The Menopause Years

Tier 2: Professional organization or credentialed expert guidance
Publisher: American College of Obstetricians and Gynecologists · Published: August 2, 2026 · Accessed: August 2, 2026

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Claims this source supports

• Perimenopause usually begins in the 40s, though it may begin earlier, and changing menstrual cycles are a common sign.
• Hot flashes, sleep problems, vaginal dryness, and mood changes may occur during the menopause transition.
• Very heavy bleeding, bleeding between periods, or bleeding after a year without periods are changes worth discussing with an ob-gyn.