Something has changed and you can't put a name to it. Start here.

The stages come from STRAW+10, the published criteria researchers use (Harlow et al., 2012). Where a doctor question comes from a guideline, the result names it: NICE guideline NG23, or the Pakistan Menopause Society's April 2026 recommendations.

• STRAW+10 staging criteria, Harlow et al., 2012
• NICE guideline NG23, Menopause: identification and management
• Pakistan Menopause Society, Good Clinical Practice Recommendations, April 2026

The Urdu starts from 28 Urdu health leaflets, most of them from the NHS. Where they agreed, their word was kept; where they disagreed, got it wrong or had no word, one was chosen or made. Across all 28 there is no agreed word for hot flush, and four NHS Scotland leaflets translate it as a mild fever.

Roshara reports what the guidance says. It never tells you what to take.

It doesn't arrive with a name. It arrives in the middle of everything else: work, teenagers, a parent who needs you, in-laws down the corridor. Sleep that won't come, or won't stay. A temper you didn't have before. Losing words, losing the thread. Each one gets put down to stress, age or character, by the family and sometimes by you.

There is no Urdu word for perimenopause. You can't ask for help with something you can't name. Many women describe a hot flush as a fever. A doctor is listening for a different word.

It gets missed in clinics too. At Benazir Bhutto Hospital in Rawalpindi, an audit of 250 women aged 45 to 55 who had been diagnosed with depression found that 78% had significant perimenopausal symptoms on a standard menopause symptom scale. Their symptoms had been missed.

Three things, on the screen, the moment you finish.

A name.

The stage you might be in, from the published criteria. Some answers don't point at a stage yet, and the result says that plainly too.

The words.

Each thing you ticked, the way you'd say it, next to the term a doctor is listening for.

What to ask.

Questions to take into the appointment. Where one comes from a guideline, it names the guideline.

Free, and you don't need an account to see any of it.

Your age. Your periods over the last year. What you've noticed in the last three months. How long it's been going on. How much it gets in the way. Whether you've spoken to a doctor yet.

All taps, no typing, and you can go back. If your periods can't tell you anything, there's "I cannot tell". If nothing on the list fits, there's "None of these".

Nothing to install. Your answers are kept without a name unless you leave an email, you're signed in, or you make an account or sign in from the result, and answers not linked to an account are deleted after three months. We count visits, with no cookies and nothing that follows you to other sites. If the phone isn't only yours, open this in a private tab, so it stays out of the browser history.

What happens to the answers