Phases of Menopause – Changes In Each Phase of Menopause

Women’s reproductive health can be broken down into four distinct phases. Starting with the commencement of menstruation, this stage proceeds to encompass the years during which childbearing is possible. This is followed by menopause, when hormonal fluctuations decrease significantly compared to the previous stages, and finally culminating in further changes after menopause. Each of these phases of life sees distinct changes in a woman’s reproductive health, making them vital points of understanding.

Navigating the various phases of menopause can be a daunting journey if you’re not prepared. To help you understand the process, we will walk you through these phases to give you an idea of what to expect during each transition. This way, you can be better equipped to cope and handle this natural change.

What is Menopause?

As you reach menopause, your body will undergo drastic hormonal changes. Estrogen production is specifically affected as it declines, which may bring about a variety of different symptoms. This will be accompanied by a decline in how often you have periods until they eventually stop altogether.

The onset of menopause is not something that happens overnight. Oftentimes, the experience can last anywhere from several years to more than ten years. Navigating this transformative phase of life can be complex, yet it is possible with knowledge and understanding.

Your experience of menopausal signs will be like no other, and may fluctuate greatly in severity over the entire period. Generally, you’ll have times when these symptoms are more manageable, and times when they’re quite difficult to deal with.

What are the Stages of Menopause?

Menopause progression isn’t a sudden event; it involves shifts in hormone levels, most notably a decline in estrogen and a reduction in the number of viable eggs held in the female reproductive system.

There are four distinct stages of menopause:

  • Premenopause: As you progress into young adulthood, premenopause is the stage before any menopausal changes take effect. This time frame usually brings about regular menstrual cycles and dependable birth control to avoid pregnancy. The majority of ladies traverse this passage during their youthful adult years.
  • Perimenopause: This is a period of transition that all women experience as they approach menopause. It can last anywhere from one to ten years, sometimes even more. During this phase, you may start to notice changes in your body – everything from irregular menstrual cycles to hot flashes.
  • Menopause: After an entire year without experiencing a menstrual cycle, women may be entering menopause. This phase is marked by the cessation of female hormone production in the ovaries and the cessation of eggs being released. It is important to note that any medical conditions and medications can influence this milestone.
  • Postmenopause: The symptoms which you may experience during this period are likely to lessen and eventually subside. In spite of that, you become more susceptible to serious health issues like osteoporosis and heart disease.

Now, let’s break down each step of this journey. Let’s take a closer look at what the potential shifts are and how we can find relief.

Perimenopause Stages

The onset of menopause is marked by a period of change known as perimenopause, often compared to the anticipation and feeling right before something big.

As women approach menopause, they may start to experience perimenopause, the perimenopausal period. This transitional stage usually occurs four years prior to menopause. In some cases, it may begin up to decades before the actual menopause phase sets in.

Noticeable Changes

As you age, menopause can begin. This typically manifests itself through the irregularity of your menstrual cycle and periods. Note that this is actually the first sign of perimenopause.

As hormone levels shift due to the natural aging process, it’s common for your menstrual cycle to start changing. You may experience more frequent or imbalanced cycles, or even occasional missed periods. Along with this, it’s not uncommon for menopausal symptoms to occur during this phase of life.

Perimenopause can often bring about a selection of signs and symptoms, some of which may be more prominent than others:

  • Irregular or skipped periods
  • Altered amount of bleeding during periods
  • Hot flashes
  • Vaginal dryness
  • Increased frequency of urination
  • Sleep disturbances
  • Mood changes

The process of perimenopause isn’t always known for being succinct and delineated into two clear-cut stages. Although we use terms like “early menopause transition” and “late menopause transition” to try and define it, these phases are often quite blurry.

Early Transition

As you enter into the opening stages of perimenopause, your body switches into a new hormonal gear. Commonly, your menstrual cycles and periods will stay similar to their original look, however you might find yourself commencing to recognize extra signs and symptoms as well:

  • Hot flashes: Experiencing a few days of hot flashes is quite common, especially around the time of your menstrual cycle when your estrogen amounts go down.
  • Weight gain: As time goes on, a person may begin to see changes in their physique, particularly during the early stages of menopause.

If your symptoms are of a mild intensity, making simple changes to your everyday lifestyle could be a great option to manage them. Steps like establishing good sleep habits and introducing more cardiovascular exercises into your regimen could potentially increase your well-being.

However, if your issues become disruptive, it’s important to contact a medical expert, even if you’re still on a regular menstrual cycle. That’s why it’s always important to follow the rules.

