25 Menopause Symptoms and The Perimenopause Symptom Checker
7 Minutes Read

25 Menopause Symptoms and The Perimenopause Symptom Checker

Wondering if the changes you’re experiencing might be linked to perimenopause? We get it – navigating the perimenopausal terrain can be a bit like sailing through uncharted waters. Here’s a handy perimenopause symptom checker of the more common, and the rarer, symptoms – to help you figure out if perimenopause might be on the horizon.
Table of Contents

    Very common menopause symptoms

    Irregular Periods

    Are your menstrual cycles playing hide-and-seek? Fluctuating cycle lengths or unexpected surprises might be a sign.

    Changes in Flow

    Have you noticed a shift in your period flow? Whether it’s heavier or lighter than usual, changes in menstrual flow can be a perimenopausal cue.

    Hot Flushes and Night Sweats

    Are sudden heat waves and midnight sweats making unwelcome appearances? These classic perimenopausal symptoms can be quite telling.

    Sleep Disturbances

    Is catching those Zs suddenly challenging? Sleep disturbances, including difficulty falling asleep or staying asleep, could be part of the perimenopausal package.

    Mood Swings

    Are you experiencing mood roller-coasters that leave you feeling like an emotional acrobat? Perimenopause can bring about mood swings, irritability, or moments of unexplained sadness. The changes in your sexual hormones has a knock-on effect that impacts levels of neurotransmitters including dopamine and serotonin which control happiness and a positive outlook. 

    Changes in Libido

    Has sex become unappealing or even an ordeal? Perimenopause can reduce libido, leading to changes in sexual desire.

    Vaginal Changes

    Have you noticed dryness, itching, or discomfort down there? Is it suddenly painful having sex? Changes in vaginal health can be linked to perimenopause.

    Bladder infections and Cystitis

    The sudden appearance, or increase in frequency, of bladder infections is a hugely overlooked perimenopause symptom. Linked with the vagina getting less acidic, the loss of protective bacteria leaves the vagina and bladder opening vulnerable to a build up of harmful infections. 

    Fatigue

    Are you feeling more fatigued than usual, even after a good night’s sleep? Increased tiredness is a common perimenopausal companion.

    Memory Lapses

    Is your memory playing tricks on you? Can’t seem to call anyone by the right name? Forgetfulness and occasional memory lapses can be part of the perimenopausal experience.

    Changes in Hair and Skin

    Have you observed changes in your hair texture or noticed differences in your skin? The reduction of estrogen in perimenopause commonly leads to thinner and more brittle hair and drier skin.

    Weight Gain

    Menopause-related weight gain is often associated with hormonal changes, specifically the decrease in estrogen levels. This hormonal shift can lead to changes in body composition, with a tendency to store more fat around the abdomen. Metabolic changes and a natural decline in muscle mass that occurs with aging can also contribute to weight gain during menopause.

    More unusual perimenopause symptoms

    Not all women experience these symptoms in perimenopause, but they can cause a great deal of suffering for some women and they are not as rare as you may think. 

    Menopause Dizziness

    Dizziness during menopause can be attributed to hormonal fluctuations, particularly the decline in estrogen. Estrogen plays a role in regulating blood flow and maintaining the stability of the inner ear, which affects balance. As estrogen levels decrease, it can lead to changes in blood pressure and may contribute to feelings of dizziness or lightheadedness.

    Pins & Needles or Numbness

    Pins and needles sensations, or tingling, during menopause may be linked to hormonal changes affecting the nervous system. This is particularly felt in the hands and lower legs. Declining estrogen levels can influence nerve function, potentially leading to sensations like pins and needles. Additionally, changes in circulation and blood flow may contribute to these sensations in various parts of the body.

