Menopause is a natural phase marking the end of menstruation, typically occurring between ages 45 and 55. Knowing if you've started menopause can be a bit nuanced, as symptoms can start gradually and vary in intensity. Here’s what to look for:
1. Irregular Periods
One of the earliest signs of menopause is a change in your menstrual cycle. Periods may become less frequent, shorter, or longer in duration, with heavier or lighter flow.
If you’ve gone 12 months without a period, you’re officially considered to be in menopause.
2. Hot Flashes and Night Sweats
Sudden sensations of heat, often accompanied by sweating and flushed skin, are common menopausal symptoms. Hot flashes vary in intensity and duration and can happen any time of day.
Night sweats are similar but occur during sleep, which can disrupt rest and lead to fatigue.
3. Sleep Disturbances
Insomnia, trouble falling or staying asleep, and poor sleep quality are frequent during menopause. Night sweats may exacerbate these issues, making it difficult to feel rested.
4. Mood Changes
Hormonal shifts during menopause can lead to increased mood swings, irritability, anxiety, or feelings of depression. If you’re noticing a shift in your emotional stability, it could be related to the onset of menopause.
5. Changes in Libido and Vaginal Health
You may experience a drop in libido or changes in sexual arousal. Vaginal dryness or discomfort during sex is also common as estrogen levels decrease, which can affect vaginal lubrication.
6. Cognitive Changes
Some women report “brain fog,” memory issues, or trouble focusing. While it’s not universal, these cognitive shifts are a common sign of menopause and may resolve over time.
7. Physical Symptoms
Changes in hair texture, skin elasticity, weight, and muscle tone are often linked to menopause. Some women experience joint or muscle pain, even if they haven't had issues previously.
8. Bone Density Changes
Although you may not feel it, declining estrogen levels can lead to a decrease in bone density, increasing the risk of osteoporosis. If you’re in menopause, your doctor may recommend a bone density test to assess and manage bone health.
Confirming Menopause
If you’re experiencing several of these symptoms, speak with your healthcare provider, who may recommend tests to check your hormone levels (like estrogen and follicle-stimulating hormone, or FSH) to confirm menopause.
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