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Top 50 peri menopause symptoms and why you feel so crappy

Peri menopause, the transitional phase before menopause, is marked by fluctuating hormone levels, primarily estrogen and progesterone. The fluctuating hormonal changes impacts women in a variety of different ways, some may experience no symptoms, others experience a few, and then there are the unlucky ones who can tick off many of the top 50 peri menopause symptoms off this list.


Also the severity of how a woman experiences these symptoms varies, for some it can be mild and not disrupt their normal day to day lives too much, while other women are greately impacted and may need to stop work or reduce socialising with friends and families, this is when you need to seek assistance to get you feeling like yourself again. There are many options available for you.



Upset woman lying on bed



Here’s a list of 50 possible peri menopause symptoms along with explanations of why the body experiences them:

1. Irregular Periods

  • Why: Hormonal fluctuations disrupt the regular menstrual cycle as ovulation becomes erratic.

2. Hot Flashes

  • Why: Estrogen levels drop, affecting the hypothalamus (temperature regulation center), causing sudden heat sensations.

3. Night Sweats

  • Why: Similar to hot flashes but occur during sleep, caused by hormonal imbalances disrupting the body's ability to regulate temperature.

4. Sleep Disturbances

  • Why: Hormonal fluctuations, particularly a decrease in progesterone, disrupt sleep patterns and may cause insomnia.

5. Mood Swings

  • Why: Changes in estrogen and progesterone impact neurotransmitters like serotonin, leading to emotional instability.

6. Depression

  • Why: Low estrogen levels can lower serotonin levels, increasing vulnerability to depression.

7. Anxiety

  • Why: Hormonal changes can stimulate the brain's anxiety centers, exacerbating feelings of stress.

8. Fatigue

  • Why: Hormonal fluctuations and sleep disturbances reduce energy levels, causing persistent tiredness.

9. Memory Lapses (Brain Fog)

  • Why: Estrogen influences brain function, and declining levels can impair memory and concentration.

10. Difficulty Concentrating

  • Why: Hormonal shifts affect neurotransmitters, making it harder to focus.

11. Headaches

  • Why: Estrogen levels that fluctuate or drop can trigger migraines or tension headaches.

12. Weight Gain

  • Why: Decreased estrogen levels can lead to slower metabolism and fat distribution, especially around the abdomen.

13. Bloating

  • Why: Hormonal changes can cause fluid retention and gastrointestinal disturbances, leading to bloating.

14. Breast Tenderness

  • Why: Hormonal shifts, especially fluctuating estrogen, can cause swelling and sensitivity in breast tissue.

15. Vaginal Dryness

  • Why: Decreased estrogen leads to reduced moisture and elasticity in the vaginal tissues.

16. Decreased Libido

  • Why: Lower estrogen and testosterone levels can reduce sexual desire.

17. Painful Intercourse

  • Why: Vaginal dryness and thinning of the vaginal walls (vaginal atrophy) make intercourse uncomfortable.

18. Urinary Incontinence

  • Why: Loss of estrogen weakens pelvic floor muscles, leading to bladder control issues.

19. Urinary Tract Infections (UTIs)

  • Why: Thinner vaginal and urinary tissues, due to lower estrogen, make the body more prone to infections.

20. Hair Thinning

  • Why: Declining estrogen and changes in androgen levels can cause hair thinning or loss.

21. Dry Skin

  • Why: Estrogen helps maintain skin moisture and elasticity; lower levels lead to drier skin.

22. Changes in Skin Texture

  • Why: Collagen production declines with lower estrogen levels, causing wrinkles and sagging skin.

23. Joint Pain

  • Why: Estrogen helps reduce inflammation; when levels decrease, joints can become stiff and achy.

24. Muscle Aches

  • Why: Hormonal imbalances can lead to increased inflammation and soreness in muscles.

25. Osteoporosis

  • Why: Estrogen supports bone density; reduced levels lead to bone loss, increasing fracture risk.

