Signs of Entering Menopause

The menopause transition is the stage when ovarian hormone patterns shift before periods stop. Bleeding may become closer together, further apart, heavier, lighter, or occasionally missed. Hot flushes and night sweats can disturb sleep, while mood changes may include irritability, anxiety, or low mood. Lower sexual desire and vaginal dryness can affect comfort during sex. These symptoms vary widely: some people notice bleeding changes first, while others mainly experience temperature or sleep symptoms. Pelvic organ prolapse is separate, but pressure or a bulge should not automatically be attributed to menopause.

Track bleeding, flushes, sleep, mood, vaginal symptoms, and medicines so patterns are easier to discuss. Wear removable layers, keep the bedroom cool, and use a suitable vaginal moisturiser or lubricant if dryness causes discomfort. Regular movement, nourishing meals, relaxation practice, and a consistent sleep routine may help daily wellbeing. A clinician can review treatment options, contraception, sexual health, and any medical conditions that could mimic menopause symptoms.

Arrange medical review for bleeding after twelve months without a period, bleeding that is very heavy or prolonged, bleeding after sex, or new pelvic pain. Seek prompt help for severe low mood, thoughts of self-harm, or symptoms that prevent sleep, work, or usual activities. A new vaginal bulge, pressure, or difficulty emptying the bladder also warrants assessment rather than assuming it is a normal menopause change.

Ask whether your symptoms fit the menopause transition, whether contraception remains necessary, and which options could help flushes, sleep, mood, vaginal dryness, or sexual discomfort. Mention migraine, clotting history, unexplained bleeding, and medicines before choosing treatment.