In the months or years leading up to menopause (perimenopause), you might experience these signs and symptoms:
- Irregular periods
- Vaginal dryness
- Hot flashes
- Night sweats
- Sleep problems
- Mood changes
- Weight gain and slowed metabolism
- Thinning hair and dry skin
- Loss of breast fullness
It's possible, but very unusual, to menstruate every month right up to your last period. More likely, you'll experience some irregularity in your periods.
Skipping periods during perimenopause is common and expected. Often, menstrual periods will occur every two to four months during perimenopause, especially one to two years before menopause. Despite irregular periods, pregnancy is possible. If you've skipped a period but aren't sure you've started the menopausal transition, you may want to determine whether you're pregnant.
When to see a doctor
Starting at perimenopause, schedule regular visits with your doctor for preventive health care and any medical concerns. Continue getting these appointments during and after menopause.
Preventive health care can include recommended screenings at menopause, such as a colonoscopy, mammography, lipid screening, thyroid testing if suggested by your history, and breast and pelvic exams.
Always seek medical advice if you have bleeding from your vagina after menopause.
Jan. 07, 2015
- Menopause. National Institute on Aging. http://www.nia.nih.gov/health/publication/menopause. Accessed May 22, 2014.
- Lethaby A, et al. Phytoestrogens for menopausal vasomotor symptoms. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001395.pub4/abstract. Accessed May 23, 2014.
- Longo DL, et al. Harrison's Online. 18th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=4. Accessed May 27, 2014.
- Nelson LM, et al. Clinical manifestation and evaluation of spontaneous primary ovarian insufficiency (premature ovarian failure). http://www.uptodate.com/home. Accessed May 22, 2014.
- Menopausal symptoms and complementary health practices. National Center for Complementary and Alternative Medicine. http://nccam.nih.gov/health/menopause/menopausesymptoms. Accessed May 22, 2014.
- Lindh-Astrand L, et al. Effects of applied relaxation on vasomotor symptoms in postmenopausal women: A randomized controlled trial. Menopause. 2012;20:1.
- Colpani V, et al. Association between habitual physical activity and lower cardiovascular risk in premenopausal, perimenopausal, and postmenopausal women: A population-based study. Menopause. 2012;20:1.
- Rada G, et al. Non-hormonal interventions for hot flushes in women with a history of breast cancer. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004923.pub2/abstract. Accessed May 23, 2014.
- Daley A, et al. Exercise for vasomotor menopausal symptoms. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006108.pub3/abstract. Accessed May 23, 2014.
- For better sex: 3 ways to strengthen your pelvic floor. The Northern American Menopause Society. http://www.menopause.org/for-women/menopauseflashes/for-better-sex-3-ways-to-strengthen-your-pelvic-floor. Accessed May 22, 2014.
- The North American Menopause Society. The 2012 hormone therapy position statement of The North American Menopause Society. Menopause. 2012;19:257.
- MenoNote: Vaginal dryness. The North American Menopause Society. http://www.menopause.org/docs/for-women/mndryness.pdf. Accessed May 22, 2014.
- Welt CK, et al. Pathogenesis and causes of spontaneous primary ovarian insufficiency (premature ovarian failure). http://www.uptodate.com/home. Accessed May 22, 2014.
- Welt CK, et al. Ovarian development and failure (menopause) in normal women. http://www.uptodate.com/home. Accessed May 22, 2014.
- Menopausal hormone therapy (MHT). Office on Women's Health, U.S. Department of Health and Human Services. http://www.womenshealth.gov/menopause/symptom-relief-treatment/menopausal-hormone-therapy.html. Accessed May 23, 2014.
- Menopause and menopause treatments fact sheet. Office on Women's Health, U.S. Department of Health and Human Services. http://womenshealth.gov/publications/our-publication/fact-sheet/menopause-treatment.html. Accessed May 23, 2014.
- Committee on Gynecological Practice and the American Society for Reproductive Medicine Practice Committee. Compounded bioidentical menopausal hormone therapy. ACOG. http://www.acog.org/Resources_And_Publications/Committee_Opinions/Committee_on_Gynecologic_Practice/Compounded_Bioidentical_Menopausal_Hormone_Therapy. Accessed May 22, 2014.
- Tella SR, et al. Prevention and treatment of postmenopausal osteoporosis. Journal of Steroid Biochemistry and Molecular Biology. 2014;142:155.
- Eden JA. Phytoestrogens for menopausal symptoms: A review. Maturitas. 2012;72:157.
- Dodin S, et al. Acupuncture for menopausal hot flushes. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007410.pub2/abstract. Accessed May 23, 2014.
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