Your body's preparing for a big shift!
As your hormones adjust during perimenopause, your periods might become a little less predictable. They could show up more or less often, last longer or shorter, and vary in intensity. You might even skip a few altogether. It's all part of the journey!
During early perimenopause, for instance, your cycle length may change by seven days or more. Whereas, in late perimenopause, there could be 60 days or more between your cycles.2
2. Hot flushes and night sweats
A sudden heat spreading through your body and face, a red flush rising from your chest, beads of sweat on your brow… there’s no mistaking a hot flush.
With more than eight in ten women experiencing hot flushes during perimenopause, this is one of the symptoms you’re most likely to experience.4 They can also strike both while you’re awake and asleep, and are a common cause of night sweats.5
But it's important to remember that you're not alone when experiencing these symptoms. Many women will be going through the same as you and there are plenty of ways to help reduce the impact they have on your day-to-day life.
3. Mood changes
If you’re going through perimenopause, you’ve probably noticed more changes in your mood than usual. This is common.
In one study, researchers discovered that irritability was the main mood reported during perimenopause, affecting as many as 70% of women. Other emotions like sadness and anxiety were also found to be especially common.6
This is all down to hormonal changes – as your oestrogen levels drop, levels of the happy hormone, serotonin, do too, leading to various emotional symptoms.7
The good news? By understanding these shifts, you can find healthy ways to navigate them and feel your best throughout this transition.
4. Sleep problems
With night sweats being a regular occurrence, getting a good night’s rest isn’t always straightforward during perimenopause.
In fact, according to one study, almost half of women approaching menopause experience sleep disturbances, including poor-quality sleep and insomnia.8
However, with the right support, lifestyle adjustments and self-care practices in place, it can be perfectly possible to reach the land of nod and get a great night's kip!
5. Loss of libido and vaginal dryness
Oestrogen is one of the main hormones affected during perimenopause.
As your levels decrease, symptoms like uncomfortable vaginal dryness, night sweats, and poor sleep can occur. Combined, these symptoms can cause pain, fatigue, and low self-esteem, which can all reduce your sex drive and desire to be intimate.9
But it's not all bad news. By seeking support, exploring various treatment options and prioritising self-care, you can easily take back control of your body and retain a healthy sex drive throughout this phase of life.
6. Memory lapses and brain fog
Forgetting names, misplacing keys and struggling to remember what you went upstairs for are all common problems associated with perimenopause-induced brain fog. In fact, many people feel as though their brain is like ‘cotton wool’ during this time.10
However, the one thing you mustn’t forget is that you’re not alone.
By reaching out for support and implementing simple memory-enhancing techniques, you can navigate through this foggy phase with clarity and confidence, emerging stronger on the other side.
7. Joint pain
Oestrogen helps to keep the connective tissue in our joints healthy. So when it’s in low supply during perimenopause, you might start to feel some pains in your fingers, elbows, and neck.11 This can make you feel stiff and achy, especially when you first wake up.
Fortunately, there’s an effective way to combat those aches and pains: maintain a healthy, active lifestyle.
Performing exercises that are good for joints, like walking or yoga, and eating balanced nutritious meals can not only support your overall health but also help keep joint pain at bay.
8. Sore breasts
Thanks to the hormonal shifts that take place during our menstrual cycles, we’re all very much used to tender breasts already and these will continue with perimenopause.
In fact, as highlighted by the National Cancer Institute, menopause (and perimenopause) can cause symptoms like breast tenderness, lumpiness, and potentially a reduction in size.12
If you experience any of the symptoms mentioned above or aren’t sure about your symptoms, you should speak to your GP or healthcare practitioner for further advice.