Premature Menopause in Southern Africa

Premature and early menopause appears to be relatively common.

Historically, most estimates of premature and early menopause have come from studies that have been conducted in high income countries (western populations).

That said, more recent studies seem to show that women in the Southern Africa region, including South Africa, experience premature menopause and early menopause at higher rates than women in high income countries.

However, more research is needed in this area to confirm and better understand this.

Nevertheless, given the health consequences that are often associated with early, and premature menopause in particular – it is important that South African women are aware of the possibility of earlier menopause than the age range in which menopause is typically experienced.

My Menopause SA

Evidence-based menopause information for South African women.

Page last reviewed: 1 March 2026
Next review due: 1 March 2027

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Leone, T., Brown, L., & Gemmill, A. (2023). Secular trends in premature and early menopause in low-income and middle-income countries. BMJ Global Health, 8. https://doi.org/10.1136/bmjgh-2023-012312

Li, M., Zhu, Y., Wei, J., Chen, L., Chen, S., & Lai, D. (2023). The global prevalence of premature ovarian insufficiency: a systematic review and meta-analysis. Climacteric : the journal of the International Menopause Society, 26(2), 95-102. https://doi.org/10.1080/13697137.2022.2153033

Ross, S., & Juárez, S. (2025). Variations in the prevalence of premature and early menopause in low-income and middle-income regions. Climacteric, 28, 360-364. https://doi.org/10.1080/13697137.2025.2500561