These hormonal changes will usually cause irregular menstrual periods before they stop altogether. During this time, women commonly experience hot flashes, vaginal dryness, and mood changes. Other women may have an increased number of urinary tract infections, fatigue, and frustrations with short-term memory changes. Some women have only irregular periods. Irregular periods may mean lighter or heavier menstrual flows, either shorter or longer intervals between flows, or spotting.
Some women have irregular periods for years during menopause.
Others have regular periods until they suddenly stop. Each woman is unique and will experience menopause differently. Hot flashes are sudden periods of intense heat, sweating, and flushing, beginning in the chest and spreading to the neck, face, and arms. They may occur as frequently as once an hour and last as long as three to four minutes. Most hot flashes cease within one or two years of onset, but may persist for several years.