Journal · Menopause

Perimenopause Symptoms Checklist: 15 Signs It Might Be Hormones

Perimenopause can start years before your last period — and symptoms often show up before anyone says the word "hormones."

15 common signs

  • Cycle changes (shorter, longer, heavier, or skipped)
  • Sleep disruption
  • Hot flashes / night sweats
  • Mood changes or irritability
  • Anxiety or feeling "on edge"
  • Brain fog
  • Low libido
  • Vaginal dryness or discomfort
  • Headaches
  • Joint aches
  • Weight gain or body composition changes
  • Worsening PMS
  • Heart palpitations
  • Skin/hair changes
  • New or worsening migraines

If several of these sound familiar, it may be worth a real hormone evaluation rather than waiting for symptoms to become disruptive.

Explore Midlife & Menopause Care