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Integrative Family Health Clinic in Bolton and the Greater Caledon Area
4-22 Simona Drive
Bolton, ON
four stages of menopause wildflower health and wellness clinic

Is This Menopause? The Stages of Menopause

Menopause is a milestone of women’s health. But how do you know if you’re going through menopause (perimenopause) or have passed it (post-menopause)? Learn more about how menopause is diagnosed and how you can support yourself through this phase naturally.

Quick Facts

      • There are four stages that women go through: Pre-menopause, perimenopause, menopause, and post-menopause
      • Menopausal symptoms occur as a natural shift in hormone production with age
      • There are ways to support your hormones¬†naturally to promote a smooth transition from one hormonal phase to the next¬†

What are the female hormones and what do they do?

There are two major female hormones: 

Hormone Produced By Function
Estrogen Mainly by the ovaries, to a lesser extent by the adrenal glands and fat cells Effects include regulating the menstrual cycle; maintaining: muscles and connective tissue, heart and blood vessels, brain, bones, skin, and hair.
Progesterone Mainly by the corpus luteum in the ovaries, to a lesser extent by the adrenal glands Prepares the uterine lining for pregnancy; maintaining pregnancy; and supporting thyroid function, mood, and breastmilk production.

Source: Johns Hopkins Medicine, Cleveland Clinic

The stages of menopause

There are generally four stages of female hormones in a woman’s lifetime:¬†

      1. Premenopause: This is the period of time when both estrogen and progesterone are sufficient in levels to produce regular menstrual cycles and to support a potential pregnancy.
      2. Perimenopause: This means “around menopause,” which begins when periods become less regular, typically around a woman’s 40s.¬†
      3. Menopause: This stage starts from the last menstrual period until the post-menopausal stage, 12 months later. This stage is typically when menopausal symptoms like hot flashes and sleeplessness are most intense. 
      4. Post-menopause: This stage comes after 12 consecutive months without a period. 

What happens during menopause?

During perimenopause, the ovaries down-shift their production of estrogen and progesterone. When levels of these hormones are no longer optimal to produce a regular menstrual cycle, menopause starts, and so can the symptoms of menopause.

Typical symptoms that occur during menopause as a result of these hormonal changes are: 

      • hot flashes
      • sleeplessness
      • low energy
      • low libido
      • vaginal dryness
      • night sweats
      • weight gain
      • bloating¬†
      • mood changes

Although these symptoms are¬†common, they’re¬†not normal, and there are ways to support your hormonal transition without experiencing intense symptoms that disrupt your day-to-day life.¬†

Treatment options for menopause

Treatment starts with proper assessment of your hormone levels, understanding your body’s ideal hormone levels, and how to manage your symptoms as you go through menopause.¬†

Depending on your case, your healthcare provider may suggest one or a combination of the following:

      • Hormone replacement therapy
      • Lifestyle modifications
      • Stress management
      • Natural remedies, such as botanical medicines
      • Other supportive therapies, such as acupuncture

You don't have to go through menopause or perimenopause alone.

Wildflower clinicians are here to support you through a comfortable transition through menopause.