Menopause Stages

Discover 20 essentials on the stages of menopause, including what to expect during perimenopause, menopause, and postmenopause.
Editorial Standards:

Our qualified contributors create and fact-check content following strict guidelines. To learn more, visit the Editorial Standards and Fact-Checking Process pages.

Medical Disclaimer:

The content on this website is for informational and educational purposes only. This website is not a substitute for professional medical advice, diagnosis, or treatment. To learn more, visit the Medical Disclaimer page.

A human hand holding up three fingers indicating the number three.
A human hand holding up three fingers indicating the number three. MENOPAUSE GUIDANCE

Overview

Included on this page are 20 essentials covering the stages of menopause. These essentials cover the three stages, perimenopause, which lasts on average four years, menopause, which most women in the United States reach at 51, and postmenopause, which lasts for the rest of a woman’s life.

Perimenopause Stage

  1. Menopause happens in three stages: perimenopause, menopause, and postmenopause, each marking a significant transition in a woman’s life.
  2. The first stage, perimenopause, lasts two to eight years, averaging around four years.
  3. Hormonal fluctuations take place during perimenopause, leading up to a woman’s last period.
  4. These hormones include estrogen, progesterone, inhibin, and others, and are critical for menstrual cycle regulation and fertility.
  5. Perimenopause involves similar menstrual symptoms like irregular periods and mood swings.
  6. As perimenopause symptoms are subtle, many women do not realize they are in this stage.

Menopause Stage

  1. The second stage, Menopause, is diagnosed when a woman has not had a menstrual period for 12 consecutive months, including spotting.
  2. Menopause signifies the end of ovarian hormone production and fertility, marking a major biological milestone.
  3. The average age for reaching menopause in the United States is 51.
  4. Menopause can happen earlier than 51, because of various health and lifestyle factors, like smoking and autoimmune diseases.
  5. Symptoms include hot flashes, emotional changes, cognitive shifts and sleep disturbances.
  6. Some cultures view menopause as a time of freedom and empowerment, and others associate it with aging and loss of femininity.
  7. Menopause signifies a transition to a new stage where women can embrace their health and well-being.

Postmenopause Stage

  1. The third stage, postmenopause. follows menopause and lasts for the remainder of a woman’s life.
  2. During postmenopause, symptoms like hot flashes may reduce, and GSM symptoms may emerge affecting sexual, urinary and vaginal function.
  3. Women may also notice hair, skin, and musculoskeletal changes, including thinning hair, sensitive skin, and joint pain.
  4. Symptoms can be treated with hormonal treatments, medications, procedures, therapies, dietary supplements, and products and devices.
  5. Postmenopausal women are at a higher risk for health conditions like osteoporosis, metabolic syndrome, and cardiovascular disease.
  6. Given these risks, regular health check-ups, lifestyle changes, and symptom management are recommended to safeguard overall health.
  7. Understanding the nuances of each menopause stage helps manage expectations and navigate experiences more effectively.

To learn more, visit the Stages of Menopause page.

About the Author