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The menopause is a natural change in the balance of the body's sex hormones, which occurs as you get older. It happens when your ovaries stop producing as much of the hormone oestrogen and no longer release an egg each month. Menopause has been reached when it has been 12 months since your last period. Periods usually start to become less frequent over a few months or years before they stop altogether. Sometimes though, they can stop suddenly.

The menopause usually occurs between 45 and 55 years of age, but some women experience the menopause before 45 years of age. This is known as early menopause and can sometimes happen naturally, or due to surgery or some medicines.

Perimenopause refers to the time leading up to natural menopause where oestrogen is declining and menopausal symptoms commence.