What Are the Stages of Menopause?

Published on:

Reviewed By Blake Gilliam, CRNP

Reading Time: 4 minutes

Menopause is a natural process that all women experience as they age. Understanding the stages and what to expect can empower you to embrace this new chapter of your life with confidence.

In this blog, we will explore the three main stages of menopause. Be sure to check out our previous blog Signs Perimenopause Is Over.

Key Takeaway

Menopause is a natural process with three distinct stages: perimenopause, the transitional phase with irregular periods and other symptoms; menopause, the end of menstrual cycles; and postmenopause, the years after with stabilized hormones.


Perimenopause is the first stage of menopause and marks the beginning of the menopausal transition. During this period of time, your reproductive hormones like estrogen and progesterone begin to fluctuate, leading to changes in your menstrual periods and the onset of menopausal symptoms. 

Common symptoms:

  • Irregular periods
  • Hot flashes
  • Sleep disturbances
  • Emotional symptoms such as mood swings and anxiety
  • Decreased sexual desire
  • Weight gain

The perimenopausal stage can last for several years and often starts in a woman’s 40s, though it can happen earlier, resulting in what is known as premature menopause. It’s essential to maintain a healthy diet and regular exercise to mitigate some of these symptoms.

Tips for Managing Perimenopause Symptoms:

  1. Practice stress-reducing activities like yoga or meditation.
  2. Follow a balanced diet rich in nutrients.
  3. Consider talking to your healthcare provider about bioidentical hormone replacement therapy.


Menopause is officially diagnosed when you haven’t had a menstrual period for 12 consecutive months. The average age of menopause in the United States is around 51. At this stage, estrogen levels drop significantly, and your ovaries stop releasing eggs.

Common Symptoms:

  • Increased hot flashes
  • Decreased sex drive
  • Vaginal dryness
  • Weight gain
  • Heart rate changes


Postmenopause period refers to the years after menopause. Your hormone levels will stabilize at lower levels, and menopausal symptoms will generally decrease or disappear. 

Postmenopausal women are at a higher risk of certain health conditions due to the continued low levels of reproductive hormones, particularly estrogen.

Health Risks to Monitor:

  • Heart disease
  • Osteoporosis
  • Weight gain

Maintaining a healthy diet, regular exercise, and routine medical check-ups are crucial during this stage. Discuss with your healthcare provider about estrogen production boosters or menopausal hormone therapy if needed.

Lifestyle Tips for Postmenopausal Women:

  • Engage in strength training exercises to strengthen bones.
  • Monitor heart disease risk factors like cholesterol and blood pressure regularly.
  • Ensure you have a family history record to discuss with your healthcare provider.

Your New Chapter with Madison Integrative Medicine

Understanding the stages of menopause can make your menopause journey more manageable. Remember, it’s a natural transition that signifies a new phase of your life

Whether you’re experiencing symptoms of menopause or preparing for this period of time, staying informed and connected with your healthcare provider is important for maintaining quality of life and overall well-being.

At Madison Integrative Medicine, our experienced team is dedicated to helping women navigate through menopause with personalized care and treatment plans.

If you are searching for ‘hormone replacement therapy in Madison, AL’ call (256) 325-0955 to book an appointment or complete the online inquiry form.

Frequently Asked Questions

At what stage is menopause the worst?

The severity of menopausal symptoms varies from woman to woman, but many find perimenopause to be the most challenging stage. During perimenopause, hormone levels fluctuate significantly, leading to a variety of symptoms such as hot flashes, mood swings, and irregular periods. The intensity and frequency of these symptoms can be quite pronounced as the body transitions towards menopause.

What signals the end of menopause?

The end of menopause is signaled by going 12 consecutive months without a menstrual period. This marks the official transition into postmenopause. At this stage, your hormone levels, particularly estrogen and progesterone, stabilize at lower levels, and many menopausal symptoms begin to decrease or disappear.

Do you age quickly after menopause?

Menopause itself does not cause rapid aging. However, the decline in estrogen levels during and after menopause can lead to changes such as skin dryness and a decrease in bone density, which might be perceived as signs of aging.

Ready to take charge of your health?

Book an appointment today, call us at (256) 325-0955, or drop us an email at info@madintmed.com.
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