34 Researched Symptoms of Perimenopause: What You Need to Know

Perimenopause is the transitional phase leading up to menopause and is often accompanied by a variety of symptoms that can affect your physical, emotional, and mental well-being. Below are 34 of the most commonly experienced and researched symptoms during this stage.

Gaining awareness of perimenopause symptoms empowers women to manage them with greater ease and confidence.

1. Hot Flashes

One of the most well-known perimenopause symptoms, hot flashes are sudden and intense increases in body temperature caused by hormonal fluctuations. About 80% of women experience them, and they can last for years.

2. Night Sweats

Similar to hot flashes, night sweats occur during sleep and can lead to frequent awakenings, making restful sleep difficult.

3. Irregular Periods

Menstrual cycles can become unpredictable—shorter, longer, heavier, or lighter—before ceasing altogether.

4. Weight Changes

Declining estrogen levels and muscle mass loss can contribute to weight gain, particularly around the midsection.

5. Breast Tenderness

Erratic hormone levels can cause sore and tender breasts, although this symptom often resolves as menopause nears.

6. Mood Swings

Frequent shifts in mood, including irritability and emotional highs and lows, are common due to fluctuating hormones.

7. Irritability

Hormonal changes, poor sleep, and stress can contribute to increased irritability.

8. Depression

Some women may experience depressive symptoms, especially those with a history of depression.

9. Anxiety

Hormonal shifts, lifestyle changes, and sleep disturbances can heighten feelings of nervousness and stress.

10. Panic Disorder

Sudden and intense episodes of anxiety or panic attacks can develop during perimenopause.

11. Sleep Issues

Difficulty falling or staying asleep is common, often worsened by night sweats and anxiety.

12. Fatigue

Lack of restful sleep and hormonal changes can lead to persistent fatigue and low energy levels.

13. Decreased Libido

Shifts in hormones, body image, and physical symptoms such as vaginal dryness can lower sexual desire.

14. Headaches & Migraines

Hormone fluctuations can lead to frequent headaches or worsening migraines.

15. Vaginal Dryness

Decreasing estrogen levels can cause vaginal tissues to become drier and less elastic, leading to discomfort.

16. Thinning Hair

Estrogen plays a role in hair growth, and its decline can lead to hair thinning or shedding.

17. Brittle Nails

Lack of hydration and reduced keratin production can make nails weak and prone to breaking.

18. Bloating

Water retention and digestive changes can cause bloating and discomfort.

19. Digestive Issues

Hormonal changes affect gut health, leading to constipation, diarrhea, or bloating.

20. Brain Fog

Difficulty concentrating, forgetfulness, and mental fatigue are common symptoms of perimenopause.

21. Memory Problems

Many women report forgetfulness and cognitive decline during perimenopause due to estrogen’s role in brain function.

22. Joint Pain

Estrogen helps reduce inflammation, so its decline can lead to joint pain and stiffness.

23. Muscle Aches

Sore muscles may result from hormonal changes and decreased estrogen levels.

24. Osteoporosis Risk

Bone density decreases during perimenopause, increasing the risk of osteoporosis and fractures.

25. Itchy Skin

Reduced collagen production due to estrogen decline can result in dry, itchy skin.

26. Dizziness

Fluctuating hormones may impact blood sugar levels and inner ear function, causing dizziness.

27. Heart Palpitations

Irregular heartbeat or fluttering sensations can be triggered by hormonal imbalances.

28. Burning Tongue or Mouth

Changes in oral health may cause sensations of burning, tingling, or dry mouth.

29. Changed Sense of Taste

Hormonal fluctuations can alter the perception of taste and increase sensitivity.

30. Tingling Limbs

Some women experience tingling or numbness in the hands, feet, arms, or legs due to changes in the nervous system.

31. Shock-like Sensations

Some women report experiencing sudden electrical shock sensations under their skin, linked to declining estrogen levels.

32. Allergies

Hormonal shifts can impact immune responses, increasing sensitivity to allergens.

33. Urinary Changes

Weakened pelvic floor muscles and declining estrogen levels can contribute to urinary incontinence and frequent urination.

34. Body Odor Changes

Hormonal fluctuations can affect sweat composition, leading to changes in body odor.

Navigating Perimenopause with Confidence

Understanding perimenopause symptoms can help women manage them more effectively. Whether seeking lifestyle adjustments, medical interventions, or holistic treatments, women should not hesitate to reach out for support.

Looking for expert guidance? Reach out to info@magnoliacollectivewellness.com for resources and support tailored to your perimenopause journey.

Blog Publication Date: February 20th, 2025.

Source: Bonafide. What Are the 34 Symptoms of Menopause? Retrieved from https://hellobonafide.com/blogs/news/what-are-the-34-symptoms-of-menopause.

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