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What are common signs and symptoms of perimenopause?

Perimenopause symptoms

Written by Leah Keller
Updated over 11 months ago

Here are the common signs and symptoms of perimenopause:

Common Signs and Symptoms of Perimenopause

Perimenopause is a time of significant physical and emotional changes due to the body's response to fluctuating hormone levels. Recognizing and understanding these symptoms is essential for effective management and well-being.

Changes in Menstrual Cycle

The onset of perimenopause often brings about fluctuations in menstrual patterns. You might notice your periods becoming sporadic, varying in flow and duration, or sometimes not occurring at all.

Sudden Warmth and Sweating Episodes (Hot Flashes)

Experiencing unexpected waves of heat spreading across the body, known as hot flashes, accompanied by sweating and possibly followed by chills, is common. When these occur during the night and disrupt sleep, they're referred to as night sweats.

Emotional Variability

The hormonal adjustments during perimenopause can lead to a rollercoaster of emotions, including irritability, increased anxiety, unpredictable mood shifts, and feelings of sadness or episodes of depression.

Vaginal Changes

With the decline in estrogen, the vaginal walls may become thinner, dryer, and more prone to irritation, which can make sexual intercourse uncomfortable or painful.

Sleep Problems

Falling asleep, maintaining sleep, or achieving deep, restorative sleep can become challenging. Sleep quality may also be compromised by night sweats.

Reduced Sexual Interest

A noticeable decline in sexual desire or arousal may occur during this transitional period.

Weight and Metabolism Shifts

Perimenopause can lead to an increase in weight, particularly around the midsection, alongside changes in metabolism that may affect cholesterol levels and heighten the risk of heart disease.

Memory and Concentration Difficulties

Some women report a decline in cognitive functions, including memory lapses and concentration issues, making them feel less mentally sharp.

Decrease in Bone Strength

The reduction in estrogen levels can contribute to a decrease in bone density, elevating the risk of osteoporosis and bone fractures.

Breast Tenderness and Shape Alterations

During perimenopause, breasts may become more sensitive or tender and may change in size or shape.

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