"How far am I in menopause?" It is a question many women ask, often from their early 40s. Menopause is not a switch that flips overnight. It is a gradual process that can take years, and it is not always clear which phase you are in.
Menopause in phases
Menopause progresses through three main phases:
Perimenopause can begin around age 40 and lasts 4-8 years on average. Hormones start fluctuating, causing irregular cycles, hot flushes, sleep problems and mood swings.
Menopause is officially reached after 12 consecutive months without a period. The average age in the Netherlands is 51, though anywhere between 45-55 is considered normal.
Post-menopause covers all years after your last period. Hormone levels stabilise at a lower level.
How to determine your phase
Monitor your cycle patterns (shorter, irregular, skipped months), recognise changing symptoms, and consider a blood test. FSH, oestradiol and AMH levels can provide additional insight, though hormone values fluctuate significantly during perimenopause.
What you can do
Knowing where you are helps you take targeted action: lifestyle adjustments, discussing hormone therapy with your doctor if symptoms affect daily life, and monitoring bone health after menopause.
Frequently asked questions
Can I be in menopause while still menstruating?
Yes, perimenopause begins while you are still having periods. Changes in your cycle pattern are among the first signs.
Is there a test that tells exactly how far along I am?
No single test gives a definitive answer. A combination of symptoms, cycle pattern and hormone levels (especially FSH and oestradiol) provides the best picture.
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