Here's what women need to know about early menopause, which occurs between ages 40 and 45, and premature menopause, which occurs before age 40. JackieRocheleau: LeslieMac MiddlesexMD HopkinsMedicine
The first sign a woman is entering perimenopause is variation in her periods. “Typically, what we use to help identify women in perimenopause is a change in periods," DePree said. “Associated with that, oftentimes, are cyclic night sweats."
But the menopausal experience differs from woman to woman. Some don't experience any symptoms at all. According to, in the division of gynecology at Johns Hopkins and director of the Menopause Consultation Clinic, most experience some moderate symptoms, commonly hot flashes and irregular bleeding. Other symptoms are night sweats, sleep issues, vaginal dryness, loss of libido, mood changes and weight gain..
“Estrogen is an important protective hormone, and by missing out on a decade or more of that, they are at greater risk of chronic conditions," DePree said. Premature or early menopause leads to ovarian failure at least six years earlier than average, which means progesterone and estrogen levels drop off that much earlier. Taking hormone therapy until the average age of menopause means the body gets a few more years of exposure to higher hormone levels, which provides health benefits.
"That will help maintain their heart, bone and brain health so that they do not have an early heart attack, early onset dementia or osteoporosis," Shen explained.
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