Early signs of menopause at 43

Menopause is reached after twelve months without a menstrual period; the transition before that can bring fluctuating hormone levels and changing symptoms. Menopause presents with irregular or stopped periods, hot flushes, night sweats, vaginal dryness, mood changes, sleep problems and low sex drive. At 43, these changes may reflect an earlier menopause transition, but pregnancy, thyroid conditions, medication effects, stress and other gynaecological conditions can look similar. Symptoms and menstrual history often guide assessment, while tests are used selectively.

Track bleeding, flushes, night sweats, sleep, mood, vaginal discomfort and medicines for several weeks. Arrange a GP or gynaecology appointment if symptoms affect work, relationships, sleep or sexual comfort, or if periods change noticeably. Discuss contraception if pregnancy is possible, and ask about options for symptom relief and bone, heart and sexual health. If you notice a vaginal bulge, pressure or difficulty emptying your bladder, mention it because pelvic organ prolapse has different assessment needs.

Seek prompt medical advice for bleeding after twelve months without periods, bleeding between periods, bleeding after sex, very heavy bleeding, severe pelvic pain, or symptoms of anaemia such as breathlessness and marked weakness. Seek urgent help for sudden severe pain, fainting or bleeding that makes you feel unwell. Do not assume every change at 43 is menopause.

Ask whether your pattern fits the menopause transition, what alternative causes should be considered, and whether any tests are useful. Discuss treatment choices, contraception, vaginal symptoms, sleep and mood support, and which bleeding changes should trigger review.