What Are The 34 Symptoms of Menopause and Perimenopause

Headaches that feel like your head is about to explode? Sex drive is at an all-time low? Tossing and turning for hours each night? Feeling “bleh” all the time, for no apparent reason?

Yes, menopause can do all of that – and more. Menopause is a challenging time in many women’s lives, with a host of symptoms that range from mildly irritating to extremely uncomfortable.

Research has identified that there are 34 typical symptoms of menopause. They all result from the gradual decline in the production of the hormones estrogen and progesterone. Of course, each female body is unique, which means that every woman experiences menopause differently. You won’t notice the same changes as your friends. Your sister will have her own unique experience. But many symptoms are similar.

Menopause happens when you stop menstruating and are no longer able to get pregnant. If you don’t menstruate for 12 months (without spotting or even light bleeding), this means you’ve entered menopause.

Let’s now look into the 34 symptoms of menopause.

Vasomotor Symptoms of Menopause

Vasomotor symptoms, or VMS, are, simply put, symptoms related to how blood vessels dilate or constrict. Dilated blood vessels result in changes in body temperature, such as hot flashes and sweating. (1) These symptoms are one of the hallmarks of menopause: 75% of menopausal women experience them.

1. Hot flashes: 

Sudden estrogen drops, which are typical for menopause, result in constricted blood vessels and increased body temperature. Hot flashes, and hot flushes, may feel like a burning or hot sensation on your face, neck, head, or chest. You might also experience skin redness, if your hot flashes are severe.

2. Night sweats: 

When hot flashes happen at night, you might wake up drenched in sweat. You’re not alone in this: three in every four menopausal women suffer from night sweats. Hot flashes and night sweats may also result in restlessness, poor sleep quality, which can leave you feeling tired, and irritated the next day. (2,3)

Sleep Problems

Between 40 to 60% of menopausal women experience sleep-related problems, such as insomnia, inability to sleep for a long time, and poor sleep quality.

3. Nocturnal awakenings: 

Night sweats and hot flashes might wake you up at night, and leave you feeling restless and tired.

4. Insomnia: 

Headaches, anxiety, or excessive sweating due to hot flashes may lead to insomnia – especially if your hot flashes are severe.

5. Fatigue: 

Feeling fatigued, tiredness, and restlessness is a common occurrence for most women who go through menopause. (4,5,6)

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