bleeding after twelve months without periods, very heavy bleeding, bleeding between periods that persists, severe pelvic pain, or faintness. Seek urgent help if heavy bleeding is accompanied by dizziness or weakness.

Ask whether your symptoms fit perimenopause, whether another cause should be checked, and which options could help with flushes, sleep, vaginal symptoms, or mood changes.