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[MENO-24] Hidden Symptoms of Menopause

MyHealthTeam

Created on February 25, 2026

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Transcript

Hot flashes

What people see

Weight gain

Irritability

Hair loss

Anxiety

Brain fog

Headaches and migraine attacks

Heart palpitations

Depression

What people don’t see

Insomnia

Dry or itchy skin

Low libido

Fatigue

Menstrual changes

Frozen shoulder

Vaginal dryness

Weight gain

Hormonal changes in perimenopause can lead to weight gain, particularly in the belly. “I wish I knew how the weight gain would be so difficult to resolve.”

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Depression

Women are at particular risk for depression during perimenopause. Hormonal changes during this period may be the culprit for the uptick in depression rates. “I’m suffering with depression and loss of energy.”

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Hot flashes

Hot flashes are probably the most well-known menopause symptom. You might experience sudden heat in your body and get sweaty and flushed. “I don’t know when a hot flash will come and soak my clothes.”

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Irritability

Perimenopause can make you feel irritable. Mood issues may be related to estrogen changes, as well as other perimenopause symptoms like insomnia. “I feel bad for being so short with my loved ones.”

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Anxiety

Fluctuating hormones can lead to anxiety symptoms like worry or panic that affects your daily routines. “My anxiety spiked, and I felt out of control.”

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Brain fog

Brain fog, forgetfulness, difficulty focusing, and having a hard time remembering words are all potential cognitive symptoms of perimenopause. “I have brain fog. I can’t think straight.”

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Fatigue

Women around perimenopause age are more likely to experience serious fatigue than men. Symptoms like sleep disturbances and heavy bleeding may be to blame. “I’m exhausted all the time.”

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Dry or itchy skin

Your skin is less able to hold onto moisture in perimenopause and beyond. This can lead to dry, itchy skin. “I’m cranky and uncomfortably itchy.”

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Frozen shoulder

Frozen shoulder is an example of joint pain that can occur due to hormonal shifts in perimenopause. “When I experienced frozen shoulder, I thought I had been seriously injured.”

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Menstrual changes

Your cycle may be shorter or longer or unpredictable. Your bleeding may be heavier or lighter. “It’s challenging never knowing when you may or may not have a cycle.”

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Heart palpitations

Heart palpitations often come with hot flashes. You may feel like your heart is racing. Talk to your doctor to make sure you don’t have an underlying heart problem. “I get red and sweaty and my heart races.”

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Insomnia

Half of women in perimenopause struggle with sleep. Hormonal changes, hot flashes, and factors like stress all contribute to insomnia. “Sometimes I wake up and can’t go back to sleep.”

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Hair loss

Hormonal changes can lead to thinning hair. Women tend to notice this most in the part and hairline. “I have lost some hair, which is very depressing.”

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Low libido

Many women have less desire for sex during perimenopause because of the drop in estrogen. Painful sex due to vaginal changes can also impact libido. “My sex life is basically on hold.”

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Headaches and migraine attacks

Headaches and migraine attacks can get worse due to hormone changes in perimenopause. “I have headaches and am irritable.”

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Vaginal dryness

Drops in your estrogen levels can lead to vaginal dryness. This can make sex painful and can also cause issues with urination and infections.

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