If you’re nearing the age of menopause onset, which is usually 52 years old in the U.S., there’s little you can do to delay it. But some factors throughout life may cause later menopause.
Menopause begins when you haven’t had a period for at least
This transition isn’t immediate, though. For some people, it can take over a year to go from having regular or irregular periods to having none.
Genetics play a big role in determining the age at which menopause starts. Yet scientists think that diet, socioeconomic status, and other lifestyle factors can also influence the age of onset.
There’s a big range when it comes to when people will start natural menopause and perimenopause.
The average age at which people start menopause in the United States is
Some people might start menopause before age 40, which is known as early menopause. People who start even before then have premature menopause, or premature ovarian insufficiency.
Menopause that starts after age 55 is known as late menopause.
Your family history and ethnicity may affect the onset. For example, a
If you are nearing the age when you expect your periods to end, you can’t do much to change the timing.
Several factors can contribute to someone beginning natural menopause later in their lifetime. More research is still needed.
Pregnancy and chestfeeding history
If you nurse for
That same study from 2020 analyzed the pregnancy and chestfeeding history of over 100,000 women between ages 25 and 42.
When adjusted for the duration of nursing, researchers found that the number of pregnancies was associated with a lower risk of early menopause:
- one full-term pregnancy lowered risk by 8%
- two pregnancies lowered risk by 16%
- a third pregnancy lowered risk by 22%
Chestfeeding for a combined total of 25 months lowered the risk by 27% compared to women who nursed less than a month.
Education
According to one study from 2024, educated women reach menopause later in life than uneducated women do.
Specifically, women with the lowest level of education are 7 times more likely to experience premature menopause compared to those with the highest level of education.
The reasons for this connection are not entirely clear.
Diet
Including lots of fruit and meat in your diet was associated with a later onset of natural menopause in women in China.
One
Everyone’s overall nutritional needs are different, so it’s a good idea to discuss any big changes in your diet with a healthcare professional.
Menopause accelerates bone loss by up to 20%. Later menopause is associated with a lower risk of osteoporosis.
When people reach menopause at a later age, they have a
Menopause does not increase cancer risk, so delayed menopause won’t decrease your risk. Your likelihood of developing cancer just increases as you age.
In addition to your family history and ethnicity, several factors can make it more likely that you’ll reach menopause 1 to 3 years younger than the average. Factors include:
- smoking
- lower social class
- lower levels of physical activity
- diets high in refined pasta and rice
This transition is different for every person who experiences it, but some symptoms are fairly common.
As you enter perimenopause and transition into menopause, you may experience:
- less frequent or less predictable periods
- vasomotor symptoms (hot flashes and night sweats)
- vaginal dryness
- insomnia
- difficulty concentrating
- anxiety or depression
- weight gain
- lower sex drive
- reduced muscle and bone mass
- thinning hair
If menopause symptoms are getting in the way of your everyday life, talk with a doctor about whether these treatments could work for you:
- hormone replacement therapy
- medications to help with depression, anxiety, insomnia, or vasomotor symptoms
- natural remedies like black cohosh and evening primrose oil
- acupuncture
Each treatment has benefits and risks, which you should consider when deciding what’s right for your body.
Your genes and family history largely determine the age at which you begin natural menopause.
Other contributors — most notably your diet, socioeconomic status, and smoking habits — have some influence on when your periods will stop.
The older you are, the less likely it is that a change in your habits will alter the onset of natural menopause.
If you’re concerned about the length of your reproductive life or want to avoid health issues from very early or very late menopause, talk with your doctor about changes you can make in advance to create a healthier life and easier transition.