Perimenopause and menopause: tracking the changes

Before menopause, there are often several years of changes. Tracking them helps you understand what’s going on and talk about it.

Perimenopause, menopause: what’s the difference?

Menopause is when periods stop for good. It is confirmed after 12 months without a period. It most often happens around the age of 50. Perimenopause is the transition period before it: it can start several years earlier, often after 40.

Common signs

• Irregular periods, closer together or further apart, heavier or lighter.
• Hot flushes and night sweats.
• Trouble sleeping, waking up in the night.
• Irritability, anxiety, low mood, difficulty concentrating.
• Vaginal dryness, lower sex drive, more urgent need to pee.
• Joint pain, drier skin.

Why track your symptoms

These signs come and go, which makes them hard to describe at an appointment. Logging them lets you see whether they are increasing, easing, or still following a rhythm linked to your cycle. It’s a valuable starting point to discuss possible solutions with your doctor, with or without hormone therapy.

When to see a doctor

Talk to your doctor if your symptoms disrupt your daily life, and see a doctor without delay if you have bleeding after menopause (more than 12 months after your last period).

Ragnagna is not a medical device and does not replace advice from a health professional. If in doubt, talk to your doctor, midwife or gynaecologist.