3 Phases of Menopause

Here you can find more information about the three stages, or phases, of menopause that reflects the gradual changes in hormone production and the menstrual cycle.

Perimenopause

The transitional phase leading up to menopause, which can affect your menstrual cycle and cause fluctuating hormone levels. Symptoms can include:

Irregular periods
Hot flashes and night sweats
Mood swings, irritability, anxiety or depression
Sleep disturbances/insomnia
Vaginal dryness or discomfort
Decreased libido
Breast tenderness
Difficulty concentrating (“brain fog”)
Fatigue

Menopause

The point at which a woman has not had a period for 12 consecutive months. Symptoms can include:

Continued hot flashes and night sweats
More noticeable vaginal dryness
Changes in sexual function or discomfort with intercourse
Emotional fluctuations (can intensify)
Sleep disruption continues

Postmenopause

The years following menopause, where symptoms may subside but health risks related to decreased estrogen persist:

Vaginal dryness and discomfort (may worsen without treatment)
Urinary symptoms (urgency, infections, incontinence)
Bone thinning/osteoporosis risk increases
Weight gain or metabolic changes
Some hot flashes may persist but usually lessen over time
Higher risk for cardiovascular disease due to lower estrogen