adult.caMenopause and perimenopause
Menopause is when periods have stopped for 12 months in a row. The Government of Canada guide puts the average age in Canada at 51.
Perimenopause
Perimenopause is the transition before menopause, when periods start to change. Most people go through it between 40 and 50, and it can last up to 10 years.
Pregnancy is still possible during perimenopause, so talk to a provider about contraception.
Common symptoms
Hot flashes are the most common symptom, affecting up to 80% of women studied. Night sweats, sleep problems, mood changes and vaginal dryness are also common.
Sex and vaginal dryness
Vaginal dryness can make sex uncomfortable. The guide suggests a lubricant before or during sex (water-based, silicone-based or a mix) and over-the-counter vaginal moisturizers.
Treatment options to discuss with a provider
Options include hormone therapy, vaginal estrogen, non-hormonal medicines, and non-medical steps such as regular exercise, less alcohol and caffeine, cognitive behaviour therapy and pelvic floor physiotherapy. This page does not give dosing or treatment advice.
See a provider if you are under 40 with irregular periods or perimenopause symptoms, if you have heavier periods or bleeding during or right after sex, or whenever you need help managing symptoms.
For lubricant options, see our lube picks.
Sources
- Government of Canada, National Defence Women and Diversity Health: Guide to menopause: https://www.canada.ca/en/department-national-defence/services/benefits-military/health-support/women-diversity-health/health-guide/wdh-menopause-guide.html
- Government of Canada, National Defence Women and Diversity Health: Menopause information: https://www.canada.ca/en/department-national-defence/services/benefits-military/health-support/women-diversity-health/menopause.html
Facts checked Oct 26, 2026. General information, not medical advice; this page does not give dosing or treatment advice. Talk to a doctor, nurse or pharmacist about your situation.