Is This Perimenopause? 8 Sneaky Symptoms You Should Know
One day, you’re cruising through life like usual. The next, you’re sweating through your sheets at 3 AM, forgetting why you walked into a room, and crying over a cat food commercial. Sound familiar? You, my friend, might be in perimenopause—the years leading up to menopause when your hormones decide to throw a little chaos into the mix.
The good news? It’s totally normal. The even better news? There are ways to handle it without losing your mind. Let’s break down the most common (and most annoying) perimenopause symptoms and what you can do to feel more like yourself again.
1. Your Periods Are Playing Games
One month it’s barely there, the next you’re bleeding like it’s your teenage years again. Perimenopause can make your cycle unpredictable because your estrogen levels are all over the place.
What helps? Tracking your cycle with an app can help you see patterns. If your periods are super heavy, coming too close together, or lasting more than 10 days, check in with your doctor.
2. Hot Flashes & Night Sweats—At the Worst Times
Suddenly sweating through your shirt during a work meeting? Waking up drenched in the middle of the night? Yep, that’s perimenopause messing with your body’s temperature control.
What helps? Avoid caffeine, spicy foods, and alcohol, which can make it worse. Sleep in breathable fabrics and try a cooling pillow to keep those night sweats in check.
3. Mood Swings & Anxiety That Come Out of Nowhere
One minute, you’re fine. The next, you’re snapping at your partner for chewing too loudly. Perimenopause can bring mood swings, irritability, and even anxiety, thanks to fluctuating hormones.
What helps? Regular exercise, meditation, and omega-3-rich foods (like salmon and walnuts) can help stabilize your mood. If anxiety or depression feels overwhelming, don’t hesitate to talk to a doctor.
4. Brain Fog Is Making You Forget Everything
Ever forget why you opened the fridge? Or struggle to remember names? Estrogen affects brain function, so when levels drop, so does your mental clarity.
What helps? Hydration, good sleep, and brain-friendly foods like berries and leafy greens can help. Also, write things down—your brain has enough to deal with right now!
5. Your Body Is Holding On to Weight Differently
If your belly is suddenly softer, even though your diet and exercise haven’t changed, you’re not imagining it. Hormones shift how your body stores fat, often leading to extra fluff around your midsection.
What helps? Strength training, cutting back on sugar, and stress management can help keep weight gain under control. (Yes, stress can make it worse—thanks, cortisol!)
6. Sleep Feels Like a Distant Memory
Can’t fall asleep? Keep waking up at weird hours? Perimenopause can mess with your sleep patterns, leaving you exhausted.
What helps? Stick to a bedtime routine, limit screen time before bed, and try magnesium or chamomile tea to help you relax.
7. Dryness—And Not Just on Your Face
Lower estrogen levels can lead to vaginal dryness, making intimacy uncomfortable (or just plain annoying). Your skin and eyes might feel drier too.
What helps? Water-based lubricants, vaginal moisturizers, and staying hydrated can help. And yes, regular intimacy—solo or with a partner—can actually improve vaginal health.
8. Achy Joints & Stiffness
Waking up feeling creaky? Estrogen helps reduce inflammation, so when it drops, your joints can feel the difference.
What helps? Yoga, gentle stretching, and anti-inflammatory foods like turmeric, ginger, and leafy greens can make a big difference.
When to Check in With Your Doctor
Perimenopause is a natural phase, but if your symptoms are making life miserable—like super heavy periods, severe mood swings, or constant sleep struggles—it’s worth talking to your doctor. Options like hormone therapy, supplements, or simple lifestyle tweaks can make a huge difference.
The Bottom Line
Perimenopause is unpredictable, but it doesn’t have to be a struggle. Small changes—like tweaking your diet, getting more movement, and prioritizing sleep—can help you feel more like yourself again. And remember: this is just a phase, not a permanent state of chaos. You’ve got this!

Are you ready to embrace the next phase of your life with knowledge, confidence, and self-care?
101 Things to Know and Do Before Perimenopause by Menopause Network is your essential guide to understanding the changes ahead, managing symptoms, and thriving through perimenopause.