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The Surprising Symptoms of Perimenopause You Didn’t Know About

January 20, 2026

Perimenopause, also known as the menopausal transition, is the period of time leading up to menopause when a woman’s body undergoes hormonal changes that eventually lead to the end of menstruation and fertility. This phase typically starts in a woman’s 40s, but can begin earlier or later for some women. While many women are familiar with common symptoms of perimenopause such as hot flashes, night sweats, and irregular periods, there are several surprising symptoms that are less well-known but can still have a significant impact on a woman’s quality of life. In this article, we will explore some of these lesser-known symptoms and discuss how they can be managed.

1. Mood swings

One of the most surprising symptoms of perimenopause is mood swings. Hormonal fluctuations during this time can cause sudden changes in mood, ranging from irritability and anxiety to depression and mood swings. These mood swings can be disruptive and can affect a woman’s relationships, work, and overall well-being. It is important for women experiencing mood swings to seek support from loved ones and healthcare providers to help manage these symptoms.

2. Memory problems

Another surprising symptom of perimenopause is memory problems. Many women report experiencing forgetfulness, difficulty concentrating, and mental fog during this time. These cognitive changes can be frustrating and can impact a woman’s ability to perform daily tasks and work responsibilities. It is important for women experiencing memory problems to practice good self-care, including getting enough sleep, eating a healthy diet, and engaging in regular exercise to support brain health.

3. Weight gain

Weight gain is a common and often surprising symptom of perimenopause. Hormonal changes during this time can lead to an increase in body fat, especially around the abdomen. This can be frustrating for women who may find it difficult to lose weight despite their efforts. It is important for women experiencing weight gain to focus on maintaining a healthy lifestyle, including eating a balanced diet and engaging in regular physical activity, to help manage their weight.

4. Hair loss

Hair loss is another surprising symptom of perimenopause that many women may not be aware of. Hormonal changes during this time can cause hair to become thinner and fall out more easily. This can be distressing for women who may notice changes in the thickness and texture of their hair. It is important for women experiencing hair loss to speak with their healthcare provider to determine the underlying cause and explore treatment options, such as medications or lifestyle changes, to help manage this symptom.

5. Joint pain

Joint pain is a surprising symptom of perimenopause that can affect a woman’s mobility and quality of life. Hormonal changes during this time can lead to a decrease in estrogen levels, which can contribute to joint pain and stiffness. This can be particularly challenging for women who may already be dealing with other symptoms of perimenopause, such as hot flashes and mood swings. It is important for women experiencing joint pain to speak with their healthcare provider to explore treatment options, such as physical therapy, medications, or lifestyle changes, to help manage this symptom.

FAQs about perimenopause

Q: How long does perimenopause last?

A: Perimenopause can last for several years, with the average duration being around four years. However, some women may experience symptoms for a shorter or longer period of time.

Q: Can perimenopause start in your 30s?

A: Yes, perimenopause can start in a woman’s 30s, although it is more common for symptoms to begin in the 40s.

Q: Can perimenopause cause infertility?

A: While fertility declines during perimenopause, it is still possible for women to become pregnant during this time. It is important for women to continue using contraception until they have reached menopause.

Q: How can I manage symptoms of perimenopause?

A: There are several ways to manage symptoms of perimenopause, including lifestyle changes, such as eating a healthy diet and engaging in regular exercise, and medications, such as hormone therapy or antidepressants. It is important for women to speak with their healthcare provider to determine the best treatment options for their individual needs.

In conclusion, perimenopause is a natural phase of life that all women go through, but it can come with surprising symptoms that may catch some women off guard. By being aware of these lesser-known symptoms and seeking support from healthcare providers and loved ones, women can effectively manage their symptoms and navigate this transition with grace and resilience. Remember, every woman’s experience of perimenopause is unique, so it is important to listen to your body and seek help when needed.