Signs of perimenopause can vary between women, but some common symptoms include:

• Irregular periods: As ovulation becomes more unpredictable, the length of time between periods may be longer or shorter, your flow may be light to heavy, and you may skip some periods. If you have a persistent change of seven days or more in the length of your menstrual cycle, you may be in early perimenopause. If you have a space of 60 days or more between periods, youre likely in late perimenopause.

• Hot flashes and night sweats: These are common during perimenopause. The intensity, length, and frequency of hot flashes can vary.

• Mood changes: Mood swings, irritability, or increased risk of depression may happen during perimenopause.

• Vaginal and bladder problems: Vaginal dryness, discomfort during sex, and urine leakage when coughing or sneezing are common.

• Decreasing fertility: As you approach menopause, your fertility decreases.

• Changes in sexual desire: Some women experience a decrease in sexual desire during perimenopause.

• Trouble sleeping: Sleep problems are often due to hot flashes or night sweats, but sometimes sleep becomes unpredictable even without them.

• Changes in menstrual bleeding: Your menstrual cycle could become longer or shorter than usual. Your bleeding could also be heavier or lighter than normal.

• Breast tenderness

• Headaches

• Joint and muscle aches

• Heavy sweating

• Having to pee often

• PMS-like symptoms

Its important to note that no two women will experience perimenopause in the same way, and some women may not experience any symptoms at all. If you are experiencing any of these symptoms, its important to talk to your healthcare provider for a diagnosis and to discuss treatment options.