Every women is different, and at every age. I didn't even think about the menopause until recently, at 55 years. I was fed up with the nightly hot sweats, not sleeping, and high anxiety, but those were really my only issues. Still having regular standard periods etc. So, I have just started my HRT journey, and it was very good, until this last month, when I didn't have a period, after the Ultrogestan cycle, just a long series of spotting, but then, two weeks late, a huge and very heavy few days, never experienced that before, long period, no sleep, right in the middle of the Ultrogestan cycle. So bad, I contacted my GP, who tbf was lovely, but really only counselled to keep going, and it will settle down. So it has finished now, and I am into the Eostrogel only cycle, and all has settled down.
Sadly it seems I will potentially have the same during my holiday later this month, when I go back on the Ultogestan, and there is little I can do about it. Hey ho. Fingers crossed.