HealthWhat are the 34 Symptoms of Perimenopause? Know Every...

What are the 34 Symptoms of Perimenopause? Know Every Symptom


Perimenopause often called the transitional phase leading up to menopause, is a significant and transformative period in a woman’s life. During this time, the body undergoes hormonal shifts that can cause various physical, emotional, and psychological symptoms. Understanding and recognizing these symptoms is crucial for women approaching or experiencing perimenopause, as it allows them to navigate this stage with greater awareness and empowerment. Today, we will know what are the 34 symptoms of perimenopause, shedding light on the physical, emotional, cognitive, sleep-related, digestive, and other incarnations that women may encounter. 

What are the 34 Symptoms of Perimenopause?

Perimenopause is a natural transitional phase in a woman’s life that precedes menopause. It can be described as the time leading up to the cessation of menstrual cycles and the permanent end of fertility. During it, a woman undergoes significant hormonal fluctuations as the ovaries gradually produce less estrogen, the primary female sex hormone. This hormonal shift can lead to various physical and emotional changes that mark this phase, often lasting several years. While the exact age at which it begins can vary, it typically occurs in a woman’s late 30s or early 40s, although it can occur earlier for some women. The duration also varies, ranging from a few months to several years before transitioning into menopause. 

what are the 34 symptoms of perimenopause

What are the 34 symptoms of perimenopause?

Perimenopause brings about various physical changes in a woman’s body due to hormonal fluctuations. These changes can manifest in different ways, impacting various aspects of physical well-being. 

1. Irregular periods: One of the hallmark signs of perimenopause is irregular menstrual cycles. Some women may also experience skipped periods or cycles with varying lengths. These irregularities occur due to hormonal imbalances as the ovaries gradually produce less estrogen.

2. Night sweats and Hot flashes: Hot flashes are sudden and intense sensations of heat that spread throughout the body, often accompanied by skin flushing. Night sweats are similar but occur specifically during sleep, causing excessive sweating that can disrupt sleep patterns. These symptoms result from hormonal fluctuations that affect the body’s temperature regulation.

3. Vaginal dryness: Declining estrogen levels during perimenopause can reduce vaginal lubrication. It can cause discomfort, pain, or even bleeding during sexual intercourse. Vaginal moisturizers or lubricants can provide relief and enhance comfort.

4. Decreased libido: Many women experience declining sexual desire or interest during this period. Fluctuating hormone levels, fatigue, and other physical symptoms can reduce interest in sexual activity. Open communication with a partner and exploring new ways to maintain intimacy can help address these changes.

5. Breast tenderness: Some women may experience breast tenderness or increased sensitivity. Breasts may feel sore or swollen, similar to those experienced during premenstrual syndrome (PMS). Supportive bras and over-the-counter pain relievers can alleviate discomfort.

6. Fatigue and sleep disturbances: Fatigue and sleep disturbances are common physical symptoms. Hormonal fluctuations, night sweats, and other factors can disrupt sleep patterns, leading to poor sleep quality and daytime fatigue. Additionally, Establishing a consistent sleep routine and practicing relaxation techniques can help improve sleep.

7. Weight gain and changes in body composition: Many women notice weight gain, particularly around the abdomen. It can lead to weight gain. Regular exercise, a balanced diet, and strength training can help manage weight and maintain muscle mass.

8. Hair loss or thinning: Hormonal changes can lead to hair loss or thinning. Hair may become more brittle, and the scalp may feel dry or itchy. Gentle hair care practices, a balanced diet rich in nutrients, and discussing treatment options with a healthcare professional can help manage these changes.

what are the 34 symptoms of perimenopause
Credit: emedihealth

9. Changes in skin health: Perimenopause can affect the health and appearance of the skin. Estrogen plays a role in maintaining skin elasticity and moisture. As estrogen levels decline, women may experience dryness, itchiness, and changes in skin texture. Staying hydrated, using moisturizers, and protecting the skin from excessive sun exposure can support skin health.

