Once you go 60 days without bleeding, you’re in what’s known as the late menopausal transition; from here, most women will have their final period within two years, said Dr. Nanette Santoro, a professor of obstetrics and gynecology at the University of Colorado School of Medicine. In this stage, “symptoms tend to ramp up, so if they were annoying in the early transition, they get a little worse,” she said.