Myths and facts

You have likely heard some of the many myths about perimenopause and menopause. Find out the facts below.

It is a myth that there is nothing that can be done to manage perimenopause and menopause symptoms, and you just have to put up with them. 

Fact: There are a range of evidence-based treatments for menopause-related symptoms. There is also lots of information and support available. 

Read more about managing symptoms and treatment options.

It is a myth that everyone will have a terrible experience of perimenopause and menopause.

Fact: Everyone’s experience of perimenopause and menopause is different. Around 1 in 4 women report having few or no symptoms, and 1 in 2 have mild to moderate symptoms. Around 1 in 4 women report having severe symptoms that affect their daily life. There is lots of support available if your symptoms are worrying you. 

Hear stories from others about their experiences.

It is a myth that menopause is something you only need to think about when you’re in your 60s.

Fact: In Australia, the average age for menopause is 51, but you might go through the menopause transition earlier or later. Many women begin perimenopause in their 40s, and some experience early menopause before the age of 45 or premature ovarian insufficiency (POI) before the age of 40. Perimenopause can last several years before your periods stop completely and you reach menopause. Looking after your health from a younger age can help you feel better prepared for menopause. 

Read more about menopause.

It is a myth that perimenopause is just ‘premenopause’ and not a significant stage of life of its own.

Fact: Perimenopause is a distinct phase of the menopause transition, marked by hormonal changes that can cause symptoms (physical, mental and emotional) even while your periods continue irregularly. Perimenopause can last up to 10 years and often begins well before menopause itself. Premenopause is not the same as perimenopause. Premenopause is the time from when your period starts, up to the time you reach perimenopause. 

Read more about perimenopause.

It is a myth that hot flushes are the only menopause-related symptom.

Fact: While hot flushes are a common symptom, there are many others that are associated with the menopause transition. Other symptoms can include sleep problems, joint and muscle pain, brain fog or forgetfulness, mood changes, loss of libido (sexual desire), anxiety, vaginal dryness and bladder changes. 

Read more about menopause-related symptoms.

It is a myth that perimenopause makes every woman moody and emotional.

Fact: While low mood and mood changes are common symptoms of perimenopause, not everyone will experience them. If you do, it is important to know that the changes can be due to significant hormonal changes happening in your body – it is not just a matter of being moody. Your mood and emotional wellbeing can also be affected by life factors like stress, sleep problems, caring or domestic load, and work. If you do notice changes in how you feel, it is important to know that support is available. 

Read more about menopause-related symptoms.

It is a myth that you need a blood test to diagnose perimenopause.

Fact: Your doctor will usually be able to diagnose perimenopause based on your age, symptoms and period history. Blood tests are not routinely needed. However, your doctor might order tests if they think you could be experiencing early menopause or premature ovarian insufficiency (POI), or to rule out other health issues that could be causing your symptoms (for example, fatigue can be caused by low iron). 

Talk to you doctor about your symptoms and read more about perimenopause.

It is a myth that you cannot fall pregnant during perimenopause.

Fact: Pregnancy is still possible while your periods continue, even if they are irregular. If you don’t want to become pregnant, you should consider contraception until at least the end of perimenopause (12 months after your final period). Talk with your doctor about contraceptive options that suit you. 

Read more about perimenopause.

It is a myth that Menopausal Hormone Therapy (MHT) is unsafe.

Fact: Like all medicines, MHT has risks and benefits. MHT can be an effective treatment for hot flushes, night sweats, sleep disturbance, vaginal dryness, and to prevent bone loss. For those who are healthy and at the expected age of menopause, the benefits of MHT will outweigh the risks. Risks will depend on things like your health history, the type of MHT, the timing and the dose. There has been lots of misinformation about MHT for many years. It is important to talk to your doctor about MHT and if it is suitable for you.

Read more about MHT and treatment options.

It is a myth that natural or complementary therapies are always safe.

Fact: ‘Natural’ does not automatically mean safe or effective. Some herbal and other complementary medicines can interact with prescribed medications or might not be suitable for people with certain medical conditions. You should discuss any complementary therapies with your doctor to make sure they are appropriate and safe for you. 

Read more about treatment options.

It is a myth that your quality of life will decline during menopause.

Fact: While menopause-related symptoms can be challenging, many women report improved confidence, freedom and focus after menopause. Support, lifestyle strategies and treatments can greatly improve your quality of life. 

Hear stories from Australians about their experiences and read more about menopause.

Date last updated:

Disclaimer

The information on this website is not medical advice

All information provided on this website is for general educational purposes only. It is not intended to be, and should not be, relied upon as a substitute for 
professional medical advice, diagnosis or treatment. 

Symptoms of perimenopause and menopause can overlap with those of other medical conditions. Treatments for menopause related symptoms are not suitable 
for all people. For these reasons, it is important to seek advice from a qualified health professional to ensure an accurate diagnosis and appropriate care. 

Do not disregard or delay seeking professional medical advice because of information provided on this website.