Stripes and menopause

Menopause is reached after periods have stopped for a sustained interval, but symptoms often begin during perimenopause, when cycles become less predictable. Hot flushes and night sweats may interrupt sleep. Mood changes, vaginal dryness, discomfort during sex, and lower sexual desire can also occur. Symptoms vary widely: some people have several changes, while others notice little beyond their periods changing.

A new symptom is not automatically caused by menopause. Bleeding after menopause, a new pelvic bulge, or symptoms that interfere with daily life deserve assessment.

Keep a record of bleeding, flushes, sleep, mood, bladder or vaginal symptoms, and possible triggers. Wear layers, keep the bedroom cool, and protect sleep where possible. Vaginal moisturisers or lubricants may help dryness, while a clinician can discuss hormonal and non-hormonal treatments based on your health history. Regular movement, strength work, and attention to bone and heart health can support wellbeing.

Arrange a medical review for bleeding after periods have stopped, bleeding that is unusually heavy or persistent, new pelvic pressure or a bulge, unexplained weight change, or symptoms that affect work, sleep, relationships, or safety. Seek urgent help for severe bleeding, fainting, chest pain, or sudden neurological symptoms.

Am I in perimenopause or menopause, and could another condition explain these symptoms? Which treatment choices fit my medical history? How should unexpected bleeding or vaginal symptoms be checked?