Early signs of menopause: what to expect and what to do

Menopause doesn’t happen overnight. Most women go through a transitional phase known as perimenopause, which can begin several years before periods stop completely.

Understanding the early signs can help you feel more in control—and seek support sooner if needed.

Common early symptoms

  • Irregular periods
  • Hot flushes
  • Night sweats
  • Mood changes
  • Poor sleep
  • Brain fog

These symptoms are caused by fluctuating hormone levels, particularly oestrogen.

What should you do if you notice symptoms?

If symptoms begin to affect your quality of life, it’s worth seeking advice. You don’t need to “wait it out.”

Treatment options

There are several effective treatments available:

Hormone replacement therapy (hrt)

  • Replaces declining hormones
  • Highly effective for symptoms like hot flushes and sleep issues

Non-hormonal treatments

  • Medications for specific symptoms
  • Lifestyle adjustments (diet, exercise, stress management)

Personalised care

Treatment should always be tailored to your symptoms, medical history, and preferences.

Final thoughts

Menopause is a natural stage of life—but that doesn’t mean you have to suffer through it. Support and treatment can make a significant difference.

Faqs

When does menopause usually start?
Typically between ages 45–55.

Is HRT safe?
For most women, yes, when prescribed appropriately.

If you would like to discuss any concerns you have on this subject, please contact the London Gynaecologist to book an appointment