The Three Stages of Menopause

The Three Stages of Menopause

The Three Stages of Menopause

Menopause is just one part of a bigger hormonal story – a long arc of change driven by the slow decline of estrogen, progesterone and testosterone. These hormonal powerhouses don’t just regulate your cycle – they influence everything from mood and sleep to bone density and brain function. So, when they start to drop, you feel it.

Menopause is just one part of a bigger hormonal story – a long arc of change driven by the slow decline of estrogen, progesterone and testosterone. These hormonal powerhouses don’t just regulate your cycle – they influence everything from mood and sleep to bone density and brain function. So, when they start to drop, you feel it.

Menopause is just one part of a bigger hormonal story – a long arc of change driven by the slow decline of estrogen, progesterone and testosterone. These hormonal powerhouses don’t just regulate your cycle – they influence everything from mood and sleep to bone density and brain function. So, when they start to drop, you feel it.

Here’s how the three stages unfold:

Perimenopause

This is the real main event. Your periods start to misbehave — showing up early, late, or not at all — while symptoms like hot flushes, brain fog, sleep disruption and mood swings quietly move in and unpack. Perimenopause usually begins in your 40s (sometimes earlier), and it can last anywhere from one year to more than a decade. Most women sit somewhere between four and six years.

Menopause

You’re officially in menopause when you’ve gone 12 consecutive months without a period. Technically it’s just one day on the calendar. The average age? Around 51, but it varies. It doesn’t mean everything suddenly settles. It just means you’ve crossed the threshold.

Post-menopause

Your are now in menopause but your body’s still adjusting. Hormone levels remain low and that can impact everything from bone and heart health to memory, muscles and mood. This is the time to get serious about long-term wellbeing – because you’ve got decades of living still to do.

Here’s how the three stages unfold:

Perimenopause

This is the real main event. Your periods start to misbehave — showing up early, late, or not at all — while symptoms like hot flushes, brain fog, sleep disruption and mood swings quietly move in and unpack. Perimenopause usually begins in your 40s (sometimes earlier), and it can last anywhere from one year to more than a decade. Most women sit somewhere between four and six years.

Menopause

You’re officially in menopause when you’ve gone 12 consecutive months without a period. Technically it’s just one day on the calendar. The average age? Around 51, but it varies. It doesn’t mean everything suddenly settles. It just means you’ve crossed the threshold.

Post-menopause

Your are now in menopause but your body’s still adjusting. Hormone levels remain low and that can impact everything from bone and heart health to memory, muscles and mood. This is the time to get serious about long-term wellbeing – because you’ve got decades of living still to do.

Here’s how the three stages unfold:

Perimenopause

This is the real main event. Your periods start to misbehave — showing up early, late, or not at all — while symptoms like hot flushes, brain fog, sleep disruption and mood swings quietly move in and unpack. Perimenopause usually begins in your 40s (sometimes earlier), and it can last anywhere from one year to more than a decade. Most women sit somewhere between four and six years.

Menopause

You’re officially in menopause when you’ve gone 12 consecutive months without a period. Technically it’s just one day on the calendar. The average age? Around 51, but it varies. It doesn’t mean everything suddenly settles. It just means you’ve crossed the threshold.

Post-menopause

Your are now in menopause but your body’s still adjusting. Hormone levels remain low and that can impact everything from bone and heart health to memory, muscles and mood. This is the time to get serious about long-term wellbeing – because you’ve got decades of living still to do.

The First Signs of Perimenopause

Perimenopause doesn’t always make a dramatic entrance. No sirens, no flashing lights – only a handful of sneaky symptoms that leave you wondering: is it just me? Newsflash: it’s not just you.

A lady holding a fan
A lady holding a fan

Here’s what the early signs can look like:

Here’s what the early signs can look like:

Here’s what the early signs can look like:

Your periods are all over the shop

Once upon a time, your cycle ran like clockwork. Now it’s ghosting you, turning up early, or arriving like it’s got something to prove. Totally normal. Totally annoying.

Hot flushes & night sweats

The stars of the show. You’re fine one minute, then boom — internal bonfire. Night sweats? Same deal, just with bonus sleep deprivation.

