Perimenopause; Postmenopause
Symptoms
In some women, menstrual flow comes to a sudden halt. More commonly, it slowly stops over time. During this time, the menstrual periods generally become either more closely or more widely spaced. This irregularity may last for 1 - 3 years before menstruation finally ends completely. Before this the cycle length may shorten to as little as every 3 weeks.
Common symptoms of menopause include:
- Heart pounding or racing
- Hot flashes
- Night sweats
- Skin flushing
- Sleeping problems (insomnia)
Other symptoms of menopause may include:
- Decreased interest in sex, possibly decreased response to sexual stimulation
- Forgetfulness (in some women)
- Irregular menstrual periods
- Mood swings including irritability, depression, and anxiety
- Urine leakage
- Vaginal dryness and painful sexual intercourse
- Vaginal infections
- Joint aches and pains
- Irregular heartbeat (
palpitations )
Signs and tests
Blood and urine tests can be used to measure changes in hormone levels that may signal when a woman is close to menopause or has already gone through menopause. Examples of these tests include:
-
Estradiol -
FSH -
LH
A pelvic exam may indicate changes in the vaginal lining caused by declining estrogen levels. The doctor may perform a
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