Menopause is a normal part of aging. Normal as it may be, menopause can feel anything but. Changes to your body and mood may have you flashing back to puberty: Is this normal? What comes next? Do I need to do something?

Your experience with menopause will be unique – from when it starts to the types of menopause symptoms you’ll feel as you age. But there are usually some signs to tell you where you may be at in the process.

Of course, knowing where you might be in your menopause journey can help you know what to expect and better manage your symptoms, whenever they show up. Being in the know can also help you tell what’s normal and when it might make sense to talk with a women’s health specialist. And we’re here to help.

Read on to learn:

  • What perimenopause, menopause and postmenopause mean
  • Menopause symptoms you may experience around age 40, 45, 50, and 55 and up
  • When to seek care for menopause symptoms

The stages of menopause: Perimenopause, menopause and postmenopause

What is perimenopause? It’s when menopause symptoms begin.

Perimenopause – or premenopause – is a word that means “around menopause.” Perimenopause describes what happens to your body leading up to menopause. This stage typically starts about four to eight years before menopause.

When you enter perimenopause, you’ll probably start to notice some early menopause symptoms like changes to your period or mood shifts. These changes happen because your body’s estrogen and progesterone levels are starting to naturally decline. As your ovaries produce lower amounts of these hormones, your body adapts. It’s basically the reverse of what happened to your hormones as a teenager.

What is menopause? It’s a moment in time.

Menopause is a specific point in time. Menopause occurs when periods stop and you’ve gone 12 consecutive months since having your last period. Once you’ve hit that moment, you enter postmenopause.

Reaching menopause means that you’re no longer able to bear children. Every woman – except for those who’ve had their ovaries removed before puberty – will go through menopause.

When does menopause start?

The average menopause age is around 51. But some women experience menopause in their 40s – with a small percentage experiencing signs of menopause earlier. Some women may not reach menopause until their 60s.

There’s no way to know your exact menopause age until it happens, but genetics seem to play a strong role. You may get a general idea of when to expect menopause based on when your family members went through it, particularly your mother.

Genetics isn’t the only thing that can impact when menopause starts. Medical factors can also influence menopause timing. When the ovaries are removed, symptoms will begin to show immediately.

Certain medical conditions like autoimmune diseases have also been associated with early menopause. Women who’ve undergone treatments like radiation therapy or chemotherapy are also more likely to show symptoms earlier.

What is postmenopause? It’s the after.

Postmenopause simply means “after menopause”. During this time, you’ll continue to experience menopause symptoms for a time. How long does menopause last? Typically, menopause symptoms last two to seven years postmenopause, but they can last longer for some women.

Menopause symptoms by age

Menopause symptoms at age 40

For the vast 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.

But if you’re in your early 40s and are regularly experiencing symptoms such as changes to your period’s timing or flow, hot flashes, mood changes or sleep problems, don’t ignore them. Talk with a women’s health specialist.

A specialist like an OB-GYN or certified nurse-midwife can work with you to determine whether your symptoms are related to menopause, or another reason such as hormonal disorders or other health conditions.

Menopause symptoms at age 45

Around the age of 45 many women enter premenopause and start to notice the first signs that menopause is coming. For some women, the symptoms are mild and short-lasting. For others, menopause symptoms can be disruptive and long-lasting.

Some of the earliest signs of menopause may include:

Changes to your period

Period changes are usually the first signs of menopause. For example, your period may start to happen every six to eight weeks. Or you may miss a couple months before it comes back again. You may also have a heavier flow or a lighter flow from time to time.

That said, it’s important to know you can still get pregnant during perimenopause. So, continue to use birth control in the lead up to menopause as you normally would. Also, if you’ve missed your period and you’re not sure whether perimenopause has started, consider taking a pregnancy test as a first step.

Mood changes

As your hormone levels change, you may find yourself more irritable, anxious, sad or forgetful than usual. Your sex drive (libido) can also decrease or increase.

These changes are very typical as your body approaches menopause. So, be kind to yourself, practice self-care and ask for help if you’re having trouble.

