Perimenopause can involve a range of unexpected symptoms that have little resemblance to the hot flushes and night sweats most commonly associated with the transition, a hormone expert has warned.
For many women, the first signs may instead appear as changes to their sleep, mood, memory or physical health. These can be difficult to recognise as hormone-related, particularly when periods remain regular.
Less familiar symptoms can include heart palpitations, headaches or migraines, joint and muscle pain, changes to the skin and hair, and new urinary problems. Mouth symptoms, including sensitive teeth and painful gums, are also listed by the NHS among possible effects of perimenopause. ([nhs.uk](https://www.nhs.uk/conditions/menopause-and-perimenopause/symptoms/?utm_source=openai))
The condition affects everyone differently. Some people experience a number of symptoms that interfere with work, relationships and daily life, while others notice few changes. Perimenopause generally begins before periods stop altogether, with cycles becoming heavier, lighter, shorter or less predictable. ([nhs.uk](https://www.nhs.uk/conditions/menopause-and-perimenopause/symptoms/?utm_source=openai))
Unexpected perimenopause symptoms can be mistaken for other conditions
Because symptoms such as anxiety, poor concentration, insomnia, digestive discomfort or aches can have many possible causes, they may initially be treated as separate health problems rather than part of the same hormonal transition.
The NHS says there is no routine test for perimenopause in most cases, and a diagnosis may be based on a person’s age and symptoms. Anyone concerned about new or persistent symptoms is advised to speak to a GP, particularly if palpitations or unusually heavy bleeding are involved. ([nhs.uk](https://www.nhs.uk/conditions/menopause-and-perimenopause/what-are-menopause-and-perimenopause/?utm_source=openai))
