How Do I Know I'm in Menopause?

Menopause is defined as the final menstrual period and is usually confirmed when a woman has missed her period for 12 consecutive months (with no other obvious causes). Menopause results in lower levels of estrogen and other hormones. It is a normal, natural life event that all women experience if they live long enough.

When a woman suspects she’s in perimenopause, it is an excellent time to have a complete medical examination by a qualified health professional. The diagnosis of perimenopause can usually be made by reviewing a woman’s medical history, her menstrual history, and her signs and symptoms. 

Common Body Changes at Menopause

Each woman’s experience of menopause is different. Many women report no physical changes during perimenopause except irregular menstrual periods that stop when menopause is reached. Other women experience symptoms of hot flashes, night sweats (heavy sweating from hot flashes at night, often disturbing sleep), and thinning and drying of vaginal tissue that can make sex painful. How severe these body changes vary from woman to woman, but for the most part these changes are perfectly natural and normal.
  • Hot flashes are the most common menopause-related discomfort. They involve a sudden wave of heat or warmth often accompanied by sweating, reddening of the skin, and rapid heartbeat. They usually last 1 to 5 minutes. Hot flashes frequently are followed by a cold chill.
  • Night sweats are hot flashes at night that interfere with sleep. While it’s a myth that menopause itself makes women irritable, the sleep disturbances that stem from hot flashes and night sweats can certainly make a woman irritable. Treatments for night sweats and hot flashes include lifestyle changes, nonprescription remedies, hormone therapy (with estrogen plus progesterone, or estrogen alone for women without a uterus), and nonhormonal prescription drugs.
  • The drop in estrogen around menopause leads to vaginal atrophy (the drying and thinning of vaginal tissues) in many women. It can cause a feeling of vaginal tightness during sex along with pain, burning, or soreness. Over-the-counter vaginal lubricants and moisturizers are effective in relieving pain during intercourse. For women with more severe vaginal atrophy and related pain, low-dose vaginal estrogen products may be needed.