Late Transition

As the menopause transition progresses, you are gradually heading toward menopause. During this time, you may observe the following characteristics:

  • Irregular periods: The regularity of a woman’s menstrual cycle is not always the same. Its duration may vary, as well as the intensity of her bleeding.
  • Subsequent period changes: The menstrual cycle can be disrupted by heavy bleeding during the following period. Estrogen alters the uterine lining causing thickness and ultimately leading to greater flows than usual.
  • Decreased libido: It may be shown through fewer desires for sexual activities or a lack of interest in engaging in them.

If you are having difficulty with missed menstrual cycles for a prolonged period of time and you are in your early 40s or younger, it is advisable to seek medical advice. This could be a sign of menopause starting earlier than expected or primary ovarian insufficiency.


Menopause is typically diagnosed in women aged 50 or over, but can happen at any age. It has no predetermined boundary:

  • Early menopause: before the age of 45
  • Premature menopause: before the age of 40

The importance of the last period isn’t always crystal clear while on one’s menopause journey. It is indeed only when looking back after a year that you realize this was your last menstrual cycle.

Identifying the precise phase of menopause can prove difficult for some individuals. No matter if irregularities in one’s menstrual cycle are associated with medical conditions such as polycystic ovary syndrome, or induced through certain types of medication, including contraceptives, this determination remains tricky.

If you are not sure whether you’re in menopause, talk to a doctor for advice and see if testing is the right step. They can help walk you through the process.


Postmenopause is a period of life where menopause symptoms such as hot flashes may become less frequent. In some cases, these signs may even stop altogether.

At this point, women can be at a heightened risk for a range of medical issues caused by the decline in estrogen. These conditions may include:

  • Cardiovascular disease: Estrogen has a protective role in the prevention of cardiovascular conditions like heart attack, heart disease, and stroke. When estrogen levels drop, individuals may be at an elevated risk of developing these diseases.
  • Osteoporosis: Estrogen, particularly, contributes significantly to building and sustaining bone density. Post menopause, this hormone decreases rapidly, elevating the likelihood of developing osteoporosis.
  • Vaginal atrophy: Insufficient estrogen can cause the vaginal lining to become thin and fragile, making it more prone to infections of the urinary tract.
  • Mental health issues: A shift in hormone levels can contribute to an increase in stress and feelings of despondency. This may present as a deterioration in mental health.

As you age, it is important to keep your doctor or healthcare provider informed about the changes menopause brings to your health. Even if you are feeling perfectly fine, taking a proactive stance and bringing up any questions or concerns you have in relation to menopause can have great benefits.

Conversation about menopause can be beneficial to uncover any potential troubles and guarantee that proper attention is received. Bringing up the conversation openly encourages everybody to gain more knowledge and alleviate any uncertainties.

What about Surgical Menopause?

Surgical menopause, a form of induced menopause, is brought about when the ovaries are taken out through surgery. This operation is generally performed to take care of issues such as endometriosis, or as a measure to prevent the risk of ovarian cancer in those with a BRCA gene.

Women who undergo ovary removal typically face a quick drop in their estrogen hormone levels. This can cause stronger than usual menopause symptoms, making it wise to reach out to a physician for assistance. They may have the best advice on how to deal with them, such as through HRT or non-hormonal alternatives.

Women who have undergone surgical menopause may experience an abrupt alteration from their premenstrual or perimenopausal phases to their postmenopausal stage.

When to Speak to a Doctor?

If the physical and emotional symptoms of menopause have become disruptive to your life and overall well being, it is essential to seek help and guidance.

Your healthcare specialist can serve as your personal navigator through the various available options, which could include:

  • Holistic strategies: This could mean introducing more healthy habits into daily living such as regular exercise, prioritizing quality sleep, and managing emotions and stress. Remember that it is rarely beneficial to consider any menopausal relief supplements without a provider’s direct recommendation.
  • Hormone therapy: It offers a range of treatment options to help address uncomfortable symptoms by boosting hormone levels. It’s critical to have a conversation with your doctor to determine the best course of action for your individual needs.
  • Non-hormonal treatment options: There exist various non-hormonal methods of treatment, including Selective Serotonin Reuptake Inhibitors (SSRIs). These medications are made use to provide alleviation from menopausal symptoms like hot flashes and fluctuations in mood.

Please note that yearly checkups with your healthcare provider are essential if you are struggling to find relief. Referrals and further examination may be recommended to help you better understand and manage your unique symptoms. Keep in mind, there is no magical fix – working together to find a solution is key.

An in-depth look into the specifics of your indicators is permissible and warranted.

To Conclude

Every woman’s journey through menopause is special to them – it happens at its own pace for everyone. If you are experiencing the effects of menopause, rest assured that there is an expansive selection of treatments suitable for every stage, from pre to post-menopause. Get in contact with your physician and discover which treatments are ideal for your individual circumstances.

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