It is important to be aware that menopause can occur at an earlier age than the typical age of 45-55 (average age 51).

Early menopause (EM) is defined as occurring age 40-45; premature ovarian insufficiency (POI) as younger than 40. Signs can include that periods have stopped or are infrequent and / or very light, hot flushes, night sweats; there may be other symptoms of menopause. It is important to discuss with a doctor and that other causes are checked for. If EM or POI is diagnosed, then it is important to consider why it may have happened.

Either EM or POI can happen due to a number of reasons. Some of the causes may include:

• Familial predisposition
• Pelvic surgery (including removal of ovaries)
• Medical treatments such as radiotherapy or chemotherapy
• Autoimmune conditions
• Genetic conditions
• Or cause unknown

Having considered causes, it is important to decide how to manage. Lifestyle is of paramount importance and will help with long term health maintenance.  Menopause hormone therapy is often indicated if there are no reasons it cannot be used. Dose and regime can vary depending on symptoms and age.