    Tinnitus

    Estrogen has been shown to play a role in the development and maintenance of auditory pathways in the brain. Tinnitus, or the perception of ringing or buzzing in the ears, can be linked to these hormonal fluctuations during menopause. While the exact mechanisms are not fully understood, hormonal changes may affect the blood flow to the ear and the auditory system, leading to the development or exacerbation of tinnitus.

    Heart palpitations

    Feeling your heart racing or heart palpitations are symptoms of the menopause for many women. This can sometimes include waking up suddenly in the night with a pounding heart and sensations of terror. It may also be accompanied by aches and pains, including in the chest area. This alarming symptom is thought to be caused by hormonal changes, stress or as a consequence of hot flushes. You must always consult your doctor if you experience this symptom, even if you are certain that you are in perimenopause. 

    Electric Shock Sensations

    Some women report experiencing electric shock-like sensations or “brain zaps.” This phenomenon is not fully understood but is believed to be related to hormonal fluctuations impacting the nervous system. For some women it feels like vibrations running through their limbs, or as if they are trembling even though they can see they are not. Always consult a doctor if you experience this symptom, to rule out other causes. 

    Itchy Skin

    Changes in estrogen levels can affect skin hydration. Perimenopausal women may notice increased skin dryness and itchiness. Using moisturizers and staying hydrated can help alleviate this symptom. If the itching is severe, ask your doctor for a blood test for iron levels, as persistent severe itching is one of the main symptoms of iron-deficiency anaemia, especially in perimenopause. 

    Gastrointestinal Issues

    Hormonal changes may influence digestion, leading to symptoms such as bloating, gas, and changes in bowel habits. Some women may experience digestive discomfort during perimenopause. Constipation is a common problem. 

    Breast Changes

    Hormonal fluctuations can cause changes in breast tissue, including increased sensitivity, pain, or lumpiness. Regular breast self-exams and mammograms are important for monitoring breast health during perimenopause.

    Changes in Sense of Smell

    Some women may notice changes in their sense of smell during perimenopause. This could result in heightened sensitivity or changes in the perception of certain odors.

    Allergies and Sensitivities

    Hormonal shifts may contribute to increased sensitivities to environmental factors, including allergies. Some women may find that they become more reactive to certain allergens during perimenopause.

    Jaw Pain or TMJ Issues

    Hormonal changes can influence the temporomandibular joint (TMJ), leading to jaw pain, clicking, or discomfort. Stress and teeth grinding while you’re asleep tend to make this symptom worse. See your dentist if it gets very bad, as there are protectors you can wear at night to resolve this problem. 

    Changes in Body Odour

    Hormonal fluctuations may affect sweat gland activity, leading to changes in body odour. Some women may notice differences in their natural scent during perimenopause. If your vagina seems to be getting smelly, it’s worth getting a swab done to make sure there’s no infection or bacterial overgrowth. A lot of the time, through, it’s just a mild change that you become super sensitive to. 

    Increased Migraines or Headaches

    For some women, perimenopause can be associated with an increase in the frequency or intensity of migraines or headaches. Hormonal fluctuations are considered potential triggers.

    Conclusion: Are you starting the Menopause?

    Remember, experiencing one or more of these symptoms doesn’t necessarily mean you’re in perimenopause, but it might be worth exploring further. If you find yourself nodding along to several, it might be time for a chat with your healthcare provider. They can provide personalized guidance and help you navigate this transformative phase with confidence. Your journey is unique, and understanding the signals your body is sending can empower you to face perimenopause with calm and resilience.

    Veronica Hughes
    Veronica Hughes is a writer and researcher with a lifelong passion for nutrition and healthcare. 🩺She has spearheaded a medical research charity as its CEO, and was an influential committee member of National Institute of Health and Care Excellence (NICE) to shape treatment guidelines for the NHS. She has actively contributed to the development of Care Quality Commission treatment standards for the NHS. ✒️Her publications include newspaper articles and insightful blogs covering a spectrum of health topics, ranging from diseases and nutrition to modern healthcare and ground-breaking medical research.
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