Menopause typically begins between ages 45-55, but some women experience it much earlier, before 40. Premature menopause can come as a surprise and may raise concerns about fertility, health risks, and overall well-being.
At Salem Women’s Clinic, Inc., in Salem, Oregon, Elizebeth Rose Harmon, MD, FACOG, and the team help you understand the causes and learn your options for navigating this life stage confidently.
Several factors can contribute to early menopause. Genetics may play a role. If your mother or sister experienced early menopause, your chances increase as well.
Other common causes include:
Lifestyle, medical conditions, and environmental factors may also trigger early menopause.
Early menopause triggers the same hormonal changes as typical menopause, just at a younger age. Symptoms may include:
Because these symptoms can also result from other health conditions, speak with a health care provider for an accurate diagnosis.
If you're under 40 and experience menopause symptoms, your provider may recommend a physical exam and blood tests to gauge hormone levels. They may test for follicle-stimulating hormone, estradiol, and anti-Müllerian hormone to evaluate ovarian reserve and function.
Your doctor may also investigate underlying conditions or rule out other causes of missed periods and hormonal imbalances.
Early menopause can’t be reversed, but there are ways to manage symptoms and protect long-term health. With the right support and medical guidance, women can maintain their quality of life and reduce health risks.
Hormone therapy is commonly used to supplement estrogen levels and relieve symptoms like hot flashes, night sweats, and vaginal dryness. It may also help protect against osteoporosis and lower the risk of heart disease in women who experience menopause at a younger age.
These nutrients play a key role in maintaining bone strength, especially when estrogen levels decline. Supplementing with calcium and vitamin D can help reduce the risk of fractures and support long-term skeletal health.
Physical activity helps improve circulation, stabilize mood, and protect heart health. When combined with a diet rich in whole foods, healthy fats, and lean protein, regular physical activity supports weight management and overall well-being.
Early menopause can bring unexpected emotional challenges, including anxiety, grief, or depression. Connecting with a therapist or support group can provide valuable tools for coping and help women feel less alone in their experience.
For women at risk of early menopause, such as those with a family history or facing cancer treatments, fertility planning is important. Options like egg or embryo freezing offer a chance to preserve fertility before menopause begins.
If your period becomes irregular before age 40, or you notice menopause-like symptoms, don’t ignore them. Early evaluation and treatment can help you manage symptoms, protect your long-term health, and make informed decisions about fertility or hormone therapy.
For expert help, call Salem Women’s Clinic or book your appointment online today.
