Perimenopause is the transitional phase leading up to menopause, and it can begin as early as your late 30s or early 40s. While many women expect the occasional hot flush or missed period, few are prepared for the wide range of physical, emotional, and cognitive changes that can occur during this time.
At Owning Your Menopause we do our very best to help perimenopausal women feel heard and supported and a big part of that is knowing that the symptoms you are experiencing are normal and that you’re never the only one.
Understanding the most common symptoms of perimenopause is the first step to managing them effectively. This guide breaks down 100 symptoms you might experience—so you can feel informed, empowered, and less alone.
What Is Perimenopause?
Perimenopause is the time leading up to menopause, when the ovaries gradually begin to produce less oestrogen. It typically lasts between 4–10 years and ends when you’ve gone 12 consecutive months without a period.
Hormonal fluctuations during this time can trigger a range of symptoms. While every woman’s experience is unique, some symptoms are more commonly reported than others.
The 100 Most Common Symptoms of Perimenopause
Menstrual Changes
- Irregular periods
- Heavier or lighter flow
- Shorter cycles
- Longer cycles
- Skipped periods
- Spotting between periods
- Shorter duration of periods
- Longer duration of periods
Vasomotor Symptoms (Hot Flushes & Night Sweats)
- Hot flushes
- Night sweats
- Cold flushes
- Sudden warmth in face or chest
- Chills following hot flushes
Sleep Disturbances
- Insomnia
- Waking during the night
- Difficulty falling asleep
- Waking too early
- Restless legs
- Nightmares
- Sleep apnea
Mood & Mental Health
- Mood swings
- Anxiety
- Depression
- Irritability
- Panic attacks
- Feeling overwhelmed
- Loss of motivation
- Low self-esteem
- Crying spells
- Social withdrawal
Cognitive Changes
- Brain fog
- Poor concentration
- Memory lapses
- Difficulty finding words
- Short attention span
Physical Changes
- Weight gain (especially around the middle)
- Bloating
- Breast tenderness
- Joint pain
- Muscle aches
- Fatigue
- Headaches
- Migraines
- Dizziness
- Tingling extremities
- Itchy skin
- Dry skin
- Acne
- Changes in body odour
- Burning mouth sensation
Hair, Skin & Nails
- Hair thinning
- Hair loss
- Brittle nails
- Ridged nails
- Dry, sagging skin
- Facial hair growth
- Changes in skin tone or texture
Digestive & Appetite Changes
- Constipation
- Diarrhoea
- Indigestion
- Nausea
- Changes in appetite
- Food intolerances
- Weight fluctuations
Sexual & Reproductive Health
- Vaginal dryness
- Vaginal itching
- Pain during intercourse
- Decreased libido
- Incontinence
- More frequent UTIs
- Irregular ovulation
- PMS-like symptoms
Cardiovascular Changes
- Heart palpitations
- Racing heart
- Blood pressure changes
- Chest discomfort (always seek medical advice)
Hormonal Symptoms
- Breast changes
- Oestrogen dominance symptoms
- Progesterone deficiency
- Increased sensitivity to stress
- Thyroid-like symptoms
- Blood sugar fluctuations
Emotional & Behavioural Symptoms
- Rage episodes
- Feeling disconnected
- Loss of interest in hobbies
- Difficulty coping with stress
- Increased sensitivity to criticism
- Feeling invisible
- Reduced confidence
- Fear of ageing
Other Commonly Reported Symptoms
- Allergy flare-ups
- Dry eyes
- Frequent urination
- Tinnitus (ringing in ears)
- Burning tongue
- Metallic taste in mouth
- Sore gums
- Back pain
- Pins and needles
- Sensation of electric shocks under the skin
What Can You Do About It?
If you’re experiencing a cluster of these symptoms and you’re over 35, it could be perimenopause. You’re not imagining things and you’re not alone.
Here are a few steps to help manage the 100 most common symptoms of perimenopause:
- Track your cycle and symptoms: This helps identify patterns and aids conversations with your healthcare provider.
- Consult a menopause specialist: Don’t suffer in silence. Treatments like HRT, lifestyle changes and supplements can make a big difference.
- Support your body with nutrition, movement, and rest: A balanced approach to self-care is essential.
- Join a supportive community: Talking to others going through the same changes can help you feel less isolated.
Final Thoughts
Perimenopause can feel overwhelming, especially when symptoms appear seemingly out of nowhere. But with the right knowledge and support, you can navigate this phase with confidence and clarity.
For more expert guidance on managing perimenopause, including nutrition tips, symptom tracking tools and access to specialists, join our community today.
You can also visit NHS.UK for more information on the symptoms of perimenopause.
