Health topics · Menopause
Perimenopause
The years of change before your final period.
Education only. This page gives general information. It does not replace advice from your doctor. If you are worried about a symptom, see your general practitioner or call healthdirect on 1800 022 222. In an emergency, call 000.
What it is
Perimenopause is the time leading up to menopause, when hormone levels rise and fall unevenly. It usually starts in your mid to late forties and lasts several years. Menopause is your final period, confirmed after twelve months without one. The average age in Australia is 51.
Common signs
- Periods that become irregular, heavier, lighter, closer together or further apart
- Hot flushes and night sweats
- Poor sleep
- Changes in mood, anxiety or irritability
- Brain fog and trouble concentrating
- Vaginal dryness, bladder changes or a change in desire
What helps
Keep a simple diary of your periods and symptoms for two or three months. It helps you and your doctor see the pattern. Many symptoms can be treated, and you do not need to wait until your periods stop to ask for help.
See a doctor if
- Symptoms affect your sleep, work, relationships or daily life
- Bleeding is very heavy, lasts longer than usual or happens between periods or after sex
- You are under 45 and your periods stop or change a lot
Talk to us
Our free workshops cover this and more, in plain language, with time for questions. See our programmes or get support.
Trusted information
- Jean Hailes for Women's Health
- Australasian Menopause Society
- Australian Government: perimenopause and menopause