Perimenopause Symptoms

Perimenopause is the transition leading to menopause — usually starting in a woman's 40s, though it can begin earlier. Hormone levels fluctuate unpredictably, and symptoms vary widely between women.

Common symptoms

• Cycle changes — shorter or longer cycles, heavier or lighter flow
• Hot flushes and night sweats — sudden warmth, flushing, sweating
• Sleep disturbance — difficulty falling or staying asleep, waking at 3 am
• Mood changes — irritability, tearfulness, anxiety, low mood
• Brain fog — trouble concentrating, word-finding, memory lapses
• Vaginal and bladder changes — dryness, discomfort, urgency

When symptoms start

Some women notice changes several years before their final period. The timing and intensity are highly individual — family history is a rough guide, not a rule.

When to see a clinician

Seek advice if symptoms disrupt your life, if bleeding is unusually heavy or frequent, or if low mood feels unmanageable. Many symptoms are treatable — you do not have to "just put up with it".

Educational information only — not medical advice. Always consult a qualified healthcare professional.

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