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What Are the Signs of Menopause Starting?

SurreyMenopauseClinic

So what are the signs to look out for which show menopause is starting?


Menopause is a natural transition in a woman’s life, marking the end of her reproductive years. While menopause itself is defined as the absence of menstrual periods for 12 consecutive months, the process begins years earlier during a phase called perimenopause. Many women wonder what the signs of menopause are and how to recognise this life stage.


Understanding Menopause and Its Stages

Menopause isn’t a single event but a gradual process that unfolds in stages:

This is the transitional phase leading up to menopause, during which hormone levels—particularly oestrogen and progesterone—fluctuate. Perimenopause can start in a woman’s 40s or even earlier and typically lasts 4–8 years.

2. Menopause

Menopause is reached when a woman hasn’t had a menstrual period for 12 consecutive months. The average age of menopause in the UK is 51, though it can occur earlier or later.

3. Postmenopause

This is the stage after menopause, where symptoms may persist or subside, and women face new health considerations, such as an increased risk of osteoporosis and cardiovascular disease.


What Are the Signs of Menopause?

The first signs of menopause often begin during perimenopause. Symptoms can vary greatly, but the most common early signs include:

1. Irregular Periods

One of the hallmark signs of menopause is changes to your menstrual cycle. Periods may become:

  • Shorter or longer in duration.

  • Heavier or lighter in flow.

  • Irregular, with skipped months.

Hot flushes are sudden feelings of intense heat, often affecting the face, neck, and chest. They can occur during the day or night (as night sweats) and disrupt sleep.

3. Mood Swings

Hormonal fluctuations can lead to irritability, anxiety, and even depression. These mood changes can feel similar to premenstrual syndrome (PMS) but may be more frequent or intense.

4. Sleep Disturbances

Difficulty falling or staying asleep is common during perimenopause, often due to night sweats or anxiety.

5. Vaginal Dryness and Discomfort

Reduced oestrogen levels can cause the vaginal walls to become thinner and less lubricated, leading to discomfort during intimacy.

6. Fatigue

Persistent tiredness or lack of energy can be an early sign of menopause, often linked to disrupted sleep or hormonal changes.

7. Changes in Libido

Hormonal shifts can lead to a decrease in sexual desire or changes in arousal.

8. Physical Changes

Some women notice weight gain, particularly around the abdomen, thinning hair, or dry skin as menopause approaches.


Why Do These Signs Occur?

Menopause symptoms are primarily caused by the decline in oestrogen and progesterone, hormones that regulate many functions in the body. These hormonal changes affect everything from the menstrual cycle to mood, energy levels, and bone health.


How to Manage Early Signs of Menopause

While menopause is a natural process, its symptoms can be managed effectively through lifestyle changes, medical treatments, and self-care strategies.

1. Maintain a Healthy Lifestyle

  • Balanced Diet:

    • Eat calcium-rich foods like dairy and leafy greens to support bone health.

    • Include whole grains, lean protein, and healthy fats to stabilise energy levels.

    • Avoid alcohol, caffeine, and spicy foods, which can trigger hot flushes.

  • Exercise Regularly:

    • Engage in aerobic activities like walking or cycling for cardiovascular health.

    • Add resistance training to maintain muscle mass and bone density.

    • Try yoga or mindfulness practices to reduce stress and improve mood.

2. Manage Hot Flushes and Night Sweats

  • Keep your bedroom cool and well-ventilated.

  • Wear lightweight, breathable fabrics.

  • Stay hydrated and avoid known triggers like alcohol and caffeine.

3. Address Sleep Disturbances

  • Establish a consistent bedtime routine and limit screen time before bed.

  • Avoid heavy meals and stimulants like caffeine in the evening.

  • Practise relaxation techniques such as deep breathing or meditation.

4. Consider Medical Treatments

  • Hormone Replacement Therapy (HRT):

    • HRT is effective for managing symptoms like hot flushes, mood swings, and vaginal dryness. It works by replacing declining hormones. (NHS - HRT Overview)

  • Non-Hormonal Options:

    • Vaginal moisturisers and lubricants can help with dryness.

    • Certain antidepressants can reduce hot flushes and improve mood.

5. Seek Emotional Support

Menopause can be an emotionally challenging time. Talking to a friend, joining a support group, or seeking counselling can help you process these changes.


When to Seek Professional Advice

While menopause is a natural process, some symptoms may require medical attention. Consider consulting a menopause specialist if:

  • You’re experiencing heavy or irregular bleeding.

  • Symptoms like hot flushes or mood swings are severe or interfere with your daily life.

  • You’re concerned about long-term health risks, such as osteoporosis or cardiovascular disease.

The Surrey Menopause Clinic in Kingston offers personalised care for women navigating menopause symptoms. If you’re near Epsom or surrounding areas, our clinic can provide expert guidance to help you manage this transition effectively.

Contact us here to book a consultation and take the first step toward better health and well-being. You can also book an appointment using our online tool here.


How Early Signs Help You Prepare for Menopause

Recognising the early signs of menopause allows you to take proactive steps to manage symptoms and protect your long-term health. By addressing these changes early, you can improve your quality of life during menopause and beyond.

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