How Do I Know if this is Menopause?
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Menopause is a natural and inevitable stage in a woman’s life that marks the end of their reproductive years. It naturally occurs between 45 and 55 years of age. But it can happen earlier or later. While menopause is a normal biological process, it can bring about various physical and emotional changes that may impact a woman’s overall well-being. Recognising the signs and symptoms of menopause is crucial for understanding and managing this transitional phase effectively. In this detailed blog article, we will explore the common indicators of menopause, enabling women to identify if they are experiencing this natural transition.

Understanding Menopause

Menopause occurs when a woman’s ovaries stop releasing eggs and produce lower levels of hormones such as oestrogen, progesterone and testosterone. The lowered production of oestrogen causes cessation of menstruation.

This hormonal shift results in the cessation of menstrual periods and marks the end of a woman’s fertility. The diagnosis of menopause occurs when a woman experiences 12 consecutive months without a menstrual period. However, the signs leading up to menopause, known as perimenopause, can begin several years, i.e., between 2 to 5 years earlier.

Common Signs and Symptoms

Irregular menstrual cycles

One of the primary indicators of perimenopause is changes in the menstrual cycle. Women may experience shorter or longer cycles, skipped periods, or heavier or lighter bleeding.

Hot flashes and night sweats

Hot flashes are sudden, intense feelings of warmth that may be accompanied by sweating, skin reddening and an increased heart rate. Night sweats are hot flashes occurring during sleep, leading to excessive perspiration.

Vaginal dryness and discomfort

Decreased oestrogen levels can cause thinning and drying of the vaginal tissues, leading to vaginal dryness, itching and pain during sexual intercourse.

Sleep disturbances

Many women experience sleep problems during menopause. It can include difficulty falling asleep, staying asleep or experiencing poor sleep quality, often attributed to hormonal fluctuations.

Mood changes

Hormonal changes during menopause can contribute to mood swings, irritability, anxiety and even symptoms of depression in some women. Other factors like sleep disturbances or life events can influence these emotional changes.

Decreased libido

Some women may experience a reduced interest in sex due to fluctuating hormone levels that impact sexual desire and arousal.

Changes in the urinary system

Menopause can result in urinary changes, including an increased risk of urinary tract infections (UTIs) and urinary incontinence.

Physical changes

Women may observe changes, such as excessive wrinkles around facial skin, including weight gain, particularly around the abdomen, and a loss of breast fullness and elasticity. They may experience hair thinning or loss.

Seeking Medical Advice

If you think you might be going through menopause or are sceptical about the changes you’re experiencing, it’s a good idea to talk to a healthcare professional like a gynaecologist. They can check your symptoms, do the necessary tests, and give you helpful advice and treatments that are just right for you.


It would be helpful to understand the natural transition of the reproductive stage and how it is affecting day-to-day lifestyle by recognising the signs and symptoms of menopause. So that, it helps to understand what’s happening in their bodies and find the ideal support. Menopause is a natural process, but it can be challenging for some women. That’s why it’s a good idea to talk to a healthcare professional who can help reduce symptoms by identifying the right solution and improving overall well-being during this time. One should be aware that every woman’s journey through menopause is unique, so getting authentic information and support is vital to go through it with confidence and grace.

Mahantesh Karoshi
Mahantesh Karoshi

I'm a Consultant Obstetrician & Gynaecologist and Women's Health Expert. I believe in educating my patients to contribute to achieving the best possible clinical and holistic outcomes. By taking this approach, I enable and empower my patients whilst addressing their issues and concerns. I run a private practice with an extremely high standard of professionalism. My patients are directly involved in their care and management in all stages. My approach to my patient's problems is built on dedication and passion, drawing on analytical thinking and my on-time honored reading, teaching medical professionals nationally and internationally.