What should you know about menopause signs at 45?

Perimenopause is the transition before menopause. Periods may become closer together, farther apart, lighter, or heavier. You may notice heat episodes, sweating during sleep, headaches, breast tenderness, reduced concentration, irritability, or changes in sexual comfort. Some people have several symptoms, while others notice mainly a change in bleeding.

Menopause is confirmed after periods have stopped for twelve consecutive months when no other explanation is present. A period change at 45 can fit this transition, but pregnancy, thyroid problems, medicines, stress, and other conditions can also alter bleeding or symptoms.

Record bleeding dates and flow changes, flushes, sleep, mood, headaches, medicines, and contraception. Note whether symptoms affect work, exercise, relationships, or rest. Wear removable layers, keep a cool drink nearby, and protect sleep with a regular routine while you decide what support you need.

Make an appointment if symptoms are bothersome or you want to discuss contraception, bone health, mood, or treatment choices. A clinician may use your history and examination; tests are not always needed to identify the transition, depending on your circumstances.

Seek medical advice for very heavy bleeding, bleeding between periods, bleeding after sex, new pelvic pain, or bleeding after periods have stopped. Arrange prompt care for severe headache, chest pain, fainting, or new neurological symptoms. Do not assume every symptom at 45 is menopause.

Do my bleeding pattern and symptoms fit perimenopause? Could a medicine or another condition be contributing? Do I still need contraception? Which treatment and lifestyle options match my health history? What bleeding pattern should trigger a review?