ExploreLife stages
Perimenopause and menopause
Perimenopause can start years before periods stop, and symptoms are often hormonal rather than 'just stress'. There are effective options, and choices are yours to make with good information.
Common symptoms
- Cycle changes: closer together, then further apart
- Hot flushes and night sweats
- Sleep disruption
- Mood changes, irritability, brain fog
- Vaginal dryness, pain with sex, urinary urgency
- Joint aches
Useful to track
- Period dates and flow
- Flush frequency
- Sleep quality
- Mood pattern
- Sexual comfort
Tests and conversations that may be relevant
- Usually a clinical diagnosis based on age and symptoms
- Blood tests can mislead in perimenopause
- Blood pressure, lipids, glucose, bone health review
When to see a GP or specialist
- Symptoms affecting sleep, work or relationships
- Bleeding after 12 months without a period — always review
- Symptoms before age 45
Urgent warning signs
- Any bleeding after menopause
- Chest pain, severe headache or one-sided weakness
In Australia, call 000 or healthdirect on 1800 022 222.
Questions to take to a clinician
- Which of my symptoms are likely hormonal?
- What are the benefits and risks of treatment for me?
- What non-hormonal options exist?
Related
eophi shares general information reviewed against Australian guidance. It never diagnoses. If something feels urgent, call 000 or healthdirect on 1800 022 222.