26. Heart Palpitations

  • Why: Fluctuating hormone levels, particularly estrogen, can influence heart rhythms.

27. Dizziness

  • Why: Hormonal changes can affect the brain’s balance centers, causing feelings of lightheadedness.

28. Allergies

  • Why: Hormonal fluctuations can trigger histamine production, exacerbating allergic reactions.

29. Changes in Body Odor

  • Why: Hot flashes and night sweats increase sweating, which can alter body odor.

30. Increased Facial Hair

  • Why: A relative increase in androgens (male hormones) due to declining estrogen can cause facial hair growth.

31. Acne

  • Why: Hormonal imbalances, especially with androgens, can lead to an increase in oil production, causing acne.

32. Burning Mouth Syndrome

  • Why: Lower estrogen levels can alter nerve sensations in the mouth, causing a burning sensation.

33. Metallic Taste in the Mouth

  • Why: Hormonal changes can affect taste buds, leading to unusual tastes.

34. Gum Problems

  • Why: Estrogen helps maintain oral tissue health; reduced levels can cause gum sensitivity and bleeding.

35. Tingling Extremities

  • Why: Fluctuations in estrogen can affect nerve function, leading to tingling in the hands and feet.

36. Increased Sensitivity to Cold

  • Why: Hormonal changes affect the hypothalamus, which regulates body temperature, causing sensitivity to cold.

37. Digestive Issues

  • Why: Hormonal shifts can slow digestion, leading to constipation, diarrhea, or other gastrointestinal issues.

38. Food Cravings

  • Why: Hormonal imbalances can trigger cravings, especially for sugar or carbohydrates, as the body seeks comfort foods.

39. Irregular Heartbeats

  • Why: Hormone fluctuations can impact the autonomic nervous system, leading to irregular heart rhythms.

40. Eye Dryness

  • Why: Reduced estrogen affects the production of tears, leading to dry, irritated eyes.

41. Tinnitus (Ringing in the Ears)

  • Why: Hormonal changes can affect inner ear function, causing ringing or buzzing sounds.

42. Loss of Bone Density

  • Why: Estrogen plays a key role in maintaining bone mass; reduced levels lead to bone thinning.

43. Restless Leg Syndrome

  • Why: Hormonal imbalances, particularly low dopamine levels (affected by estrogen), can trigger restless legs.

44. Skin Sensitivity

  • Why: Reduced estrogen can thin the skin, making it more sensitive and prone to irritation.

45. Irregular Bleeding

  • Why: Estrogen and progesterone imbalances lead to inconsistent menstrual cycles, sometimes with heavier or lighter bleeding.

46. Loss of Bladder Control

  • Why: Weakened pelvic floor muscles and thinning urinary tract tissues from estrogen loss contribute to incontinence.

47. Back Pain

  • Why: Lower estrogen levels lead to reduced bone density and muscle strength, increasing back pain risks.

48. Chronic Fatigue Syndrome

  • Why: Hormonal fluctuations may trigger systemic inflammation, contributing to extreme tiredness.

49. Hair Loss

  • Why: Reduced estrogen levels and changes in androgen levels lead to thinning hair.

50. Emotional Detachment

  • Why: Declining estrogen levels affect brain chemistry, which can dull emotions or cause feelings of apathy.


Perimenopause is a complex time of change marked by fluctuating hormone levels, especially estrogen and progesterone. These hormonal shifts affect nearly every system in the body, leading to a wide range of symptoms. The decline in estrogen plays a central role, disrupting bodily functions related to temperature regulation, bone density, mood, and metabolism, among others. Recognising these symptoms can help women manage and seek appropriate treatments during this life stage.


Chinese medcine has spent thousands of years discussing and supporting women through this transition. If you are looking for a holistic pathway to assist you through this transition, book in a time with me now. I have spent years working with women who want to explore natural and ancient traditions to assist in their jounrey through peri menopause.


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