What are the signs before a woman's menopause?

Before menopause, women first experience irregular menstruation, and some may have abnormally heavy menstrual bleeding. At this stage, if there are no abnormalities in the uterus, patients are advised to seek medical evaluation at a hospital. Women may also experience discomfort such as palpitations, often accompanied by anxiety, although each episode is usually short-lived. Mood swings can be significant, with increased irritability; in some cases, these changes may even lead to depression.