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Top symptoms of perimenopause and how to manage them

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Hormones
Perimenopause
3
 minutes
February 28, 2025
Medically reviewed by: 

Perimenopause brings with it a range of symptoms that can affect both your physical and emotional well-being. Understanding these perimenopause symptoms and learning how to manage them can empower you to navigate this transitional phase with greater ease. In this blog, we’ll explore the most common symptoms, including perimenopause night sweats, hot flashes, joint pain, and brain fog, along with practical strategies to cope.

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Common perimenopause Symptoms

While every woman’s experience is different, our survey of nearly 200,000 women revealed the most common perimenopause symptoms:

  • 85%: Fatigue/low energy
  • 85%: Brain fog
  • 77%: Sleep disturbances

77%: Weight changes

  • 70%: Mood swings
  • 70%: Anxiety/depression
  • 63%: Skin/hair changes
  • 60%: Joint/muscle pain
  • 55%: Hot flashes
  • 55%: Irregular periods
  • 45%: Vaginal dryness

Recognizing your specific symptoms can help you take proactive steps toward managing them effectively 

By identifying your specific symptoms, you can take proactive steps to manage them effectively.

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Perimenopause night sweats

Perimenopause night sweats can disrupt sleep and leave you feeling exhausted. These episodes of intense sweating often occur at night, leaving you soaked and uncomfortable.

Management Tips:

  • Keep your bedroom cool using fans or air conditioning.
  • Use moisture-wicking pajamas and breathable bed linens.
  • Avoid spicy foods, caffeine, and alcohol, especially in the evening.
  • Practice relaxation techniques like meditation and deep breathing before bed.

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What does a hot flash feel like during perimenopause?

Wondering, what does a hot flash feel like during perimenopause? Hot flashes often start with a sudden sensation of heat in your chest, neck, or face. They may be accompanied by sweating, rapid heartbeat, and a flushed appearance.

Management tips:

  • Wear lightweight, layered clothing.
  • Carry a portable fan or cooling wipes.
  • Try deep breathing techniques to reduce intensity.
  • Consider hormone therapy or alternative treatments under a doctor’s guidance.

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Perimenopause joint pain

Perimenopause joint pain occurs due to declining estrogen levels, which affect inflammation and joint health. Women often notice stiffness or discomfort in their knees, hands, or hips.

Management tips:

  • Engage in low-impact exercises such as yoga, swimming, or walking.
  • Maintain a healthy weight to reduce joint strain.
  • Incorporate anti-inflammatory foods like fatty fish, turmeric, and leafy greens into your diet.
  • Consult your doctor about supplements such as omega-3s or glucosamine.

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Perimenopause and brain fog

Perimenopause and brain fog can make it hard to concentrate, remember details, or stay organized. These cognitive changes are often frustrating and may affect your daily life.

Management tips:

  • Prioritize sleep to support cognitive function.
  • Establish routines to stay organized and reduce mental load.
  • Engage in brain-stimulating activities like reading, puzzles, or learning new skills.
  • Stay physically active to enhance mental clarity.
  • Consult a healthcare provider if symptoms significantly impact daily life.

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Holistic approaches to managing perimenopause symptoms

In addition to symptom-specific strategies, holistic approaches can enhance your overall well-being:

  • Eat a balanced diet rich in whole grains, lean proteins, and healthy fats.
  • Stay hydrated throughout the day.
  • Manage stress with mindfulness practices, such as yoga or meditation.
  • Seek support from friends, family, or online communities.
  • Work with an Evernow provider to explore treatment options, including hormone therapy and natural remedies.

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Take charge of your perimenopause journey

By understanding perimenopause symptoms, such as perimenopause night sweats, joint pain, and brain fog, you can take proactive steps to manage your health. Whether it’s through lifestyle changes, dietary adjustments, or professional care, there are many ways to find relief and embrace this life stage with confidence. If symptoms significantly impact your quality of life, don’t hesitate to consult a healthcare professional for personalized advice.

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