Premature menopause: what to know

Periods may become less predictable before stopping, and symptoms can include hot flushes, night sweats, vaginal dryness, sleep disruption, mood changes or lower sexual desire. Symptoms can overlap with thyroid problems, pregnancy, medication effects and other conditions, so a clinician may review your history and arrange tests rather than relying on symptoms alone.

Earlier loss of ovarian hormones can affect bone, heart and reproductive health. [Menopause](/conditions/menopause/) care can help explain the wider picture, while [Periods Stopped](/symptoms/periods-stopped/) is a useful symptom guide.

Arrange an appointment if periods stop earlier than expected or symptoms are affecting daily life. Keep a record of bleeding, hot flushes, sleep, mood and medicines. Discuss contraception if pregnancy is not desired, because ovulation can occasionally occur during the transition. Ask about hormone treatment and non-hormonal options in light of your medical history, family history and preferences.

Vaginal moisturisers, lubricants, regular movement, calcium-rich foods and resistance exercise may support comfort and bone health; tailor these choices with your clinician.

Seek prompt assessment for very heavy bleeding, bleeding after periods have stopped, severe pelvic pain, a new breast symptom, or thoughts of self-harm. Sudden chest pain, severe breathlessness, weakness on one side or fainting needs emergency help.

Ask what may explain the timing, which tests are useful, whether contraception is needed, how to protect bone health, and whether hormone or non-hormonal treatment fits your health history.