Ngā wāhanga o te ruahinetanga

Stages of menopause

Fiona Beach Banner Logoremoved

The three stages of menopause: perimenopause, menopause, and postmenopause cause hormonal changes which can impact your physical, mental, and emotional wellbeing.

These stages cause hormonal changes which can impact your physical, mental, and emotional wellbeing.

No matter what stage of menopause you’re in, there are treatments that can help you live your life with less stress and more manageable symptoms.

Learn what you can expect from an appointment at Menopause Wellbeing

Perimenopause

Perimenopause is the stage leading up to when your period stops. This usually happens in your 40s, but it can happen earlier. In this stage, your ovaries start releasing fewer eggs which results in fluctuating oestrogen levels before they eventually decrease around the time of menopause.  These hormonal fluctuations trigger the symptoms of perimenopause.

During this stage, your periods can change a lot. They might become heavier, lighter, longer, shorter, or more irregular. You might also experience other symptoms, such as hot flushes, sleep problems, mood changes, and more. Even if you don’t typically get your period, you may still experience the hormonal changes that come with perimenopause.

Perimenopause can begin several years before menopause, and it officially lasts until one year after your final period, although many symptoms can continue into postmenopause.

Sometimes, you can be in the perimenopause stage without realising it. It’s easy to attribute symptoms like anxiety, depression, and sleeping problems to other issues, rather than recognising them as signs of perimenopause.

Menopause

The word “menopause” means “the end of monthly cycles.” Menopause describes one moment in time, 12 months after your final period.  After this, you enter postmenopause, where you will remain for the rest of your life.

If you don’t have a regular menstrual cycle because you’ve had a hysterectomy, you’re on hormonal birth control or hormone therapy that affects your periods, or any other reason, it’s a little harder to determine exactly when you’ve reached menopause. Your menopause clinician will be able to work it out by looking at your age and considering when your perimenopause symptoms started. Sometimes a blood test can help determine if you’re postmenopausal. 

Postmenopause

Postmenopause is the stage you reach 12 months after your final period. This stage continues for the rest of your life. Some symptoms of perimenopause may persist through postmenopause, while others may become less intense as your hormones stabilise.

What’s the difference between menopause and perimenopause? 

Menopause just lasts one day and refers to a moment in time when you haven’t had a period for 12 months. The period leading up to this is perimenopause. It’s confusing as many people use “menopause” to refer to perimenopause, menopause, and even postmenopause. 

Learn more about the stages of menopause

Explore our knowledge hub

MW Feature Image 6 Temaari
How Menopause Wellbeing came to be

Many of our clients have been with us a long time, first coming to us as young people, and now reaching menopausal age. And we as an organisation have matured with them. We’re already providing menopause support through our clinics. But menopause is a complex issue, impacting many aspects of your life. And we knew we could do more.