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Conditions · FAQ

What is menopause, and how is it different from perimenopause?

Short answer

Menopause is the point when you have gone 12 months without a period, with no other cause. Perimenopause is the transition leading up to it. During this time, periods may change and symptoms may begin. A licensed physician can review your history and help explain which stage you may be in.

Menopause marks the end of menstrual periods. It is reached after 12 months without a period, when there is no other cause, such as pregnancy or a medication. Natural menopause most often happens in midlife. Its timing differs from person to person.

Perimenopause is the transition before menopause. Hormone levels rise and fall, and periods may become closer together, farther apart, heavier, or lighter. Hot flashes, night sweats, and sleep changes can begin during this stage. Perimenopause can last several years. After menopause, the next stage is called postmenopause.

Some treatments, surgeries, and health conditions can cause menopause earlier. If you have had your uterus removed but still have your ovaries, the lack of periods alone does not show whether menopause has occurred.

A licensed physician in your state can review your symptoms, period history, medicines, and past procedures. If you are under 40 and your periods stop or become very irregular, seek an evaluation rather than assuming this is a normal menopause transition.

Sources

Written by the Verra clinical team · Medical review pending

General information, not medical advice. If you're in crisis, call or text 988.

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