Stages of Menopause

Perimenopause is the lead-up to menopause, when ovarian hormone patterns change and periods may become irregular. Menopause is reached after periods have stopped for twelve consecutive months for another reason. Postmenopause follows and continues for the rest of life. Symptoms can include hot flushes, night sweats, sleep disruption, mood changes, vaginal dryness and lower sexual desire. Some people have few symptoms; others find them disruptive. Pelvic floor changes can also contribute to pressure or bulging and should be assessed rather than assumed to be part of menopause.

Track bleeding, sleep, temperature episodes, mood and vaginal symptoms so you can describe patterns clearly. Regular movement, layers of clothing, a cool bedroom and attention to sleep routines may help day-to-day comfort. Treatments depend on your symptoms, medical history and preferences; discuss hormonal and non-hormonal options with a clinician. Vaginal moisturisers or lubricants may help dryness, while persistent symptoms deserve a tailored review.

Arrange an assessment for bleeding after menopause, very heavy or prolonged bleeding, new pelvic pressure, unexplained weight change, or symptoms that interfere with sleep, work or relationships. Seek urgent help for severe chest pain, major breathing difficulty, fainting or sudden weakness. Period changes during the transition should not automatically be attributed to menopause when pregnancy or another condition is possible.

Which stage best fits my symptoms? Does my bleeding pattern need investigation? What treatment options suit my health history? How can vaginal or sexual symptoms be managed? Should pelvic floor symptoms be assessed?