10. Joint and muscle pain: Some women experience joint and muscle pain. Estrogen helps maintain joint lubrication and muscle tone. As estrogen levels fluctuate, joint pain, stiffness, and muscle aches may arise. Regular physical activity and stretching exercises can alleviate discomfort.

11. Mood swings and irritability: Women may experience sudden shifts in mood, ranging from sadness, anger, or frustration to moments of happiness and contentment. These mood swings can be challenging to manage, but open communication with loved ones and practicing stress management techniques can help.

12. Anxiety and/or depression: Perimenopause can trigger or exacerbate feelings of anxiety and depression. Hormonal changes and other life stressors can contribute to heightened anxiety or sadness, or hopelessness. 

13. Difficulty concentrating or memory problems: Many women report difficulties concentrating and memory during perimenopause. Hormonal fluctuations can impact cognitive function, leading to temporary lapses in memory, difficulty focusing, or trouble multitasking. Employing memory aids, practicing mindfulness techniques, and maintaining a healthy lifestyle can support cognitive function.

14. Increased forgetfulness: Forgetfulness is a common complaint. Women may find themselves misplacing items, forgetting appointments, or struggling to recall information. Implementing organizational strategies, such as reminders or calendars, can help manage forgetfulness and improve daily functioning.

15. Feeling overwhelmed or out of control: The combination of physical symptoms, hormonal changes, and life responsibilities can overwhelm women. Recognize the need for self-care and setting boundaries.

16. Decreased self-esteem and confidence: Hormonal changes and the physical manifestations of perimenopause can sometimes impact self-esteem and confidence. Women may question their self-worth or feel less confident in their abilities. Engaging in self-care activities, practicing positive affirmations, and seeking professional support can help improve self-esteem and foster self-acceptance.

17. Changes in sexual desires or fantasies: Perimenopause can bring about changes in sexual desires or fantasies. Fluctuating hormone levels and physical symptoms such as vaginal dryness or decreased libido can affect a woman’s interest in sexual activity. Open communication with a partner, exploring new ways of intimacy, and seeking professional guidance can support sexual well-being during this phase.

18. Brain fog and difficulty with cognitive tasks: Many women report experiencing “brain fog” during this period. They may struggle to concentrate, find the right words, or experience a mental haze. Adequate sleep, regular exercise, and engaging in mentally stimulating activities can help alleviate brain fog and improve cognitive functioning.

19. Trouble finding words or speaking coherently: Hormonal fluctuations can sometimes affect verbal communication. Women may experience difficulty finding the right words or have moments of speaking incoherently. Taking breaks during conversations, practicing deep breathing techniques, and allowing oneself time to gather thoughts can help overcome these challenges.

20. Confusion or disorientation: It can occasionally lead to feelings of confusion or disorientation. Women may experience temporary lapses in awareness or feel mentally scattered. Engaging in relaxation techniques, maintaining a structured routine, and practicing mindfulness can help reduce confusion and promote mental clarity.

21. Difficulty concentrating: Many women report difficulties with concentration. Practicing mindfulness techniques, breaking tasks into smaller, manageable chunks, and creating a conducive environment for concentration can help mitigate this symptom.

22. Memory lapses: Memory lapses are a common cognitive complaint. Women may experience occasional forgetfulness, such as forgetting where they placed their keys or struggling to recall recent events or details. Memory aids like calendars, to-do lists, and smartphone reminders can assist in managing memory lapses.

23. Slowed cognitive processing: Some women also may notice a decline in cognitive processing speed. They may feel that their thinking is slower and requires more effort to process information or solve problems. However, Engaging in mentally stimulating activities like reading, puzzles, or learning new skills can help maintain cognitive agility.

