6 Early Signs of Menopause

Know What to Look for When Menopause Begins

Woman who can not sleep

Many women start to notice symptoms they suspect could be indicative of menopause well before actual menopause. Are you wondering whether you are entering menopause?

Perimenopause is the phase leading up to your final menstrual period. You may notice subtle (or not-so-subtle) signs that estrogen is beginning to decline. These signs are often the same symptoms that are associated with menopause. The thing is, when you are not used to thinking of yourself as pre-menopausal, it can be a bit of a shock to suddenly wonder if you are going through menopause.

Changes in Menstrual Cycle

For many women, the first, though an often ignored sign is a change in the length of menstrual cycles. Your cycles could get longer, shorter, or you could notice some other change in the usual pattern.

If you have been regular as clockwork since you were thirteen, you are more likely to notice any change. If you have had irregular periods, this may not hit your radar until later.

Since pregnancy is not out of the question, be sure to consider that possibility as well. Don’t just assume you are entering menopause if you miss a period. 

Occasional Hot Flashes

In the very early stages of the menopause transition, many women will notice a hot flash now and then. The first few times it happens you might mistake it for the room being hot or wearing too many layers. For women who are “flashers,” this symptom often gets worse before it gets better.

Changes in Mood

This sign of menopause is disconcerting.

Women describe being irritable, sad, anxious, discontented, and/or angry. Even when their lives seem to be going well with everything moving in a positive direction, women will be strangely unhappy or full of angst. Since mood problems affect relationships and work performance, women understandably worry about this symptom.

Changes in Sleep Patterns

Losing sleep is frustrating. There are many reasons your sleep pattern might be changing at this time in your life. It could be due to nighttime hot flashes, stress, or unexplained wakefulness, for example. There are many possible remedies, including medications that may help you get your sleep pattern back to normal. If this is an issue for you, speak to your doctor about it. 

Heart Palpitations

Heart palpitations can be a normal, though startling, sign of approaching menopause. But since heart disease is also a possibility, check with your medical provider if your heart beats irregularly or you feel fatigued, short of breath, or faint. 

Vaginal Symptoms

For some women, vaginal dryness is their first inkling that menopause is on the way. This can come in the form of painful intercourse or may be noticed along with urinary incontinence.

Lower Sex Drive

Even without vaginal dryness, women can notice a lower interest in sex. Changes in libido may go unnoticed in the chaos of a stressful life, but eventually, you may realize that you don’t seem as interested in sex anymore, or that your orgasms are not as intense.

Libido is an amalgam of physiological processes and psychological and emotional elements.

Finding a solution will probably involve talking to both your doctor and your partner.

A Word From Verywell

You may be experiencing any or none of these symptoms as you enter perimenopause. When the signs of menopause begin to disrupt your life, or if you think you are having an early menopause, it’s time to discuss them with your healthcare provider. The better you prepare for this transition, the more it can be a positive rite of passage.


Boston’s Women’s Health Book Collective, Our Bodies, Ourselves. New York, NY: Simon & Schuster Trade; 2011.

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