The menopausal transition most often begins between ages 45 and 55. It usually lasts about seven years but can be as long as 14 years. The duration can depend on lifestyle factors such as smoking, age it begins, and race and ethnicity.
For the majority of women, menopause symptoms don't start this early. If menopause happens before age 40, it's called premature menopause. If it happens between ages 40-45, it's known as early menopause. Fewer than 10% of women experience premature or early menopause.
Perimenopause and menopause are a natural part of a woman's life course and usually occur between the ages 45 and 55 years of age, as a woman's oestrogen levels drop (although it can start earlier).
Yes. Although it's normal for periods to change as you near menopause, you should still talk with your obstetrician–gynecologist (ob-gyn) about bleeding changes. Abnormal bleeding sometimes can be a sign of health problems. It's especially important to tell your ob-gyn if you have bleeding after menopause.
Menopause signals the end of the ability to have children naturally. While perimenopause precedes menopause, there is still a menstrual cycle during this time. The menstrual cycle might become more irregular, but as long as a woman is still actively menstruating, there is still a chance of becoming pregnant.
Perimenopause is a process — a gradual transition. No one test or sign is enough to determine if you've entered perimenopause. Your doctor takes many things into consideration, including your age, menstrual history, and what symptoms or body changes you're experiencing.
Many common perimenopause symptoms are similar to menopause signs. For example, hot flashes may occur — when your body feels very hot for brief periods of time, and night sweats. Some people experience mood changes, anxiety, problems sleeping, vaginal dryness, and less interest in sex.
Normal levels for estradiol are: 30 to 400 pg/mL for premenopausal women. 0 to 30 pg/mL for postmenopausal women.
If you're in your mid- to late 40s and your periods are becoming irregular, you may be in the menopausal transition, or “perimenopause.” This is the natural stage your body goes through as you approach menopause.
In postmenopause, symptoms of menopause may have eased or stopped entirely, but some women continue to have symptoms for longer. The change in your body's hormones however is a sign to keep looking after your health and wellbeing, and be mindful to listen to your body.
40s: This is when most women start perimenopause. Some hot flashes and night sweats begin. (For some, perimenopause starts in the 30s.) 46-53: In the U.S., this is the average age for menopause, which is defined as 12 straight months with no period.
The Research. The study, which was conducted in the United States and published in July 2016, shows that women who start their period after the age of 12, go through menopause after the age of 50, and have more than 40 reproductive years, may have an increased chance of living past the age of 90.
Often your doctor can make the diagnosis of perimenopause based on your symptoms. A blood test to check hormone levels may also help, but your hormone levels are changing during perimenopause. It may be more helpful to have several blood tests done at different times for comparison.
Your GP can usually confirm whether you are menopausal based on your symptoms, but a blood test to measure your hormone levels may be carried out if you're aged 40 to 45. Blood tests may also be carried out to help diagnose suspected premature menopause if you're under 40 and have menopausal symptoms.
You may notice weight gain during menopause changes your body in different ways—for example, your face looks fuller or your belly is softer than it used to be. The weight you've gained in your abdomen during menopause will usually feel fleshy and thick, and you might notice some "rolls" of fat.
But women are more likely to gain excess belly weight -- especially deep inside the belly -- as they go through perimenopause and into menopause, when their menstrual cycle ends.
While overall later menopause is probably healthier, it is associated with an elevated risk of developing breast, ovarian, and endometrial cancers. The average age for menopause is 51, and the women in this study were close to that number, with an average age at menopause of 50.5.
Perimenopause is the transitional period before menopause. During perimenopause, levels of estrogen, a key female hormone, start to decrease. You may begin having menopause-like symptoms, such as hot flashes or irregular periods. Perimenopause can last for years.
Polyps and Fibroids
Uterine polyps that grow on the cervix or in the lining of the uterus can also be a factor in heavy clotting. If you're experiencing heavy bleeding, large blood clots during your period or lower back pain, it could be a uterine obstruction like a fibroid.