What are common perimenopause symptoms?

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Last updated: June 5, 2025View editorial policy

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From the Research

Common perimenopause symptoms include hot flashes, night sweats, sleep disturbances, mood changes, vaginal dryness, and changes in sexual function, as reported in the most recent study 1. These symptoms are caused by fluctuating estrogen and progesterone levels during perimenopause, which can significantly impact quality of life.

  • Hot flashes and night sweats are vasomotor symptoms that can disrupt daily activities and sleep.
  • Mood symptoms like irritability, anxiety, and depression are common due to hormonal shifts.
  • Vaginal tissue may become thinner and drier, leading to discomfort during intercourse.
  • Other symptoms include changes in sexual function, sleep disturbances, and mood changes. According to the study 1, estrogen-containing hormone therapy is an effective treatment for vasomotor symptoms, and nonhormonal medications like selective serotonin reuptake inhibitors and gabapentin can also be used.
  • Cognitive behavior therapy and clinical hypnosis are effective for short-term reduction of vasomotor symptoms and associated sleep disturbances.
  • Hormone-free vaginal moisturizers are a noninferior option to estrogen-based therapies for treating genitourinary syndrome of menopause. It is essential to note that symptom severity varies greatly between individuals, and if symptoms interfere with daily functioning, consulting a healthcare provider about management options is recommended, as suggested by the study 1.

References

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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