Sleeping problems (insomnia)

You may find it difficult to get to sleep, or you may wake up in the middle of the night. Sleep trouble can contribute to a constant feeling of tiredness, which can make you moodier.

The good news is that sleep issues like insomnia can be treated. Lifestyle changes such as cutting back on caffeine, limiting screen-time before bed and exercise can be extremely helpful. There are over-the-counter medications and supplements like melatonin that can help – but ask your doctor for a recommendation before you start taking something. Sleep medicine is an option, too.

Ready to talk menopause? We’re here for you at any age and any stage.

Find a women’s health specialist and make an appointment

Menopause symptoms at age 50

Most women will have their last period around the age of 50. Twelve months without a period later, menopause is reached and postmenopause begins.

As menopause gets closer, your estrogen and progesterone levels start to decline more rapidly. As a result, your symptoms will likely become more intense.

Your periods will probably become more irregular. You may experience greater mood swings and an increase in insomnia. Plus, you’ll likely start experiencing new symptoms that are common right around or right after reaching menopause, including:

Hot flashes and chills

Hot flashes can happen during premenopause, but they’re most often reported right around menopause and in the first few years of postmenopause. These are sensations of heat that develop around your face, neck and chest, and may spread to other areas of your body. They usually last for just a few minutes.

Alongside the feeling of heat, your skin may redden, you may sweat, your heart rate might increase and your mood may change. Afterward, you may feel chills.

Doctors aren’t sure why hot flashes happen, but there are ways to lessen their impact. Some tips include:

  • Try to stay in cooler environments
  • Dress lightly or wear layers you can remove
  • Manage stress
  • Monitor your diet (Foods that are spicy, processed or fatty can trigger hot flashes.)
  • Reduce how much caffeine or alcohol you drink

Night sweats

When hot flashes occur at night, they’re called night sweats. Night sweats can prevent you from getting a good night’s sleep and make you more irritable the next day. Sleeping with fewer blankets, in lighter clothing and with a fan can be helpful.

Menopause symptoms at age 55 and above

Around 55 most women have entered their postmenopausal years. After menopause, your body adjusts to the lower amount of estrogen and progesterone, and many women feel more productive, alert and free (now that they don’t have to worry about birth control or managing a period).

Postmenopausal years do bring some new symptoms with them, however. Some things to expect include:

Dryer or thinner skin and hair

Estrogen plays a role in collagen production. Collagen makes up your skin, hair, bones and many other tissues around your body. Because your estrogen levels are lower after menopause, your skin or hair may become dryer or thinner.

Vaginal dryness or sensitivity

Lower estrogen levels can also cause vaginal tissue to become dryer and thinner. This may result in discomfort or pain during sex.

Vaginal dryness or sensitivity usually happens after menopause but it isn’t unusual to notice it earlier. A moisturizer or lubricant can often relieve these symptoms and help you feel more comfortable.

Pelvic floor muscle problems

Did you know that estrogen also helps support the sides of your bladder? Less estrogen can lead to weaker pelvic floor muscles. That’s why urinary incontinence and frequent urination can be common after menopause.

When should I see a doctor for menopause help?

The way you experience each stage of menopause will be unique. For example, hot flashes may never affect you, but insomnia leaves you feeling exhausted and irritable. Or perhaps the first sign of change is vaginal dryness.

Menopause symptoms can often be managed by maintaining a healthy diet, exercising regularly, and taking advantage of home remedies or over-the-counter medications.

But if your symptoms are intense enough to affect daily activities or keep you from doing the things you love, it may be time to seek advice and care for menopause symptoms.

OB-GYNs and certified nurse-midwives, along with experienced nurse practitioners and other women’s health experts, can listen to your concerns and symptoms, and work with you to create a tailored care plan. Care options might include hormone replacement therapy (HRT), and supplements or medications to help with depression, high blood pressure or other conditions.

Some menopause symptoms might be harder to talk about than others – but don’t wait. Women’s health specialists have heard it all and they have the expertise needed to help you manage menopause symptoms. The sooner they know what’s bothering you, the sooner they can help you find the right way to manage your symptoms.

Ready to talk menopause? We’re here for you at any age and any stage.

Find a women’s health specialist and make an appointment