What are the changes in menstrual cycles during menopause?

During the transition to menopause, women often experience changes in their menstrual cycles. These changes can include irregular periods, lighter or heavier bleeding, and longer or shorter cycles. Some women may skip periods entirely, while others may have increased frequency of their periods. These variations occur due to fluctuating hormone levels, particularly estrogen and progesterone. The changes can begin several years before menopause, known as perimenopause, and continue into postmenopause. It is essential to keep track of these changes and discuss any concerns with a healthcare provider, such as a GP, especially if there are significant changes in bleeding patterns.