Menopause doesn’t happen overnight. For most women, it’s a gradual transition known as perimenopause, which can begin in your 40s or even earlier. During this time, hormone levels begin to fluctuate, leading to a range of physical and emotional symptoms.
Many women suffer silently during perimenopause and menopause, and it’s not always obvious that symptoms are due to rollercoaster hormones. Many simply feel tired, defeated, foggy, and moody. The good news? Knowing the root of your symptoms can help you address them and start to feel more like your old self again.
While every woman’s experience is different, here are 10 common signs that may signal you’re entering this next chapter.
1. Irregular Periods
One of the first signs of perimenopause is a change in your menstrual cycle. Periods may become less predictable, shorter or longer, heavier or lighter—or they may skip a month altogether.
2. Hot Flashes
Hot flashes are sudden waves of heat, often starting in the chest or face and spreading through the body. They may be accompanied by sweating, flushed skin, or a racing heart, and they can happen at any time of day.
3. Night Sweats
Similar to hot flashes but occurring during sleep, night sweats can disrupt your rest and leave you waking up drenched. They’re a key reason many women struggle with sleep during perimenopause.
4. Mood Swings
Fluctuating hormones can affect your emotional balance. If you’ve been feeling more irritable, anxious, or tearful than usual, it may be related to the hormonal changes of perimenopause.
5. Sleep Problems
Difficulty falling asleep or staying that way is common. Hormonal shifts, night sweats, and increased stress can all contribute to poor sleep quality, even in women who previously slept well.
6. Vaginal Dryness
As estrogen levels decline, vaginal tissues may become thinner and less lubricated, leading to dryness, irritation, or discomfort during intimacy.
7. Low Libido
A decrease in estrogen and testosterone can lead to reduced sexual desire. Vaginal dryness and mood changes can also play a role in lowering libido during this phase.
8. Weight Gain
Many women notice weight gain, especially around the abdomen, during perimenopause. This can be influenced by hormonal changes, slower metabolism, and shifts in activity or diet.
9. Thinning Hair
Hormonal imbalances may cause hair to thin and fall out more easily. You might also notice changes in hair texture or overall volume.
10. Memory Issues
Many women experience brain fog, forgetfulness, or difficulty concentrating during perimenopause. While frustrating, these cognitive changes are common and usually temporary.
Menopause Is Natural, And So Is Getting Support
While these changes are a normal part of aging, they don’t have to disrupt your life. There are many effective treatment options—including hormone therapy, lifestyle changes, and supportive care—to help you feel like yourself again. Remember: It’s not unusual to feel sad or depressed, and you don’t have to go through this season alone.
If you’re noticing symptoms of perimenopause, talk to your doctor or call our board-certified OBGYNs at (202) 331-9293. The right care can make all the difference in this new phase of health and well-being.
Sources:
https://my.clevelandclinic.org/health/diseases/21841-menopause
https://www.mayoclinic.org/diseases-conditions/menopause/symptoms-causes/syc-20353397
https://www.nia.nih.gov/health/menopause/what-menopause