Signs of Approaching Menopause: Your Symptoms at 48

Q: Signs of Approaching Menopause: Your Symptoms at 48

Hello： You are very concerned about your health and observant of changes in your body. <br>Based on what you described, clinically, it is considered that you are approaching menopause. <br>The bodily changes you are experiencing are within the normal range for a 48-year-old woman

Is menopause approaching?

Hello Dr.
Dong: I am 48 years old and have a habit of tracking my basal body temperature.
In the past, my high temperature phase could reach about 37 degrees Celsius, but in recent years it mostly only reaches 36.8 degrees.
Previously, my menstrual period would start on the same day my temperature dropped, but lately, my temperature often drops and my period starts the next day.
Additionally, my menstrual flow has been decreasing; sometimes it ends in just two days and the amount is not much.
Recently, my cycle, which used to be 30 to 35 days, has shortened to 26 to 28 days, and in the past few months, it has lengthened again to about 30 to 32 days.
Moreover, I experience dull headaches one or two days before my period starts.
Could these symptoms indicate that I am approaching menopause? Are these symptoms normal? I greatly appreciate your response, doctor.

Sally, 40~49 year old female. Ask Date: 2014/07/02

Dr. Dong Yuhong reply Obstetrics and Gynecology

Hello: You are very concerned about your health and observant of changes in your body.
Based on what you described, clinically, it is considered that you are approaching menopause.
The bodily changes you are experiencing are within the normal range for a 48-year-old woman.
In addition to monitoring your own condition, it is recommended to have regular health check-ups and cancer screenings.
Thank you!

Reply Date: 2014/07/02

More Info

Dear Patient,
Thank you for reaching out with your concerns regarding the signs of approaching menopause at the age of 48. Your observations about your menstrual cycle and body temperature changes are indeed significant and can be indicative of the perimenopausal phase, which is the transitional period leading up to menopause.

Understanding Menopause and Perimenopause
Menopause is defined as the point in time when a woman has not had a menstrual period for 12 consecutive months, marking the end of her reproductive years. The average age of menopause in the United States is around 51, but the transition can begin several years earlier, often in the 40s, which is referred to as perimenopause.

During perimenopause, women may experience a variety of symptoms due to fluctuating hormone levels, particularly estrogen and progesterone. These hormonal changes can lead to irregular menstrual cycles, changes in menstrual flow, and various physical and emotional symptoms.

Signs and Symptoms You Described
1. Changes in Menstrual Cycle: You mentioned that your menstrual cycle has become irregular, with variations in the length of your cycle and a decrease in menstrual flow. This is a common sign of perimenopause. It is not unusual for cycles to shorten and then lengthen again as your body adjusts to hormonal fluctuations.

2. Temperature Fluctuations: Your observation of a decrease in your basal body temperature during the luteal phase (the phase after ovulation) could also be related to hormonal changes. Typically, a rise in temperature indicates ovulation, and a drop suggests the onset of menstruation. However, as you approach menopause, ovulation may become less predictable, leading to changes in these patterns.

3. Premenstrual Symptoms: Experiencing headaches or other symptoms in the days leading up to your period can also be linked to hormonal changes. Many women report increased PMS symptoms during perimenopause.

Is This Normal?
Yes, the symptoms you are experiencing are considered normal during the perimenopausal phase. However, it is essential to monitor these changes and discuss them with your healthcare provider, especially if they become bothersome or if you have concerns about your health.

When to Seek Medical Advice
While many symptoms of perimenopause are normal, you should consult with your healthcare provider if you experience any of the following:
- Severe or debilitating symptoms that affect your quality of life.

- Significant changes in your menstrual cycle that are accompanied by heavy bleeding or prolonged periods.

- Symptoms such as severe headaches, mood swings, or anxiety that are new or worsening.

- Any unusual symptoms that concern you, such as significant weight changes or changes in sleep patterns.

Conclusion
In summary, the changes you are experiencing are likely related to the onset of perimenopause. It is a natural transition that many women go through, and while it can be uncomfortable, there are various management strategies available. Lifestyle changes, dietary adjustments, and, if necessary, hormonal treatments can help alleviate symptoms.
I encourage you to keep a record of your symptoms and menstrual cycle changes and discuss them with your healthcare provider during your next visit. They can provide personalized advice and support tailored to your specific situation.

Thank you for your inquiry, and I wish you the best in managing this transition.

Warm regards,
Doctor Q&A Teams

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