At what age does menopause start? The average age for the last period in the Netherlands is 51, but the normal range spans 45-55. Perimenopause typically begins 4-8 years earlier.
Early menopause
Menopause before 45 is considered early. Before 40, it is called premature ovarian insufficiency (POI), affecting about 1% of women. Causes include genetics, autoimmune conditions, surgery, cancer treatment and smoking.
Factors influencing timing
Genetics is the strongest factor. Smoking advances menopause by 1-2 years. Very low body weight, number of pregnancies and ethnicity also play smaller roles.
Can you predict when it will start?
No test gives exact predictions, but family history, AMH levels (ovarian reserve), FSH levels and cycle changes can provide indicators.
Frequently asked questions
Is 42 too young for menopause?
42 is slightly outside the normal range (45-55) and considered relatively early. If you experience symptoms at this age, have your hormone levels tested.
Can I delay menopause?
There is no proven way to delay menopause. A healthy lifestyle and not smoking can help prevent it from occurring earlier than your genetic baseline.
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