How do I know if my menopausal symptoms are “normal”?

It’s typical for your first symptoms of perimenopause to be changes in menstrual bleeding. It’s also typical for hot flashes to come next, followed by or along with other symptoms.

As you get closer to your last period, all symptoms may be more obvious and bothersome. The most important thing is that you talk with your ob-gyn, especially about bleeding changes. Though these changes are often normal, your ob-gyn will want to be sure they aren’t a sign of a medical problem.

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This information is designed as an educational aid for the public. It offers current information and opinions related to women's health. It is not intended as a statement of the standard of care. It does not explain all of the proper treatments or methods of care. It is not a substitute for the advice of a physician. Read ACOG’s complete disclaimer.