Common symptoms of perimenopause

Symptoms vary between people and can change over time. Periods may become closer together, farther apart, lighter or heavier before they stop. Headaches, joint aches, problems concentrating and urinary discomfort may also occur.

Perimenopause is the transition before menopause, when ovarian hormone levels fluctuate and ovulation becomes less predictable. Those changes can affect temperature regulation, bleeding patterns, sleep, mood and genital tissues. Symptoms may come and go rather than follow a steady progression.

A missed period can occur during this transition, but pregnancy remains possible while ovulation continues unpredictably. Thyroid problems, pregnancy, medicines and other conditions can overlap with perimenopause symptoms, so the overall pattern and medical history matter.

Keep a simple diary of bleeding, flushes, sleep, mood and possible triggers. Breathable layers, a cooler sleeping space, regular movement and consistent sleep routines may ease particular symptoms. Lubricants can reduce friction during sex, while vaginal moisturisers are designed for regular dryness relief. A clinician can discuss hormonal and non-hormonal treatment choices based on symptoms, health history and preferences.

Arrange an assessment for very heavy bleeding, bleeding between periods, bleeding after sex, symptoms of anaemia such as breathlessness or marked fatigue, or any bleeding after menopause. Seek urgent care if bleeding is heavy and accompanied by fainting, severe weakness, chest pain or difficulty breathing. Get timely support if mood changes include thoughts of self-harm.

Consider asking whether your symptom pattern fits perimenopause, whether another cause needs checking, and which treatment options address the symptoms troubling you most. Mention contraception needs, migraine, clotting history, breast conditions and all current medicines because these details may shape treatment choices.