Test · 3 steps · about 3 minutes

Which stage am I in?

Which stage does your cycle pattern look like under the STRAW+10 criteria, which symptoms have you had over the past month, and is there a sign that needs to be checked separately? The result is not a diagnosis; it’s here so you have a clear picture when you see your doctor.

  1. 1 Cycle
  2. 2 Symptoms
  3. 3 Warning signs

Your cycle

Your age
When was your last period?
How has your cycle length changed over the past year?
Has the bleeding itself changed? (check all that apply)
Does any of these apply to you?

How often have you had these over the past month?

Choose one option in each row. “Never” is selected by default.

Hot flashes
Night sweats
Trouble falling or staying asleep
Mood changes, irritability, anxiety
Forgetfulness, trouble concentrating
Vaginal dryness, pain during sex
Frequent urination, urgency
Joint and muscle pain
Heart palpitations
Headaches or a change in migraines

Warning signs and impact

Has any of these happened? (check all that apply)
How much do your symptoms affect your daily life (sleep, work, relationships)?

What is the test based on?

Stage: STRAW+10 (Stages of Reproductive Aging Workshop + 10, 2012) divides the menopause transition into stages based on the cycle pattern: the late reproductive stage is marked by small changes in cycle length and bleeding, the early transition by a recurring difference of 7 days or more between consecutive cycles, the late transition by 60 days or more without a period, and postmenopause by 12 months without a period. Hot flashes and night sweats are counted as “likely” in the late transition and early postmenopause.

Symptoms: The symptoms you report for the past month link to the related articles; their frequencies add up to a “symptom load” between 0 and 30. This isn’t a rating-scale score but a summary that shows where to start at your appointment. Warning signs: Situations that the NHS, ACOG and The Menopause Society say should be checked separately. If new hot flashes at age 45 or older come together with changes in your cycle, the NICE guideline says a doctor can identify perimenopause from your symptoms without a lab test.

  • Harlow SD et al. Executive summary of the Stages of Reproductive Aging Workshop + 10. Menopause 2012;19(4):387–395. PubMed
  • NICE NG23 — Menopause: identification and management, 1.3 and 1.7 (updated April 15, 2026). nice.org.uk
  • The Menopause Society — Perimenopause. menopause.org
  • NHS — Symptoms of menopause and perimenopause. nhs.uk