Early (or premature) menopause happens when a woman’s periods stop before the age of 45. It can occur naturally or be a result of certain treatments. It is generally diagnosed through blood tests and a physical examination to rule out other conditions like pregnancy or thyroid disease. The tests are used to measure estradiol and Follicle Stimulating Hormone (FSH) levels, which indicate the onset of ovary failure and estrogen production levels, respectively. What are the physical symptoms of premature menopause? The main symptom of early menopause is periods becoming infrequent or stopping altogether without any other reason. Other physical signs may include: Hot flushes Sudden feelings of hot and cold in the face, neck, and chest, which can make one feel dizzy. Difficulty sleeping This may result from night sweats, making one tired and irritable during the day. Palpitations This occurs when the heartbeats become more noticeable. Other premature menopause signs Headaches and migraines that are worse than usual Muscle aches and joint pains Changed body shape and size Skin changes, including dry and itchy skin Recurrent urinary tract infections (UTIs) Reduced libido Vaginal dryness, pain, itching, or discomfort What are the mental health symptoms of premature menopause? Common mental health symptoms of early menopause and perimenopause include: