29 Signs of Perimenopause

Are you suffering from a range of unexpected and undesired symptoms that have left you scratching your head in confusion?

You may be experiencing perimenopauseóa womanís natural transition between her potentially child-bearing years and menopause, which usually lasts 2 to 10 years, depending on the woman. Most women start experiencing perimenopause in their forties, but some women start as early as their mid-thirties. While it is a natural and normal experience in a womanís life, that doesnít mean it’s always easy: some women may have no symptoms at all while other women suffer from a whole range of uncomfortable to downright difficult symptoms.

There are many signs you might be experiencing perimenopause. Here are some of the most common ones:

Abdominal fat increases
Anemia (if your periods become heavy)
Bone mass loss
Difficulty handling stress
Fibrocystic breasts
Heavy periods
Hot flashes
Increased cholesterol levels
Increased fat gain
Menstrual changes
Migraine headaches (not the same as other types of headaches, migraines are severe, one-sided headaches that are usually linked to a knifing-type pain in the eyes, seeing auras, nausea, vomiting and blurred vision.
Missed periods
Mood swings
Muscle loss
Night sweats
Painful or uncomfortable intercourse (thinning of vaginal tissues along with vaginal dryness can make intercourse painful for some women)
Reduced fertility (As long as youíre experiencing periods youíre most likely ovulating, which means you may still be able to become pregnant)
Reduced libido
Scant periods
Sleep Disturbances
Sore breasts
Urinary tract infections (Hormonal fluctuations may make you more vulnerable to urinary tract infections)
Vaginal dryness


A Natural Approach

Just because youíre experiencing perimenopause doesnít mean you need to remain at the mercy of your hormones. Here are a few simple ways to improve your hormonal balance, which in turn can reduce the number, intensity or frequency of perimenopausal symptoms:

  • Participate in weight-bearing and cardiovascular exercise to help build strong bones, balance hormones, reduce depression and maintain overall health.
  • Eat a largely plant-based diet high in fruits, vegetables, beans and whole grains to help keep hormones balanced and cholesterol levels low. Emphasize foods high in absorbable calcium to help maintain strong bones, including: carrots and carrot juice, kale, dark leafy greens, sesame seeds and tahini (sesame butter), broccoli, almonds and almond butter, kelp, oats and navy beans, to name a few. Additionally, emphasize nuts, seeds and whole grains in your diet since they tend to be high in vitamin E, which can help reduce vaginal dryness linked to painful intercourse.
  • Research published in the medical journal Menopause found that the herb St. Johnís Wort significantly reduced the frequency and severity of hot flashes in perimenopausal women. Incidentally it also helped menopausal and post-menopausal women. Additionally, St. Johnís Wort has been found to be helpful for depression, mood swings, anxiety and even migraines, making it an all-around great remedy for women during their perimenopausal years.
  • Black cohosh is an herb that has been used by Native Americans for hundreds of years to treat hormonal imbalances linked to menstrual cramps and menopausal symptoms. Today, herbalists use the herb or its extract to treat a wide variety of hormonally-linked symptoms, including: hot flashes, irritability, mood swings, sleep disturbances, PMS and menstrual irregularities.† Follow package instructions or work with a qualified herbalist for best results.


Dr. Michelle Schoffro Cook, PhD, DNM is a board-certified doctor of natural medicine and international best-selling and 19-time published book author whose works include: Be Your Own Herbalist: Essential Herbs for Health, Beauty, and Cooking (New World Library, 2016).


W. C
W. C1 years ago


William C
William C1 years ago

Thank you for the information.

Crystal G.
Crystal G2 years ago

I got a number of those due to birth control. I started mine symptoms ten years early.

J Wells
J Wells2 years ago

39 and I am tired of my face sweating so bad people stare. Also sick of not being able to sleep and night sweats

Sarah Hill
Sarah Hill3 years ago

The worst is the lack of good sleep!

Siyus Copetallus
Siyus Copetallus3 years ago

Thank you for sharing.

Nina S.
Nina S3 years ago


Maria Papastamatiou

When my menopause started at the age of 44, I had to look after 4 relatives in different places... (In Greece the Health System has never been perfect, so one must be there if one cannot afford to pay a lot). So, to cut a long story short, symptoms had to be overlooked. Perhaps in my case they were not very strong, anyway. Now it is 11 years without period (which in my case stopped abruptly)and am glad that I do not have to worry about sheets getting red. And I think that all ages are nice and worth living, even with difficulties.

Carol M.
Carol M3 years ago

Waking up with night sweats was disturbing. For six straight months I was using industrial strength feminine protection and required changing it every single hour 24/7 and still had leaking. It was like the faucet was turned on high. I became not only anemic but nearly disabled as my body became so weak. I would get dizzy standing up, out of breath walking 10 feet. It was like my body didn't have enough blood to get the job done. I couldn't get sleep for having to get up every hour to deal with it. Thankfully I survived that. Encouragement, sisters, as every season has its own set of challenges. The key is perseverance.

Elaine W.
Past Member 3 years ago

Only 29 signals? I'm sure I suffered with more that that! So glad it's over.