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Common Symptoms of Perimenopause: What to Expect During the Transition


ByAgkidzone Staff
Updated: Oct 10, 2024

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Perimenopause, often called the menopause transition, is the time leading up to menopause when a woman's body begins to change. During this period, usually starting in a woman's 40s but sometimes in her 30s or even earlier, the ovaries gradually produce less estrogen, the main female sex hormone. Let's explore the 10 most common symptoms of perimenopause.

Hot Flashes

Hot flashes, sometimes known as hot flushes, are sudden feelings of warmth that spread over the body, especially affecting the face, neck, and chest. You might notice your skin becoming red and flushed, and sweating can occur. Although the exact cause isn't fully understood, it's thought that hormonal changes affect circulation, increasing blood flow to the skin and causing heat. Some women also experience a rapid heartbeat or chills during a hot flash. The duration and frequency vary widely—they can be brief or last longer, happening occasionally or frequently. Over time, many women find that hot flashes decrease in intensity and number.

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Fatigue

Feeling extremely tired, no matter how much you sleep, is a common symptom of perimenopause. This overwhelming fatigue can make you feel like you could collapse at any moment. Additionally, many women report insomnia or unusual sleep patterns. For instance, you might fall asleep easily but then wake up in the middle of the night and struggle to fall back asleep. Nightmares or vivid dreams may also accompany fatigue, further disrupting your rest. Because sleep is so essential, this lack can impact your daily life significantly.

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Mood Swings

Mood swings are considered one of the earliest Symptoms of perimenopause. They can even begin before noticeable changes in your menstrual cycle. Studies indicate that up to 40% of women experience mood swings due to hormonal fluctuations. These can cause sudden and intense emotions like anger, anxiety, or sadness. The intensity and frequency vary from person to person. Furthermore, perimenopause can increase the risk of depression and may worsen conditions such as PMS or postpartum depression. It's important to recognize these changes and seek support if needed.

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Irregular Periods

Another common aspect of perimenopause is irregular periods. You might notice your periods coming earlier or later than usual, and their duration might change. It's important to remember that irregular periods can have many causes, including changes in contraception methods or hormonal imbalances involving estrogen and progesterone. If you're experiencing irregular periods along with other symptoms like blood clots or spotting after sex, it's wise to consult your doctor to rule out other potential issues. After all, staying informed is key to your health.

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Reduced Cognitive Function

Many women going through perimenopause experience cognitive difficulties, such as trouble learning new things, remembering information, or processing thoughts. A study published in the journal Neurology found that around 60% of women report these issues. Concentration can become more challenging, making it harder to keep track of finances, schedules, or complex tasks. Thankfully, this is usually temporary, and cognitive function often returns to normal after perimenopause ends. In the meantime, it's helpful to use tools like lists or reminders to stay organized.

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Night Sweats

Night sweats are one of the most common symptoms of perimenopause. They often begin a few nights before menstruation starts. You might wake up feeling drenched, and your bed sheets may be damp. Afterwards, chills similar to those experienced during a fever can occur. Night sweats can also interfere with sleep, making it difficult to recall dreams or leaving you feeling unrested. Since good sleep is crucial for overall health, finding ways to manage night sweats is important.

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Lower Sex Drive

A decrease in sexual interest is common during perimenopause. This reduced libido can vary greatly among women—some experience a gradual decline, while others notice a sudden drop. Occasionally, periods of increased sexual desire may occur, followed by longer times of decreased interest. Pain during sex can also accompany this symptom, with some women describing intense discomfort during vaginal penetration. Open communication with your partner is essential to navigate these changes and maintain a healthy relationship.

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Joint and Muscle Pain

Joint and muscle pain is a frequent complaint during perimenopause. You might feel soreness, stiffness, or warmth in various parts of your body. Sometimes, this pain develops into conditions like carpal tunnel syndrome. These symptoms can make everyday activities, such as climbing stairs or lifting objects, more difficult. Regular stretching and gentle exercises can promote flexibility and alleviate some discomfort. It's also a good idea to consult a healthcare professional if the pain persists.

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Urinary Urgency

Feeling the need to urinate frequently, even right after using the restroom, is another symptom of perimenopause. This urinary urgency can be uncomfortable and is sometimes mistaken for a urinary tract infection. Additionally, urinary incontinence—the unintentional loss of urine—can occur during actions like coughing, sneezing, or certain movements. These issues result from a loss of muscle control in the pelvic area. Strengthening pelvic muscles through specific exercises may help reduce these symptoms.

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Food Cravings

Intense and sometimes uncontrollable food cravings are common during perimenopause. Hormonal changes and increased stress levels can trigger these cravings, often for sweet or salty foods. Occasionally, you might crave sour or spicy items. While indulging occasionally is fine, consistently giving in to unhealthy cravings can lead to weight gain, especially if the foods are high in calories and low in nutrients. Maintaining a balanced diet and finding healthy alternatives can help manage these cravings.

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