Too young for menopause
Sajeel Abrar GPHC-2066354 Independent Prescribing Pharmacist · 12/09/2025 · 1 min read
POI, early menopause, and why your age doesn't always tell the full story.
What is premature or early menopause?
Premature menopause (also called POI – premature ovarian insufficiency) happens before age 40. Early menopause refers to menopause between ages 40 and 45. It's more common than many realise affecting 1 in 100 women under 40, and 1 in 20 under 45.
What are the signs?
Irregular or missing periods, night sweats, brain fog, low libido, vaginal dryness, or difficulty concentrating. You might be dismissed because of your age, but symptoms speak louder than calendars.
What causes it?
Causes may include autoimmune conditions, genetic factors, certain cancer treatments, surgery, or no clear reason at all. Regardless of cause, the emotional and physical impact is very real.
How is it diagnosed?
A combination of symptom history, blood tests (FSH, estradiol), and menstrual pattern. POI can be diagnosed without needing invasive scans.
Can it be treated?
Yes. HRT is strongly recommended until at least the natural age of menopause (around 51) to protect bones, heart, and brain. Testosterone and fertility counselling may also be offered.
The takeaway
If you're in your 30s or 40s and something feels wrong speak up. You know your body. We'll listen, investigate, and support you without judgement.
"You're not too young. You're just not being heard. We're here to change that."
Written by Sajeel Abrar, Independent Prescribing Pharmacist • GPhC: 2066354
Last updated: 18 April 2026