Hello Good Evening, According to your description you seems in perimenopause stage i.e. menopause transition years. Menopause literally means the end of monthly cycles and once 12 months have gone by with no menstrual flow at all. Menopause is an event that typically (but not always) occurs in women in midlife, during their late 40s or early 50s, and it signals the end of the fertile phase of a woman s life. During perimenopause, estrogen levels average about 20-30% higher than during premenopause, often with wide fluctuations in levels. These fluctuations cause many of the physical changes during perimenopause as well as menopause. Some of these changes are hot flashes, night sweats, difficulty sleeping, vaginal dryness or atrophy, incontinence, osteoporosis, and heart disease. During this period, fertility diminishes, but is not considered to reach zero until the official date of menopause. The official date is determined retroactively, once 12 months have passed after the last appearance of menstrual blood. However, rather than being defined by the state of the uterus and the absence of menstrual flow, menopause is more accurately defined as the permanent cessation of the primary functions of the ovaries. Regards, Dr. Naresh Jain