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HomeYour HealthManaging Your HealthAll you need to know about menopause

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

Pregnancy can occur, thus contraception should be used for
2 years after the last menstrual period.2

Women older than 50 years

Contraception can be stopped as you may not get pregnant
if you haven’t got periods for 12 months.2

Important tests that the doctor may recommend around midlife3



  2. Screening mammography

  3. Pap smear

  4. Tests to check calcium, magnesium, and vitamin D levels

  5. Bone density

  6. Eye tests

  7. 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 Accessed on September, 2022.
2.Contraception in perimenopause: practice points for GPs. Available at perimenopause-practice-points-for-gps Accessed on July, 2022.
3.Poise July-Aug 2010. Available at Accessed on July, 2022.
4.Menopause-Definition and diagnosis. Available at 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:
6.Menopause and mental health. Available at Accessed on July, 2022.



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