How to Identify Your Menopause Phase and What To Do Next

by | Last updated: Dec 10, 2025 | Menopause | 0 comments

Knowing your menopause phase changes everything.

Women often walk through the Change of Life without a framework. They feel disoriented. Symptoms appear and disappear. Cycles become unpredictable. Energy shifts. Emotion shifts. The body no longer feels familiar.

This confusion is not a failure. It is the result of a missing map.

This gives women a system for orientation. It begins with identifying your phase. This is not just helpful. It is foundational.

When you know where you are in the transition, your choices become clearer, and your expectations become gentler.

How to Identify Your Menopause Phase

There are two primary indicators:

Menstrual pattern
Symptom pattern

Labwork supports the picture but rarely tells the full story.

Your body speaks first. Bloodwork follows later.

Pre-Menopause

Your cycle remains fairly regular. Symptoms intensify.

You may notice:

  • Heavier bleeding
  • Worsened PMS
  • Increased bloating
  • Breast tenderness
  • Headaches
  • New anxiety
  • Sleep disruption
  • Spotting
  • Digestive changes

In other words, if your calendar still looks predictable but your body does not, you are likely in this phase.

Perimenopause

Your cycle becomes unreliable.

Symptoms become less cyclical and more chronic.

You may experience:

  • Skipped periods
  • Shortened cycles
  • Irregular bleeding
  • Hot flashes
  • Night sweats
  • Anxiety spikes
  • Mood changes
  • Brain fog
  • Weight gain
  • Breast pain

This phase feels turbulent because estrogen rises and falls unpredictably.

If your body feels like a moving target, this is likely where you are.

Menopause

Twelve months without menstruation marks entry into menopause.

Symptoms often stabilize but intensify.

Common features include:

  • Hot flashes
  • Sleep difficulty
  • Dryness
  • Libido changes
  • Weight redistribution
  • Cognitive change
  • Mood shifts
  • Skin changes

This is not the end of change. It is the beginning of a new biochemical environment.

Post Menopause

Two or more years after the final cycle.

Hormones are low and stable.

Symptoms become structural rather than cyclical.

These may include:

  • Collagen loss
  • Bone thinning
  • Muscle wasting
  • Vaginal atrophy
  • Urinary changes
  • Hair thinning
  • Increased inflammation

At this stage, prevention and repair become the focus.

What To Do Next

Once your phase is identified, direction becomes possible.

Step One: Track

Track sleep.
Track mood.
Track temperature.
Track bleeding patterns.
Track energy.

Information becomes your ally.

Step Two: Test

Seek phase-appropriate labs.

Pre menopause may include ovarian reserve testing.
Perimenopause may include pituitary hormone testing.
Menopause and post menopause require broader metabolic and bone markers.

Testing with intention prevents confusion.

Step Three: Support the Hypothalamus

Most menopausal symptoms originate in neurological regulation.

Calming the stress response changes everything.

Focus on:

  • Sleep
  • Nervous system care
  • Nutrition
  • Blood sugar stability
  • Sunlight
  • Movement
  • Supplements when needed

Step Four: Build Your Menopause Action Plan

A strong plan includes:

  • Phase identification
  • Symptom history
  • Hormone patterns
  • Stress load
  • Lifestyle review
  • Supplement strategy
  • Treatment preferences
  • Health goals

This becomes your dialogue with your provider.

You are no longer waiting for answers.
You are defining your care.

Moving Forward

Midlife is not a breakdown.

It is a recalibration.

When you are resourced with knowledge, menopause becomes a focused transition rather than a terrifying unknown.

Menopause Action Plan Book by Deborah Maragopoulos

About the Author - Deborah Maragopoulos FNP

Known as the Hormone Queen®️, I’ve made it my mission to help everyone – no matter their age – balance their hormones, and live the energy and joy their DNA and true destiny desires. See more about me my story here…

     

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