
12 Early Signs of Perimenopause Every Woman Over 35 Should Know!
Early signs of perimenopause can start as early as your mid to late 30s or early 40s, though for some women, they may appear later. Perimenopause is the transitional phase before menopause when hormone levels—especially oestrogen and progesterone—start to fluctuate. Here are common early signs to look out for:
1. Irregular Periods
- Your cycle may become shorter or longer.
- You may skip periods or experience heavier or lighter bleeding.
2. Sleep Disturbances
- Difficulty falling or staying asleep.
- Night sweats that interrupt rest.
3. Mood Changes
- Increased irritability, anxiety, or low mood.
- Feelings of overwhelm or sadness without clear cause.
4. Hot Flushes
- Sudden waves of heat, often with flushing or sweating.
- Can occur during the day or at night (night sweats).
5. Increased PMS Symptoms
- More intense premenstrual symptoms such as bloating, breast tenderness, or mood swings.
6. Low Libido
- Reduced interest in sex or less responsiveness to stimulation.
7. Fatigue
- Persistent tiredness not relieved by rest.
- Often worse in the afternoons or linked with blood sugar fluctuations.
8. Brain Fog
- Difficulty concentrating, forgetfulness, or mental fatigue.
9. Changes in Hair and Skin
- Dry skin, thinning hair, or hair shedding.
- Breakouts or hormonal acne may also appear.
10. Vaginal Dryness or Discomfort
- Discomfort during intimacy or a feeling of dryness.
- May also notice more frequent urinary tract infections.
11. Weight Gain, Especially Around the Middle
- Hormonal shifts can make it easier to gain and harder to lose weight.
12. Breast Tenderness
- Can be more pronounced or occur at different times in your cycle.
Additional Signs:
- Headaches or migraines (especially around ovulation or menstruation)
- Changes in body odour or increased sensitivity to smells
- A sense of being more emotionally sensitive or reactive
