2 to 3 minute check · evidence-based

What stage of menopause are you in?

A quick check built on the STRAW+10 medical staging framework, with a simple symptom-load read of your own. You'll get your likely stage plus a symptom-load summary.

STRAW+10 framework NICE NG23 Educational, not a diagnosis

What stage of menopause are you in?

A 2–3 minute check built on the STRAW+10 medical staging framework, with a simple symptom-load read of your own. You’ll get your likely stage plus a symptom-load summary.

★ Built from the frameworks clinicians use to stage menopause — STRAW+10 & NICE NG23.

Educational only — not a medical diagnosis. Only a clinician can confirm your stage.

No sign-up needed to see your result. This quiz stores no identifiable data — only anonymous totals. Privacy

What are the stages of menopause?

Menopause isn’t one moment. It’s a journey that plays out over years, and knowing roughly where you are makes the whole thing so much easier to handle. Doctors map that journey with a framework called STRAW+10 (the Stages of Reproductive Aging Workshop), which sorts it by what your periods are doing. Here’s the plain-English version, and the four stages this quiz helps you place yourself in.

Premenopause

Usually up to your early 40s

Your periods are still regular and predictable, and your hormones rise and fall each month the way they always have. The bigger changes haven’t started yet. This is what doctors call the reproductive stage.

Perimenopause

Often starts in your early to mid 40s

This is where things shift. The first clue is nearly always your cycle: periods that come early or late, turn heavier or lighter, or simply stop being predictable. Later on you start skipping them. It’s also when hot flushes, broken sleep and mood swings tend to show up. Perimenopause can last several years, so hang in there.

Menopause

Around 51 on average in the UK

Menopause itself is really just one day: the point where you’ve gone 12 full months without a period. You can only spot it looking back, once that whole year has passed.

Postmenopause

Every year after that milestone

Life after the 12-month mark. A lot of the tougher symptoms ease off over time, but lower oestrogen means your bones and heart need more attention now. This is exactly where strength training and staying active pay off most.

What is STRAW+10, and how does this quiz work?

STRAW+10 is the framework doctors trust for working out where you are. It leans on your period pattern rather than a single blood test, because your hormones bounce around so much during perimenopause that one test rarely tells you much. This quiz works the same way: a few questions about your cycle and how you’re feeling, matched to the STRAW+10 stages, plus a quick read of your overall symptom load.

In the UK, the NICE guideline (NG23) says that for women over 45, changing periods and symptoms are enough to recognise perimenopause and menopause, no blood test needed. That’s the approach behind this quiz. Just remember it’s here to help you understand your body, not to diagnose you. If your symptoms are getting in the way of daily life, or you’re under 45, please talk to your GP or a menopause specialist.

Common questions

What are the four stages of menopause?

Premenopause, when your periods are still regular. Perimenopause, the transition, when your cycle changes and symptoms start. Menopause, the day you hit 12 months since your last period. And postmenopause, all the years that follow.

How do I know if I’m in perimenopause?

The biggest giveaway is your cycle changing: periods that get shorter, longer, heavier, lighter or just unpredictable, usually with hot flushes, poor sleep or mood swings alongside. If you’re over 45, NICE says those changes are enough to know it’s perimenopause without any blood test.

At what age does menopause usually happen?

In the UK it’s around 51 on average, though anywhere from about 45 to 55 is completely normal. If it happens before 40 it’s called premature menopause (or premature ovarian insufficiency), and that’s worth a chat with your doctor.

What’s the difference between menopause and postmenopause?

Menopause is a single day: 12 months since your last period. Postmenopause is everything after it.

Can a blood test tell me which stage I’m in?

Once you’re in your mid 40s, usually not. Your hormones swing around too much to pin down a stage from one test, which is why STRAW+10 and NICE both go by your cycle and symptoms instead. Under 45, or if premature menopause is a worry, blood tests matter more.

Is this quiz a medical diagnosis?

No, and it’s not trying to be. It’s an honest, educational check based on the STRAW+10 framework to help you see where you probably are and what to look out for. For a proper diagnosis and advice for you, see your GP or a menopause specialist.

Where this comes from

None of this is my own opinion. Everything on this page is built on two well-established, published sources:

  • STRAW+10, the Stages of Reproductive Aging Workshop framework (Harlow et al., 2012). It’s the staging system clinicians use around the world.
  • NICE guideline NG23, Menopause: diagnosis and management, the UK’s official clinical guidance. You can read it in full on nice.org.uk.

One honest note before you go. Her Daily Fit isn’t a medical service, and this page isn’t medical advice. It’s here for one reason only: to help you understand the stages of menopause and get a rough sense of where you might be, using the published sources above. It doesn’t cover treatment, diagnosis, or what to do about any particular symptom, and it can’t know your full health picture.

So if anything here raises a question, if your symptoms are getting in the way of daily life, or if you simply don’t feel right, please see your GP or a menopause specialist. That’s always the right next step, and it’s one no quiz can replace.

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