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Stages & types

Menopause Stages

Understanding the stages and types of menopause can help explain why symptoms appear, change over time and affect women differently.

Stage 1

Perimenopause

The transition before menopause, when hormone levels fluctuate and symptoms may begin.

Stage 2

Menopause

The point reached once you have gone 12 months without a period.

Stage 3

Postmenopause

The years after menopause, when symptoms and longer-term health changes may continue.

Earlier menopause

Premature Ovarian Insufficiency

When ovarian function declines before the age of 40.

Medical menopause

Induced Menopause

Menopause caused by surgery or medical treatment affecting the ovaries.

Understanding the menopause journey

Menopause is not a single long phase. It is a wider transition that includes perimenopause, menopause and postmenopause. Some women also experience premature ovarian insufficiency or induced menopause because of medical treatment.

Symptoms can begin earlier than expected, continue for many years, and affect some women much more than others. Clear information can make it much easier to understand what may be happening and what support may help.

Symptoms can start early

Many women notice changes long before their periods stop completely.

Experiences vary widely

Some women have mild symptoms, while others feel a major impact on daily life, sleep, mood and work.

At a glance

  • Perimenopause comes before menopause.
  • Menopause is reached after 12 months without a period.
  • Postmenopause is the stage after menopause.
  • Some women experience POI or induced menopause earlier than expected.

Common symptoms across the menopause transition

The symptoms women notice can differ widely, and they are not limited to hot flushes. Many women also experience sleep, mood, concentration and body changes.

Hot flushes
Night sweats
Sleep disruption
Brain fog
Mood changes
Period changes
Joint aches
Fatigue
Vaginal dryness

Wondering if this could be affecting you?

If you are noticing symptoms and are not sure whether they may be related to perimenopause or menopause, our tools can help you take the next step.

Related stages and topics

Understanding the wider menopause transition can help make symptoms and timing easier to make sense of.

Not sure where you are in the menopause transition?

You do not need to work it out on your own. Our pathway is designed to help you better understand your symptoms and take the next step with confidence.

Step 1

Symptoms Checker

Start with a quick check of the symptoms you are experiencing.

Go to checker
Step 2

Questionnaire

Complete a more detailed questionnaire to explore your symptoms further.

Start questionnaire
Step 3

Book a consult

Speak with a menopause-focused clinician about treatment and support options.

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