Sleep’s a nightmare

Falling asleep takes longer. Staying asleep feels optional. And that lovely 3 a.m. wide-awake window? Happens to a lot of us.

Mood swings

One minute you’re fine, the next you’re bawling. Your dipping serotonin and dopamine levels are the culprits.

Brain fog

Can’t remember that word? Or why you opened the fridge? Or where your phone is (it’s in your hand)? You’re not losing the plot, you’re losing estrogen.

Everything bugs you

The sun is shining. Damn it, the sun isn’t shining. The bloody pasta isn’t al-bloody-dente! Your tolerance is shot because your progesterone levels are falling.

Skin and hair go off-script

Where’d this pimple come from? Why’s my skin so flaky and itchy? Dear God, am I going bald? Why am I growing whiskers!? When estrogen dips, things get weird.

Downstairs drama

Vaginal dryness, discomfort, leaks or more frequent UTIs — it’s not glamorous, but it is common.

Libido’s left the building

Testosterone’s going bye-bye. Add dryness and fatigue into the mix, and intimacy slips wayyyy down the priority list.

Your waistline’s had enough

The kilos are sneaking onto your midriff and your gut’s bloating for no good reason. Your metabolism’s slowing, and estrogen is shifting fat storage. Cortisol (your stress hormone) isn’t helping, either.

Achy breaky body

Back twinges. Joint stiffness. Estrogen used to help keep inflammation at bay. With less of it, your body’s letting you know.

Teeth and gum tantrums

Bleeding gums? Wobbly teeth? Turns out, estrogen supports bone density in your jaw, too. Of course it does…

Dry everything

Dry eyes. Itchy skin. Tingling hands and feet. Estrogen’s moisture magic is fading, leaving you parched in odd spots.

Heart flutters and head spins

Palpitations, dizziness or headaches can be part of this phase, too.

Want to find out more?

To find out more about peri-menopause, download our FREE UnPause Straight Talking Guide to Menopause.

The UnPause Straight talking guide

Want to find out more?

To find out more about peri-menopause, download our FREE UnPause Straight Talking Guide to Menopause.

The UnPause Straight talking guide

Want to find out more?

To find out more about peri-menopause, download our FREE UnPause Straight Talking Guide to Menopause.

The UnPause Straight talking guide
over the whelm?

Book your appointment with one of our Menopause GP’s today.

over the whelm?

Book your appointment with one of our Menopause GP’s today.

over the whelm?

Book your appointment with one of our Menopause GP’s today.

Health Disclaimer: We’re here to support your health journey with personalised care and reliable information. The content on this site is designed for general education to help you better understand peri-menopause. It’s not a replacement for personalised medical advice, diagnosis, or treatment from a qualified healthcare professional. Please speak directly with a healthcare provider about your specific needs.

Health Disclaimer: We’re here to support your health journey with personalised care and reliable information. The content on this site is designed for general education to help you better understand peri-menopause. It’s not a replacement for personalised medical advice, diagnosis, or treatment from a qualified healthcare professional. Please speak directly with a healthcare provider about your specific needs.

Health Disclaimer: We’re here to support your health journey with personalised care and reliable information. The content on this site is designed for general education to help you better understand peri-menopause. It’s not a replacement for personalised medical advice, diagnosis, or treatment from a qualified healthcare professional. Please speak directly with a healthcare provider about your specific needs.

© 2025 Unpause Pty Ltd. All rights reserved.

Health Disclaimer: This site shares general health information only. It’s not a substitute for personalised medical advice. Always speak with your healthcare provider. In an emergency call 000 ( in Australia ).

© 2025 Unpause Pty Ltd. All rights reserved.

Health Disclaimer: This site shares general health information only. It’s not a substitute for personalised medical advice. Always speak with your healthcare provider. In an emergency call 000 ( in Australia ).

© 2025 Unpause Pty Ltd. All rights reserved.

Health Disclaimer: This site shares general health information only. It’s not a substitute for personalised medical advice. Always speak with your healthcare provider. In an emergency call 000 ( in Australia ).