Pre-menopause, a phase that marks the transition into menopause, can begin earlier than most women realize. Unfortunately, many remain unaware of its symptoms and fail to seek help. Now, healthcare professionals are stepping up efforts to identify premenopausal issues, especially in women under 45.
Approximately 70% of women between the ages of 45 and 60 experience menopausal symptoms that significantly impact their daily lives. However, a lack of awareness within both the healthcare system and among the affected women often prevents early intervention. The National Board of Health and Welfare has identified this gap and has created national guidelines to boost healthcare professionals’ expertise in managing these concerns.
The Importance of Early Detection
Maja Österlund, the project manager for the new guidelines at the National Board of Health and Welfare, highlights that there is still a significant gap in understanding menopausal symptoms, both within healthcare and among the women affected. She emphasizes that this ignorance results in unnecessary suffering and a decline in quality of life, as many women go without the care they need.
While hot flashes are the most well-known symptom of menopause, Österlund warns that there are many other signs to watch for. “There are many other symptoms that should not be overlooked,” she says.

Premenopause Can Start Earlier Than Expected
The new guidelines aim to enhance the detection of premenopausal issues in women under 45, as many tend to associate menopause with a specific age. Österlund underscores that symptoms can begin much earlier, and it’s crucial for both healthcare providers and patients to recognize this possibility early on.
“Awareness is key. Many women don’t realize that they could experience these symptoms at a younger age,” she says.
There are several myths and misconceptions surrounding pre-menopause. To better inform women, the National Board of Health and Welfare is focusing on dispelling these myths and offering factual insights into the symptoms and their management.
What Is Menopause?
Menopause is marked by significant hormonal changes in the body, including a decrease in both oestrogen and progesterone levels. As the ovaries deplete their store of eggs, ovulation and menstruation become irregular before eventually ceasing altogether. Five years after the last menstrual cycle, oestrogen levels stabilize at a low point, leading to various physical and emotional symptoms.
Oestrogen affects many organs and systems, so as its levels drop, the body reacts in different ways.
Common Menopausal Symptoms:
- Hot flashes and chills
- Sleep disturbances and fatigue
- Mood swings and depression
- Dry skin and mucous membranes
- Decreased libido
- Urinary tract problems
Understanding these symptoms, especially in the context of early detection, can empower women to seek the help they need and improve their quality of life during this natural life stage.
