This page summarises publicly available NHS information for educational purposes only. It is not medical advice or a diagnosis. Always consult a qualified healthcare professional.
What is early or premature menopause?
Menopause before age 40 is called premature menopause; between 40 and 45 it's called early menopause. Symptoms are the same as normal menopause — hot flushes, night sweats, irregular or missed periods, mood changes, and vaginal dryness — but happen earlier. Hormone replacement therapy (HRT) is usually recommended to protect bone and heart health.
When NHS resources suggest seeing a GP
- Your periods stop or become very irregular before age 45.
- You have hot flushes, night sweats, or mood changes and are under 45.
- You're struggling to conceive and have menopause-like symptoms.
- You have a family history of early menopause and want to plan ahead.
- Symptoms are affecting your sleep, work, or relationships.
Self-care information from NHS
- Discuss HRT with your GP — it's usually recommended until at least age 51 to protect bones and heart.
- Take regular weight-bearing exercise (walking, running, strength training) to protect bone density.
- Eat a calcium-rich, balanced diet and consider vitamin D supplements.
- Dress in layers and keep cool to manage hot flushes.
- Avoid triggers like caffeine, alcohol, and spicy foods if they worsen flushes.
- Seek emotional support — early menopause can have a significant psychological impact.
Common questions
How is early menopause diagnosed?
Diagnosis is based on symptoms plus blood tests measuring hormone levels (FSH) on two occasions a few weeks apart. If you're under 40 with menopause symptoms, a GP will usually refer you to a specialist for further assessment.
Should I take HRT for early menopause?
HRT is generally recommended for early menopause at least until the average age of natural menopause (around 51). It relieves symptoms and protects against osteoporosis, heart disease, and cognitive changes. Discuss risks and benefits with your GP.
Can I still get pregnant with early menopause?
Natural pregnancy is very unlikely with premature menopause, though occasional ovulation can still happen. IVF with donor eggs is an option. Discuss fertility options with a specialist as early as possible if you want to conceive.
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This page is for informational and educational purposes only. It does not constitute medical advice, diagnosis, or treatment. Always consult a qualified healthcare professional about your individual situation. NorMed organises publicly available NHS information and is not affiliated with the NHS.