The Complete Guide to Peri/Menopause Symptoms: 103 Symptoms Explained

Perimenopause is a transformative period leading up to menopause, marked by significant hormonal shifts that can result in a wide range of symptoms. While some symptoms are well-documented through clinical research, others have been identified through patient reports and observational data.

Below, we categorize 103 peri/menopause symptoms, starting with 34 researched and commonly experienced symptoms, followed by 69 additional symptoms reported by women undergoing this transition.

34 Researched and Commonly Experienced Peri/menopause Symptoms

  1. Hot Flashes – Sudden and intense increases in body temperature due to hormonal fluctuations.

  2. Night Sweats – Hot flashes that occur during sleep, often causing night-time awakenings.

  3. Irregular Periods – Menstrual cycles become unpredictable before ceasing altogether.

  4. Weight Changes – Declining estrogen levels contribute to weight gain, particularly around the midsection.

  5. Breast Tenderness – Sore and tender breasts caused by fluctuating hormone levels.

  6. Mood Swings – Emotional highs and lows due to shifting hormones.

  7. Irritability – Increased irritability caused by poor sleep, stress, and hormonal imbalance.

  8. Depression – Some women experience depressive symptoms, especially if they have a history of depression.

  9. Anxiety – Increased nervousness and stress due to hormonal changes and lifestyle shifts.

  10. Panic Disorder – Sudden and intense anxiety episodes leading to panic attacks.

  11. Sleep Issues – Trouble falling or staying asleep, often linked to night sweats, anxiety, and nightmares.

  12. Fatigue – Persistent low energy levels, often related to hormonal imbalances and poor sleep.

  13. Decreased Libido – Reduced sexual desire due to hormonal fluctuations and vaginal dryness.

  14. Headaches & Migraines – Hormone-related headaches or worsening migraines.

  15. Vaginal Dryness – Estrogen decline causes vaginal tissues to become dry and less elastic.

  16. Thinning Hair – Estrogen plays a role in hair growth, and its reduction leads to thinning hair.

  17. Brittle Nails – Weakened nails due to decreased keratin production and hydration levels.

  18. Bloating – Water retention and digestive changes causing abdominal discomfort.

  19. Digestive Issues – Symptoms such as constipation, diarrhea, or bloating due to hormonal changes.

  20. Brain Fog – Difficulty concentrating and increased mental fatigue.

  21. Memory Problems – Forgetfulness and cognitive decline associated with estrogen loss.

  22. Joint Pain (arthralgia) – Loss of estrogen’s anti-inflammatory effects can result in joint discomfort.

  23. Muscle Aches – Increased soreness linked to hormonal fluctuations.

  24. Osteoporosis Risk – Declining estrogen levels contribute to bone density loss.

  25. Hives & Itchy Skin – Reduced collagen production leads to dry, hives, and itchy skin.

  26. Dizziness & vertigo – Hormonal fluctuations may affect balance and blood sugar levels, leading to dizziness & vertigo.

  27. Heart Palpitations – Sensation of irregular heartbeat triggered by hormonal imbalances.

  28. Burning Tongue or Mouth – Oral discomfort linked to estrogen receptors in the mouth.

  29. Changed Sense of Taste – Altered perception of taste caused by hormonal shifts.

  30. Tingling Limbs – Sensations of numbness or tingling in hands, feet, or extremities.

  31. Shock-like Sensations – Electrical shock sensations under the skin due to estrogen decline.

  32. Allergies – Increased sensitivity to allergens due to hormonal fluctuations.

  33. Urinary Changes – Frequent urination or incontinence due to weakened pelvic floor muscles.

  34. Body Odor Changes – Sweat composition changes affecting body odor.


69 Additional Reported Peri/menopause Symptoms

The remaining symptoms have been collected through observational data and/or through patient/client symptom reporting.

  1. Acidosis (A condition where the body accumulates excessive acid, disrupting the pH balance and potentially leading to fatigue, confusion, and shortness of breath.)

  2. ADHD

  3. Adrenal fatigue (exhaustion/insufficiency)

  4. Bad breath

  5. Bleeding gums

  6. Blind spots

  7. Blood pressure fluctuations (high and low)

  8. Blood sugar dysregulation

  9. Breast size changes

  10. Bruising

  11. Burning scalp, tongue, and mouth

  12. Burping

  13. Carpal tunnel syndrome

  14. Changes in body shape

  15. Changes in sense of smell

  16. Chills & cold flashes

  17. Clumsiness

  18. Crawling sensations

  19. Difficulty swallowing

  20. Double vision

  21. Dry eyes, mouth, and tongue

  22. Early waking & insomnia

  23. Frozen shoulder

  24. Hard bloated stomach

  25. High cholesterol

  26. High or low cortisol levels

  27. Hip pain (gluteal tendinopathy)

  28. Hot feet

  29. Inflammation

  30. Internal tremors/vibrations

  31. Irregular heartbeat

  32. Meibomian gland dysfunction (A common eye condition where the meibomian glands in the eyelids don’t produce enough oil, leading to dry, irritated, or inflamed eyes.)

  33. Metabolic syndrome (A cluster of conditions, including high blood pressure, high blood sugar, excess belly fat, and abnormal cholesterol levels, increasing the risk of heart disease, stroke, and diabetes.)

  34. Muscle atrophy (sarcopenia)

  35. Muscle cramps

  36. Non-alcoholic fatty liver disease

  37. Ocular migraines

  38. Pelvic and rectal pain

  39. Phantom smells

  40. Restless legs syndrome

  41. Runny nose

  42. Shortness of breath

  43. Shoulder pain

  44. Sleep apnea

  45. Sore nipples

  46. Tinnitus (A persistent ringing, buzzing, or hissing sound in the ears, often linked to age-related hearing loss, exposure to loud noises, or underlying health conditions.)

  47. TMJ issues

  48. Urinary tract infections

  49. Water retention

  50. Abdominal pain

  51. Acid reflux (indigestion)

  52. Flatulence

  53. Food allergies & sensitivities

  54. Food aversions & cravings

  55. Heartburn

  56. High liver enzymes

  57. Irritable bowel syndrome (IBS)

  58. Metallic taste in the mouth

  59. Lack of motivation, patience, and self-esteem

  60. Lack of appetite

  61. PMS symptoms

  62. Prolapse (vaginal, uterine, rectal)

  63. Acne

  64. Dull Skin

  65. Dry hair & frizzy hair

  66. Eczema, psoriasis, and rosacea

  67. Melasma (A skin condition characterized by dark, discolored patches, usually on the face, caused by hormonal changes, sun exposure, and genetic factors. It is common during pregnancy and menopause due to fluctuating estrogen levels.)

  68. Unwanted hair growth

  69. Wrinkles

Empowering Insights

While some symptoms may be mild, others can significantly impact your daily life and your longterm health. Seeking medical guidance, adopting lifestyle changes, and exploring holistic and medical treatment options can help you navigate peri/menopause with greater ease.

If you’re experiencing peri/menopause symptoms, know that you’re not alone. Support is available through educational resources, healthcare professionals, and wellness communities like Magnolia Collective. Prioritize your health and empower yourself with the knowledge and care you need to thrive during this transition.


Blog Publication Date: February 26th, 2025.

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