24. Decreased attention span: Perimenopause can be associated with a decreased attention span, making it more challenging to sustain focus for extended periods. Women may be easily distracted or have difficulty engaging in conversations or tasks. Incorporating regular breaks, practicing mindfulness or meditation, and minimizing distractions can enhance attention span.

25. Waking up frequently during the night: Women may wake up multiple times, interrupting their sleep patterns. It can be attributed to hormonal changes, hot flashes, or other physical discomforts. Implementing strategies to manage hot flashes, such as using breathable bedding or adjusting the bedroom temperature, can help reduce nighttime awakenings.

26. Daytime sleepiness and fatigue: Sleep disturbances during perimenopause can contribute to daytime sleepiness and fatigue. Women may struggle to stay awake and alert during the day, affecting their energy levels and overall productivity. However, Ensuring a consistent sleep schedule, engaging in regular physical activity, and avoiding stimulating substances like caffeine close to bedtime can help combat daytime sleepiness.

27. Bloating: Many women experience bloating during perimenopause, which can cause discomfort and a sensation of fullness in the abdomen. Hormonal changes can affect digestion and increase gas production, resulting in bloating. However, Eating smaller, frequent meals, avoiding gas-producing foods, and incorporating physical activity can help alleviate bloating symptoms.

28. Acid reflux and heartburn: Hormonal changes can also sometimes exacerbate acid reflux and heartburn symptoms. The decrease in estrogen levels can affect the functioning of the lower esophageal sphincter, allowing stomach acid to flow back into the esophagus. However, Avoiding trigger foods, eating smaller meals, and practicing good posture can help manage acid reflux and heartburn.

29. Food cravings and changes in appetite: Some women may also experience changes in appetite and food cravings. Hormonal fluctuations can influence hunger and satiety signals, increasing or decreasing appetite. However, Maintaining a balanced diet, being mindful of portion sizes, and incorporating nutritious foods can help manage food cravings and support healthy eating habits.

30. Nausea: Hormonal changes during perimenopause can occasionally cause feelings of nausea. Women may experience occasional bouts of sickness or an unsettled stomach. Avoiding triggers such as strong odors, eating smaller, more frequent meals, and practicing relaxation techniques can help alleviate nausea.

31. Headaches: Hormonal fluctuations can trigger headaches or migraines in some women. These headaches may be more frequent or severe than usual. Managing stress levels, practicing relaxation techniques, and avoiding triggers such as certain foods or sensory stimuli can help alleviate headaches.

32. Urinary changes: Perimenopause can cause changes in the urinary system, including increased frequency of urination, urgency, or urinary incontinence. Also, Hormonal changes can affect the muscles and tissues in the bladder and urethra. Practicing pelvic floor exercises, maintaining a healthy weight, and avoiding bladder irritants like caffeine and alcohol can help manage urinary symptoms.

33. Allergies and skin sensitivity: Some women may experience increased allergies or heightened skin sensitivity. However, Hormonal fluctuations can affect the immune system and lead to a heightened response to allergens or irritants. Additionally, Managing allergies with antihistamines, avoiding known triggers, and using gentle skincare products can help alleviate symptoms.

34. Changes in body odor: Hormonal changes can also lead to changes in body odor for some women. These changes may result from hormonal imbalances or shifts in the body’s natural odor-producing bacteria. Maintaining good personal hygiene, using antiperspirants or deodorants, and wearing breathable fabrics can help manage changes in body odor.


In conclusion, perimenopause is a complex and transformative phase in a woman’s life. We told you What are the 34 symptoms of perimenopause. Understanding and recognizing these symptoms is crucial for women to navigate this transitional phase more easily. While every woman’s experience of perimenopause is unique, knowing that common symptoms such as hot flashes, mood swings, sleep disturbances, cognitive changes, digestive issues, and others can provide reassurance and support. Seeking professional guidance, maintaining a healthy lifestyle, practicing self-care, and connecting with supportive networks can help women manage the challenges associated with perimenopause and promote their overall health and well-being.

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