What Are the First Signs of Menopause and Perimenopause?
- Reviewed by: Jasy Yin, NP — Licensed Nurse Practitioner specializing in women’s health and telehealth care.
Understanding the Menopause Transition
If you have noticed your periods becoming unpredictable, your sleep feeling off, or your body suddenly running warmer than usual, you might be wondering, “Is this normal?” These early changes are often the body’s way of signaling that menopause is approaching.
Menopause is a natural life stage, but the transition can feel confusing or even overwhelming. Many women begin experiencing perimenopause—the years leading up to menopause—without realizing what is happening. Understanding the first signs can help you take charge of your health, prepare for changes, and find support that makes the journey easier.
With same-day virtual care from licensed providers, you can get answers and relief from the comfort and privacy of home.
What Is Menopause?
Menopause marks the end of menstrual cycles and a woman’s reproductive years. It is diagnosed when you have gone 12 months without a period, typically between ages 45 and 55.
The years before menopause are known as perimenopause. During this time, hormone levels—especially estrogen and progesterone—rise and fall unevenly. These fluctuations can cause physical and emotional changes that may start several years before your final period.
According to the North American Menopause Society, most women begin perimenopause in their mid-to-late 40s, though some notice symptoms earlier.
Causes of Menopause and Perimenopause
The most common cause of menopause is the natural decline in ovarian hormone production. As the ovaries produce less estrogen and progesterone, menstrual cycles become irregular and eventually stop.
Other causes that can bring on menopause earlier include:
Surgical removal of the ovaries
Chemotherapy or radiation treatment
Certain autoimmune or genetic conditions
Family history of early menopause
No matter the cause, menopause is a normal biological process. What matters most is understanding your symptoms and finding support that helps you feel your best.
Common Symptoms
The symptoms of perimenopause and menopause can vary greatly. Some women notice only subtle changes, while others experience more pronounced shifts.
Menstrual Changes
Irregular or missed periods
Heavier or lighter bleeding than usual
Shorter or longer cycle lengths
Physical Symptoms
Hot flashes or sudden feelings of warmth
Night sweats and difficulty sleeping
Fatigue or loss of energy
Weight gain, especially around the abdomen
Vaginal dryness or discomfort during intimacy
Emotional and Cognitive Symptoms
Mood swings or increased irritability
Anxiety or mild depression
Trouble concentrating or “brain fog”
Other Common Changes
Thinning hair or dry skin
Breast tenderness
Lower libido
When to seek care: If you experience heavy bleeding that soaks through pads, bleeding between periods, or cycles lasting longer than seven days, schedule an in-person evaluation.
Why Early Care Matters
Recognizing the first signs of menopause allows you to take steps that protect your health and comfort. Early care can help you:
Manage symptoms before they disrupt your daily life
Protect bone and heart health as hormone levels change
Address sleep and mood changes proactively
Explore safe treatment options with a licensed provider
Many women find that early conversations with a healthcare provider make the transition smoother and less stressful.
Lifestyle and Self-Care Tips
Virtual care offers a private and convenient way to manage menopause symptoms. Through QuickStop Health, you can:
Discuss your symptoms with a licensed provider
Receive guidance on over-the-counter and prescription options when appropriate
Explore safe hormone and non-hormone therapies
Get referrals for lab testing or in-person visits if needed
Telehealth is often the best first step. It saves time, protects your privacy, and connects you with expert care without leaving home.
Preparing for Your Telehealth Visit
Before your appointment, gather a few details to help your provider understand your experience:
Record recent menstrual patterns and symptom changes
Note any new physical or emotional changes
List medications and supplements you are taking
Prepare questions about lifestyle adjustments or treatments
Your provider will review your history and discuss a personalized care plan that fits your needs and preferences.
Take the Next Step With QuickStop Health
You do not have to navigate menopause or perimenopause alone. A licensed QuickStop Health provider can help you understand what your body is telling you and guide you toward relief and confidence through this natural transition.
This content is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with any questions about your health.
Reviewed by: Jasy Yin, NP, Licensed Nurse Practitioner specializing in women’s health