All of the women in my family had hysterectomies. How do I know when I'll go through perimenopause and menopause?

Unfortunately, there is no reliable test to help predict when menopause will start or end. Often, these do tend to follow patterns within a family so knowing moms or sisters' histories can give you an idea of what to expect. If family members had hysterectomies but their ovaries were not removed, you can still get a sense of timing based on their pattern of symptoms other than bleeding such as hot flashes, night sweats, etc. Otherwise, know that on average the age at which menopause (a year of no periods occurs) is 51, that perimenopausal symptoms typically start in ones 40s and occur for several years before your periods stop, and that there is tremendous variability in both the timing and length of these symptoms from one individual to the next.

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