Menopause Symptoms: Knowing When to Seek Medical Care in Australia and New Zealand

For too long, many people have endured menopause symptoms, thinking that suffering through life-altering changes is just “normal” or “part of life.” While menopause is a natural phase, no one should have to endure debilitating physical or mental symptoms. Unfortunately, many people report struggling for years with symptoms that could have been addressed much earlier. This reluctance to seek help often stems from ageism, misconceptions, and a lack of adequate reproductive healthcare support. Menopause care is healthcare—just like any other part of your wellbeing—and there should be no hesitation in seeking medical help when symptoms are affecting your life. Support and treatment options are available as part of your standard care.

Timing: When Does Menopause Begin?

There’s no set timeline for when menopause begins, as each person’s experience is unique. In Australia and New Zealand, the average age for someone to reach menopause—defined as 12 consecutive months without a period—is around 51. However, the transition into menopause, called perimenopause, often begins in a person’s 40s, though it can start earlier or later depending on the individual.

If you’re under 45 and experiencing symptoms associated with menopause, it’s important to consult your GP or gynaecologist. Early menopause—when periods stop before the age of 45—can occur naturally or as a result of medical interventions, such as cancer treatments, a hysterectomy, or gender-affirming care. If you’re experiencing these symptoms at a younger age, seeking professional advice is crucial.

Severity: When Should You Seek Help?

One of the most common early signs of perimenopause is a change in your menstrual cycle, which might involve lighter or heavier bleeding, irregular cycles, or periods that come earlier or later than usual. While these changes can be caused by a range of factors, it’s important to talk to your doctor about any cycle changes. Your doctor can assess whether your symptoms are linked to perimenopause or another condition.

The severity of your symptoms also plays a role in deciding when to seek medical care. If your menopause symptoms, such as hot flushes, mood swings, or sleep issues, are interfering with your daily life, it’s time to seek help. The sooner you talk to a healthcare professional, the sooner you can find effective solutions. And if you feel that your healthcare provider isn’t listening to your concerns, seeking a second opinion is always an option.

When to See Your GP: Key Symptoms to Watch For

Menopause symptoms can vary widely, but common signs include:

• Anxiety and changes in mood (e.g., irritability, low mood)
• Skin changes, such as dryness, oiliness, or adult acne
• Sleep disturbances, leading to fatigue, irritability, and difficulty concentrating
• Discomfort during sex, including vaginal dryness or pain
• Hair loss or thinning
• Headaches or migraines
• Hot flushes (sudden heat, often in the face, neck, or chest, leading to redness and sweating)
• Increased facial hair
• Joint stiffness, aches, and pains
• Loss of self-confidence or changes in self-esteem
• Night sweats (hot flushes during sleep)
• Palpitations (noticeable heartbeats or irregular rhythms)
• Cognitive issues like memory problems, concentration issues, or “brain fog”
• Frequent urinary tract infections (UTIs)
• Urinary incontinence (both urge and stress incontinence)
• Reduced sex drive or libido
• Tinnitus (ringing in the ears)
• Vaginal dryness and pain during intercourse

Early Intervention: A Path to Better Health

It’s important to recognise when menopause symptoms start to affect your quality of life and to seek early intervention. Menopause is a transitional phase, but it doesn’t have to be debilitating. A GP or gynaecologist can offer you accurate information, manage your symptoms, and help you explore treatment options tailored to your health needs.

Menopause care is part of your overall healthcare, and treatment should address both the physical and emotional changes you might be experiencing. Your doctor is there to guide you through the available options, which may include lifestyle changes, hormone therapy, or other treatments.

Don’t hesitate to seek support—whether it’s for physical symptoms or mental health concerns. With the right treatment and a supportive healthcare provider, you can navigate menopause with confidence and enjoy a better quality of life during this phase of your health.