Symptoms of perimenopause at 44

Perimenopause is the stage when ovarian hormone patterns become less predictable before periods stop. Periods may arrive earlier or later, become heavier or lighter, or occasionally be missed. Hot flushes and night sweats can disturb sleep, while mood changes, reduced sexual desire and vaginal changes may affect daily life.

These symptoms can overlap with thyroid conditions, anaemia, pregnancy, medication effects and other health problems. A symptom can fit perimenopause without proving that perimenopause is its only cause. Pregnancy remains possible during the transition until menopause has been confirmed.

Keep a simple record of bleeding dates and flow, sleep, temperature episodes, mood, medicines and contraception. Regular meals, movement, a cool sleeping environment and limiting personal triggers may reduce disruption. Book a review if symptoms interfere with work, relationships or rest, or if you need contraception or treatment options.

Arrange prompt medical advice for bleeding between periods, after sex, or after a long gap, and for bleeding that is unusually heavy or prolonged. Seek urgent help if heavy bleeding causes dizziness, faintness, breathlessness or marked weakness, or if severe pelvic pain occurs.

Could my pattern be perimenopause or another condition? Do I need a pregnancy test, blood test or examination? What contraception is suitable? Which bleeding pattern should trigger urgent care?