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Perimenopause Symptoms

A-Z guide to perimenopause symptoms — causes, what helps, and how to track each one.

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Perimenopause Mood Swings: Why They Happen and What Helps

Guide

Perimenopause mood swings are caused by rapid hormone fluctuations affecting serotonin, dopamine, and GABA. This page explains the mechanism and what actually stabilises mood during the transition.

Updated Mar 21, 2026

Perimenopause Muscle Weakness: Why It Happens and What Helps

Guide

Muscle weakness and loss in perimenopause involves estrogen's role in muscle protein synthesis and neural activation. This page explains the mechanism and why strength training is the critical intervention.

Updated Mar 21, 2026

Perimenopause Nausea: Why It Happens and What Helps

Guide

Nausea in perimenopause is linked to hormone fluctuations and gut sensitivity changes. This page explains the mechanism and approaches to management.

Updated Mar 21, 2026

Perimenopause Night Sweats: Why They Happen and What Helps

Guide

Night sweats are nocturnal vasomotor symptoms that disrupt sleep architecture in perimenopause. This page covers the mechanism, why they are worse at night, and what reduces them.

Updated Mar 21, 2026

Perimenopause Skin Changes: Why They Happen and What Helps

Guide

Perimenopause accelerates collagen loss, skin dryness, and texture changes through estrogen's role in skin biology. This page explains what changes and what the evidence supports.

Updated Mar 21, 2026

Perimenopause Spotting: What's Normal and What to Investigate

Guide

Spotting (intermenstrual bleeding) in perimenopause can be hormonal or a sign of a uterine condition. This page explains when spotting is expected and when to seek evaluation.

Updated Mar 21, 2026

Perimenopause Tingling and Pins and Needles: Why It Happens

Guide

Tingling and paresthesia in perimenopause are linked to estrogen's role in nerve conduction and myelin sheath maintenance. This page explains the mechanism and when to seek evaluation.

Updated Mar 21, 2026

Perimenopause Tinnitus: Why It Happens and What Helps

Guide

Tinnitus can worsen or newly appear during perimenopause due to estrogen's role in the auditory system. This page explains the documented mechanism and management approaches.

Updated Mar 21, 2026

Perimenopause Urinary Changes: Why They Happen and What Helps

Guide

Urinary urgency, frequency, and recurrent UTIs in perimenopause are part of Genitourinary Syndrome of Menopause (GSM). This page explains the mechanism and evidence-based treatments.

Updated Mar 21, 2026

Perimenopause Vaginal Dryness: Why It Happens and What Helps

Guide

Vaginal dryness in perimenopause is part of Genitourinary Syndrome of Menopause (GSM), driven by estrogen receptor decline in vaginal tissue. This page covers the mechanism, prevalence, and evidence-based treatments.

Updated Mar 21, 2026

Perimenopause Weight Gain: Why It Happens and What Helps

Guide

Perimenopause causes shifts in fat distribution toward visceral fat, driven by estrogen decline and metabolic changes. This page explains the mechanism and evidence-based approaches.

Updated Mar 21, 2026

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