menopause in your forties

Menopause In Your Forties – Here’s What You Need To Know

Menopause in your forties?! But menopause only starts in your fifties right? Wrong! 

As a woman who was perimenopausal from 38 and was only diagnosed at 44, I can tell you that I fully expect to be done with menopause by 50 (OK this may be wishful thinking, but still)

This will have its upside but man alive it took a lot of pain, sadness and fear before I found out it was menopause causing ALL of my issues. Yes, ALL of my issues. 

I have spoken a lot about my symptoms in my perimenopause symptom post, so go check it out. 

This post is dedicated to finding out why we all have our info wrong and what can be done about it. Menopause in your forties is a real thing.

Why did I not know?

Let’s fly on back to the early 1990s, Take That was about to hit our airwaves and Bros broke my heart by splitting up, prompting my ceremonial binning of all my Grolch Bottle Tops. 

At that time Sex Education was as basic as basic could be. Here is what a vagina looks like, here is a penis and this is what happens. As for periods, it was even worse. 

I will never forget being handed my little blue Tampax pouch. The little faux leather pouch you could zip open and find 2 tiny yellow Tampax, a vanity case to put them in and a “How To” leaflet inside. 

That was it. 

There may have been a passing comment about menopause whose headlines were “your periods stop at 50 and you get hot flushes” but really and truly that was it. 

So you can imagine my surprise when at the ripe old age of 44 I was diagnosed as perimenopausal. Erm excuse me, I am not 50 and YOU Mr GP told me my hot flashes were stressful. 

Menopause in your forties can come as a shock, especially when my menopause specialist doctor and I realised that my symptoms had been going on since I was 38. 

6 Years of thinking something was very wrong. I diagnosed myself with everything you can imagine. If you want to know more about me, check out the About page and get the goss. 

OK let’s analyse this thing and take a look at the most common questions around early menopause / Perimenopause.

What Does Menopause in Your Forties Look Like?

 

Well, a lot like any other age but more likely to be ignored by your GP. Being honest.

First, let’s take a look at terminology. Premature menopause refers to women whose ovaries stop producing eggs under 40 years old, early menopause for those between 40 and 45 and good old standard menopause for those over 45. 

Perimenopause is the stage leading up to menopause. 

Nothing annoys me more than when I see time and time again, people boiling menopausal symptoms down to hot flushes, irregular periods, mood swings and brain fog

This is the reason why women suffer for as long as they do. Outside of these symptoms, very few GPs will take you seriously when you tell them you think you are menopausal. 

It doesn’t matter what age you are, if you are having any of the symptoms I have listed in my symptom checker, it could be menopause in your forties. 

Go see a GP who specialises in Menopause. 

If your local surgery doesn’t have one, make them refer you. Keep a diary, be persistent and get yourself checked out. 

There are so many reasons that you might be perimenopausal that you don’t even know. I didn’t know my Mum started menopause when she was 40. Had no clue that your mum’s genetics make a difference when you start menopause. 

I was poorly educated in this field, I didn’t spot the signs and suffered for a long time. 

Am I in Menopause or Perimenopause?

Perimenopause is the time leading up to menopause. You have officially started menopause when you have not had a period for 12 months. Up to then, you are perimenopausal. ALL the symptoms are the same no matter what stage you are in but when the periods are 12 months gone, you are menopausal.

menopause timeline

What Are The First Signs of Perimenopause?

I have written an entire blog dedicated to the 20 most common perimenopause symptoms with a few bonus symptoms thrown in, go and check it out.

For me, the earliest symptoms of menopause in your forties were anxiety, sore joints, fatigue, migraines and eye twitching. 

I went to the doctor so many times but because I was in a stressful job it was all put down to stress. 

Not once did anyone think to test my hormone levels. At one point my arm was so sore that I would cry most days. It felt like a hot stabbing pain just below my shoulder on my upper arm. I had scans and X-rays and of course, nothing was found. Since taking HRT I have had none of those issues. 

Anxiety is awful, truly awful. It can lead you to feel so crappy that you dare not contradict the doctor, I mean what do you know about anything right? 

Don’t listen to it, be strong, be kind to yourself, keep a diary and note every single symptom. After a few months go in armed to the teeth. Anxiety or not, you can 100% do this, you DESERVE to be treated correctly. No one knows your body like you do. 

How Long Does The Transition To Menopause Last?

This one will differ from woman to woman.

In a lot of cases, it changes depending on which medical body you listen to but you are looking at anywhere between 2 and 10 years. I am in year 6 of perimenopause (at the time of writing this) and still have my periods.

If we were taught at school that menopause starts at 50 then we should have been told that perimenopause can start as early as 42… 

I have no clue what the world of science did or did not know back then but I know that now we should be telling our young women that it can start early. 

We need to be able to prepare for it. 

I often think about what the costs were of the many tests I had for all my symptoms which were all perimenopause. 

We could save the NHS a lot of money if more GPs were trained on menopause. I am not saying GPs do not get menopause training but I do strongly believe that if by 2025 over 1 billion women around the world will have experienced perimenopause, we should know a lot more about it…

 

Over 1 billion women around the world will have experienced perimenopause by 2025

What Are The Treatment Options For Early Menopause?

Speaking from experience the only thing which stopped my pain, anxiety, forgetfulness, migraines, sore teeth and hair loss was HRT. 

I found the most wonderful HRT specialist who spent time with me and gave me Estrogen gel and Progesterone tablets

Within a week the symptoms I had suffered with for many years were going, a couple of weeks later and they were gone.

There are other treatments out there that you can look at, lots of natural remedies and supplements. I am no expert in this so do your research but here is a good place to start, lots of helpful information here from people in the know. 

https://www.rcog.org.uk/for-the-public/menopause-and-later-life/hrt-and-alternatives/

The realisation that you might be perimenopausal or menopausal in your 40s can come as a bit of a shock, but it is not the end of the world by any means. 

The best thing you can do is keep tabs on how you are feeling and really take note of what is happening and when it happens. 

Early menopause is real, it happens, and it can happen earlier than 40, much earlier, but we need to change the way we think about Menopause. 

We need to educate our kids, boys included. Let’s make sure that we tell our friends all about our symptoms and what to look out for and let’s trust our gut. 

If you think you might be perimenopausal or menopausal, push your GP for a test. I know testing for perimenopause can be tricky with hormones flying around all over the place but it is worth a shot. Then you can find a way that suits you perfectly to ride this hormonal wave.

Kathryn x

Disclaimer: I am not a medical professional, herbal or physical therapist, and I am not educated in the menopause space. All opinions expressed on this blog are my own and should not be taken as medical advice. This blog is intended to share my personal experiences and insights, and should not be used as a substitute for professional advice. Please consult a qualified medical professional, herbal or physical therapist for any health-related concerns. Additionally, I strive to keep things light and entertaining, but please keep in mind that the topics discussed on this blog may be sensitive or triggering for some readers.

The perimenopause Symptom Tracker

Is your doctor not taking your symptoms seriously?

I was 38 and perimenopausal and no one would take me seriously, so I spent months tracking my symptoms and went back to the doctor armed with as much data as I could. Only then was I tested and it was confirmed I was Perimenopausal.

Get your facts and symptoms in order with this symptom tracker and then present it to your doctor, clearly showing what is happening and when.

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