The most common signs that you may be entering menopause include changes in your menstrual cycle, hot flashes, night sweats, sleep disturbances, mood changes, vaginal dryness, and changes in sexual desire. Menstrual cycle changes are often one of the first signs. As you near menopause, your periods may become irregular - happening closer together or farther apart. Flow may be lighter or heavier. Eventually periods stop completely for 12 months in a row. This marks the end of menopause. Hot flashes are sudden feelings of warmth in the face, neck and chest that can cause sweating and flushed skin. They often start around the time of missed periods and can continue for years. Wearing light layers makes hot flashes easier to manage. Night sweats cause drenching sweats at night, requiring changing sleep clothes/bedding. Like hot flashes, they can disrupt sleep and persist for years. Using breathable cotton sheets and avoiding spicy foods before bed can help. Sleep issues like insomnia, waking often, and trouble falling back asleep are also common in perimenopause and menopause. Practicing good sleep hygiene with a regular routine, limiting electronics before bed, and not napping during the day may improve sleep. Mood changes, including irritability, anxiety, sadness and trouble focusing are often reported. Hormone changes as estrogen declines can impact mood. Making time to relax and doing things you enjoy helps. Talk to your doctor if mood impacts daily activities. Vaginal dryness and pain can happen when estrogen levels drop. Using a vaginal lubricant like KY® jelly during sex can ease discomfort. Staying sexually active also keeps tissues healthy. Low sexual desire often accompanies the vaginal changes of menopause and can have psychological impacts related to body image as well. Open communication with your partner and trying sexual aids like a vibrator may help overcome these issues.
