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Menstrual and mood changes are some signs of early menopause.

What are the Signs of Early Menopause?

Spotting the early signs of menopause can help you better prepare for the changes that are to come. This article will explore the signs of menopause, its stages, causes and treatment options like Myfembree. Myfembree is a medication that helps alleviate symptoms of menopause, such as hot flashes, night sweats, vaginal dryness and mood swings. Talk to your doctor to see if this medication is an appropriate option for you.

Signs of Menopause

Below are some signs of menopause:

  • Irregular periods: Menstrual cycles become unpredictable, shorter or longer.
  • Hot flashes: Sudden feelings of intense heat, often accompanied by sweating and flushing.
  • Night sweats: Hot flashes that occur during sleep, leading to nighttime sweating.
  • Vaginal dryness: Reduced lubrication in the vaginal area, which can lead to discomfort during intercourse.
  • Mood swings: Emotional changes, including irritability, anxiety and mood swings.
  • Sleep disturbances: Difficulty falling asleep or staying asleep.
  • Fatigue: Increased tiredness and reduced energy levels.
  • Changes in libido: Decreased interest in sexual activity or changes in sexual function.

What is Early Menopause?

Menopause is a normal part of aging. A woman is in menopause after she has her last period. After 12 months without a period (and without another medical explanation for not having a period), menopause can be confirmed. In menopause, a woman has lower levels of hormones, such as estrogen, and fertility is generally no longer possible.

Usually, menopause happens when a woman reaches her early to mid-50s. When menopause starts before the age of 40, it is considered premature menopause. Between the ages of 40 and 45 is considered early menopause. Early menopause affects about 5% of women.

Stages of Early Menopause

Women in early menopause experience the same stages as women who have menopause in their 50s.


This is the phase that happens before menopause. This phase can start up to 10 years before menopause begins. In preparation for menopause, your body makes fewer hormones—leading to fluctuations in hormone levels, such as estrogen, progesterone, and testosterone. On average, perimenopause lasts for four years.


It begins once a woman’s period permanently stops and their ovaries no longer release eggs. Minimal estrogen is produced during menopause.

Post Menopause

This happens after menopause and the body recalibrates to the new normal. Menopausal symptoms may start to fade away, but they can continue for several more years, making symptom management essential.

Causes of Early Menopause

Early menopause may start spontaneously without any medical reason or it can be the result of a few factors:

  • Chemotherapy patients may experience loss of eggs or damage to ovarian tissue that prompts menopause to begin early.
  • Surgical menopause happens when the ovaries are surgically removed. Without the ovaries to produce hormones or release eggs, the body goes into menopause.
  • Certain medical conditions, including autoimmune diseases, may cause early menopause.
  • A family history of early menopause increases the chance that you will start menopause early as well.
  • Smoking is linked to the earlier onset of menopause.

Early Menopause Symptoms

Perimenopause may start without you even realizing it. Each woman who experiences early menopause has distinct symptoms at varying degrees of severity. Once early menopause begins, you will start experiencing symptoms which may include:

  • Changes in menstrual periods or skipping periods that stop when menopause begins.
  • Hot flashes are the most common symptom. Lasting one to five minutes, hot flashes can come with sweating (including night sweats), reddening of the skin, and increased heartbeat.
  • Cold chills following a hot flash.
  • Dry and thin vaginal tissue.
  • Urinary issues, such as urgency to urinate or more urinary tract infections.
  • Other changes caused by a change in hormone levels include difficulty sleeping, emotional changes, breast tenderness, changes in sexual desire, headaches/trouble concentrating, and low energy.
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Treatment Options

Menopause does not require medical treatment, however, there are some options for managing your symptoms. Optional treatments may include:

Hormone Therapy

This is a short-term and effective solution that releases a small number of hormones to the body. Taking medication to boost your estrogen may help relieve hot flashes. This treatment should not be used long term as it risks causing cardiovascular issues and breast cancer. Vaginal estrogen comes as a vaginal cream, tablet, or ring, and is used to relieve vaginal dryness.

Low-Dose Antidepressants

These are prescribed by your doctor, such as selective serotonin reuptake inhibitors. They may lessen hot flashes.

Other Prescription Medications

This option may provide relief. Gabapentin typically treats seizures but also reduces hot flashes in women going through menopause. Clonidine, which treats high blood pressure, also minimizes hot flashes.

Cooling Down

This is not a medical treatment but is suggested to decrease the intensity of a hot flash. Drink a cold glass of water, find a cooler area, and dress in layers so you can remove them as needed.

Use Lubricant

This is either water-based or silicone-based to decrease discomfort caused by vaginal dryness.

Strengthen Your Pelvic Floor

These types of exercises are often called Kegel exercises. They help to improve urinary incontinence.

Practice Self-Care

Give your body what it needs. Try to get more sleep, as this may diminish irritability. Avoid caffeine or too much alcohol, as these beverages hinder the quality of sleep. Exercise during the day to get your blood pumping and release feel-good hormones.

Consume Phytoestrogens

These are estrogens that occur naturally in plants. You will find them in legumes, whole grains, flaxseed, and some fruits and vegetables. Plant estrogens for relief of hot flashes have not yet been proven by the medical community but may help you feel better by eating healthier. Sage also contains compounds that mimic the effects of estrogen, and there is compelling evidence supporting its ability to manage menopausal symptoms.

Alternative Treatments

These include relaxation techniques, such as guided meditation or massage, or treatments like acupuncture and hypnotherapy. There's also Myfembree, indicated for the management of moderate to severe pain associated with endometriosis. It works by blocking the action of GnRH receptors, leading to a reduction in the production of certain hormones that contribute to endometriosis.

How to Avoid Early Menopause

Early menopause is not something you can control, especially if it happens spontaneously. The best you can do is take care of your body and give it what it needs to be healthy: eat a balanced diet with whole grains, fruits, and vegetables, stop smoking, exercise regularly, get enough quality sleep each night, and address any underlying health issues. When you begin to experience early menopause symptoms, manage hot flashes and other symptoms with methods that work best for you.

Starting menopause in your 40s may not be ideal, but if you have treatment options to manage your symptoms, getting through early menopause becomes easier.