Irregular menstrual cycles
Periods that are shorter, longer, heavier, or lighter than usual
Skipped periods
Hot flashes
Night sweats
Trouble sleeping
Mood swings
Irritability
Anxiety
Low mood
Vaginal dryness
Pain during sex
Decreased libido
Brain fog
Trouble concentrating
Memory lapses
Headaches
Breast tenderness
Weight gain, especially around the abdomen
Heart palpitations
Fatigue
Symptoms starting in your 40s, sometimes earlier
A healthcare professional confirming symptoms are consistent with perimenopause