All you need to know about
Women in mid-40s, usually enter a phase called perimenopause. During this phase, the
menstrual cycle begins to change. This may last from ages 45 to 55, although the timing
may differ from person to person.1If you have not had your periods (menstrual cycle) for 12 consecutive months,
you've reached menopause.1
When do you need contraception
Women younger than 50 years
Women older than 50 years
Important tests that the doctor may recommend around midlife3
Tests to check calcium, magnesium, and vitamin D levels
Tests for diabetes, hypertension, cholesterol
As you are nearing menopause, you may experience 1 or more of the following symptoms3,4
Visit your doctor if you experience one or more of the following situations 1,5,6
Heavy bleeding during your periods
Bleeding that is heavier or lasts for more days than usual
Bleeding/spotting between the period or sexual intercourse
Emotional or depressive symptoms affecting daily tasks
1.Perimenopausal Bleeding and Bleeding After Menopause Available at https://www.acog.org/womens-health/faqs/perimenopausal-bleeding-and-bleeding-after-menopause Accessed on September, 2022.
2.Contraception in perimenopause: practice points for GPs. Available at https://www.menopause.org.au/hp/gp-hp-resources/contraception-in perimenopause-practice-points-for-gps Accessed on July, 2022.
3.Poise July-Aug 2010. Available at https://www.indianmenopausesociety.org/assets/pdf/general-public/poise-magazine/Poise_July_Aug10.pdf Accessed on July, 2022.
4.Menopause-Definition and diagnosis. Available at https://www.indianmenopausesociety.org/assets/pdf/gynaecologist/Menopause-PPT-Assessment.pdf Accessed on September, 2022.
5.Long WN. Abnormal Vaginal Bleeding. In: Walker HK, Hall WD, Hurst JW, editors. Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition. Boston: Butterworths; 1990. Chapter 173. Available from: https://www.ncbi.nlm.nih.gov/books/NBK282/
6.Menopause and mental health. Available at https://www.indianmenopausesociety.org/assets/pdf/general-public/poise-magazine/Poise_5.pdf Accessed on July, 2022.