What are the three stages of Menopause?

What are the three stages of Menopause

Key Takeaways:

  • Menopause has three stages: perimenopause, menopause, and post-menopause.
  • Perimenopause is the transition stage to menopause.
  • Menopause signifies the conclusion of a woman’s reproductive phase.
  • Post-menopause is after menopause and has potential health risks like heart disease.


As women age, they go through a natural process called menopause. Menopause marks the end of their reproductive years. However, do you know that this journey of menopause consists of various stages? It’s crucial to know which stage of menopause you’re in. 

Keep reading to learn more.

There are three stages of menopause:

  • Perimenopause
  • Menopause
  • Postmenopause

Each stage comes with its own set of symptoms and treatments. Here is a breakdown of each phase:


Perimenopause is the phase preceding menopause, during which the ovaries generate reduced estrogen. 

At what age does perimenopause begin?

Usually, perimenopause occurs in the mid ’40s but can start even earlier. Perimenopause leads you to the stage of menopause.

How long does perimenopause last?

The average duration of perimenopause is four years. For some women, the perimenopause stage may be only for a few months, while others may experience it for more than four years.

What are Perimenopause symptoms?

Irregular periods: 

Alterations in the menstrual cycle characterize perimenopause. Women may experience heavier or lighter periods, shorter or longer cycles, or missed periods.

Hot flashes and night sweats: 

These are common perimenopausal symptoms, with women experiencing sudden, intense waves of heat that can be accompanied by sweating, heart palpitations, and anxiety.

Sleep problems:

Many women experience sleep disturbances during perimenopause, such as insomnia, restless sleep, or waking up frequently throughout the night.

Mood changes: 

Perimenopause can cause emotional symptoms such as irritability, mood swings, anxiety, and depression.

Decreased sex drive:

Some women may experience a decrease in sexual desire during perimenopause.

Vaginal dryness:

As estrogen levels decline, vaginal tissue can become thinner, drier, and less elastic, causing discomfort during sex and an increased risk of vaginal infections.

Breast tenderness:

Some women may experience breast tenderness, swelling, or discomfort during perimenopause.

It’s important to note that every woman’s experience of perimenopause is unique, and not all women will experience all of these symptoms. If you have any symptoms mentioned above, you must talk to your healthcare provider for a suitable treatment.

Perimenopause Treatment

Perimenopause treatment depends on the individual woman’s symptoms and medical history. If a woman is experiencing symptoms that are affecting her quality of life, several treatment options may be recommended, including:

Hormone Replacement Therapy (HRT):

This treatment involves taking estrogen and progesterone as pills, patches, creams, or vaginal rings to help balance hormone levels and alleviate symptoms such as hot flashes, night sweats, and vaginal dryness. HRT may not be appropriate for all women, and discussing the risks and benefits with a healthcare provider is essential.

Birth Control Pills: 

Oral contraceptives can regulate menstrual cycles. Moreover, they help alleviate symptoms such as hot flashes and mood changes.

Non-Hormonal Medications: 

Gabapentin and selective serotonin reuptake inhibitors (SSRIs) can help alleviate perimenopausal symptoms like hot flashes.

Lifestyle Changes: 

A healthy diet, regular exercise, meditation and yoga and getting enough sleep can all help alleviate symptoms of perimenopause.

Alternative Therapies:

Acupuncture and herbal remedies such as black cohosh and soy supplements have been suggested to alleviate perimenopause symptoms.


Menopause is a natural physiological process signifying the conclusion of a woman’s reproductive phase. Menopause is characterised by a decrease in the production of estrogen and progesterone, which can cause various physical and emotional symptoms.

Menopause is usually diagnosed when a woman has gone without a period for 12 consecutive months. 

At what age menopause occurs?

Menopause typically occurs in women between the ages of 45 and 55, with the average age of onset being 51. However, it can happen earlier or later than this range.

How long does menopause last?

The length of menopause can vary from woman to woman, but the average duration of menopause is around 4 to 5 years. However, some women may experience symptoms for a shorter or longer period. 

Symptoms of Menopause

The symptoms of perimenopause and menopause are similar but can vary in intensity and duration. Menopausal symptoms include hot flashes, night sweats, mood changes, vaginal dryness, and sleep disturbances.

Menopause Treatment

Menopause treatment options include hormone therapy, non-hormonal medications, vaginal estrogen, and lifestyle changes such as exercise, a healthy diet, and stress reduction techniques.


One of the crucial stages of Menopause is Postmenopause. Postmenopause is the period after a woman has gone through menopause, typically defined as 12 months without a menstrual period. During this time, hormone levels decrease, and women may experience various postmenopausal symptoms.

At what age postmenopause occurs?

Postmenopause usually starts at approximately 52 years following menopause in a woman.

How long does postmenopause last?

Postmenopause lasts the rest of a woman’s life, permanently ceasing menstrual periods and ovarian function.

What are postmenopausal symptoms?

  • Vaginal dryness and discomfort.
  • Hot flashes and night sweats.
  • Mood changes and irritability.
  • Sleep disturbances.
  • Changes in libido and sexual function.
  • Thinning hair and dry skin.
  • Bone loss and increased risk of osteoporosis.

Postmenopausal Treatment

Postmenopause treatment options may share similarities with those used for perimenopause or menopause. Here are some treatment options that may be similar for both perimenopause and postmenopause:

  • Hormonal therapies
  • Non-hormonal therapies
  • Lifestyle changes
  • Alternative therapies

Specific treatments for postmenopause differ from those used for perimenopause and menopause. Here are some treatment options specifically for post-menopausal women:

Vaginal estrogen therapy: 

It involves using a low-dose estrogen cream, tablet, or ring to alleviate vaginal dryness, itching, and pain during sexual activity.

Osteoporosis prevention:

Women who have gone through menopause are at increased risk for osteoporosis, so it’s crucial to maintain a healthy lifestyle with regular exercise, calcium and vitamin D supplementation, and medications, if necessary, to prevent bone loss.

Heart disease prevention:

Women are at increased risk for heart disease after menopause, so it’s essential to maintain a healthy diet, exercise regularly, and manage any other medical conditions that may tend to increase the risk of heart disease.

Cancer screenings: 

Women should continue to receive regular cancer screenings, including mammograms, Pap tests, and colonoscopies, as they age.

Mental health support:

Postmenopausal women may experience mood changes or depression, so it’s essential to seek support from a healthcare provider, counsellor, or support group if needed.

It’s important to discuss any concerns or questions about postmenopausal treatment with a healthcare provider to determine the best options for individual needs and medical history.


Menopause is a crucial part of life for all women as they age. But there are three stages of menopause – perimenopause, menopause, and post-menopause. Each stage has its challenges. While some symptoms and treatments may be similar, it’s essential to know what changes to expect during each stage and to talk to your healthcare provider about any concerns. With the proper care and support, you can manage the symptoms of menopause and keep living a healthy and happy life.