Many ladies get caught off guard.
The hot flashes…
Sudden bouts of lethargy…
Violent & erratic mood swings.
And if that’s not enough.
At night, we find ourselves soaking through even the thickest bedsheets.
Welcome to the world of menopause.
If any of these sound familiar, don’t be alarmed!
They are normal symptoms that come with “the change”.
In this article, we’re going to dive deep into the 24 most common symptoms and the 3 stages they usually occur at - perimenopause, menopause, and postmenopause.
Note: Many of these symptoms can come all at once and at different stages. We compiled them based on typical occurrences.
It’s a long post, so grab a cup of coffee and get comfortable as we go through the symptoms, the science and most importantly what to do for quick relief!
Here’s what we will be covering
The 3 Stages Of Menopause and Their 24 Symptoms
Let’s start!
Perimenopause starts when ovaries start to weaken and age. This creates fluctuating levels of female hormones - estrogen and progesterone.
This change is usually sudden and could happen a few months to about 10 years before menopause, and most ladies tend to experience this anywhere between 35-50.
It is also going to be the first time ladies start to experience symptoms like hot flashes, intense mood swings or sudden adult acne breakouts.
It can hit you out of nowhere.
A sudden feeling of heat accompanied by a flushed face and profuse sweating drenching your clothes.
Hot flashes affect up to 70% of women going through (peri) menopause and are one of the biggest reasons why ladies opt for HRT.
It’s uncomfortable, tiring, and disruptive to our lives.
For some ladies who have it worse, they might experience this up to 20 times a day!
After the hot flash is over, some ladies experience an “after chill”, where they’d be sweating profusely for a second and then suddenly start feeling cold and clammy.
Hot flashes may also present themselves in the form of night sweats.
Ladies get woken up from soaking through clothes and bedsheets. This means the bed and linen are left wet and chilly - obviously affecting sleep.
But why does this happen?
While studies are still unclear, likely research suggests that hot flashes happen when estrogen levels fluctuate and affect our internal “thermostat”.
This can cause glands to go haywire and make your body thinks it’s overheated, triggering perspiration to cool our body.
Stress and anxiety can also trigger hot flashes.
Natural Remedies, Go-To Health Foods & Quick Relief Tips:
One moment you’re laughing…
The next you’re screaming in angry fits.
In fact, some ladies have mentioned how they have snapped at their husbands for being annoying even if their husbands were just breathing.
These are some of the signs of mood swings during menopause.
But what causes a mood swing?
As our bodies produce less estrogen, there is less estrogen to regulate several hormones - serotonin, norepinephrine, and dopamine - which has mood-boosting abilities.
As estrogen helps support brain function like cognition, it can cause us to have periods of forgetfulness that can lead to frustration and mood swings as well.
While it doesn’t affect everyone, ladies with low estrogen and low progesterone hormones tend to be more susceptible to this.
Natural Remedies, Go-To Health Foods & Quick Relief Tips:
Like sleep?
You can forget about it when going through the change.
Up to 40-50 percent of women rank menopausal insomnia as one of their top complaints.
Many take 30 minutes or longer to fall asleep. Some get fewer than six hours of sleep on three or more nights per week. Most wake too early.
And almost all women do not feel rested or refreshed after sleeping.
Sleep apnea (breathing problems), lack of REM sleep (needed for high cognitive function in the day) and night sweats are also big issues.
The lack of sleep impacts our daily lives and can disrupt simple things like entertaining dinner guests or doing housework.
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61% of women going through menopause experience dry and itchy eyes, but only 16% realize that it’s due to menopause!
It may even sting, burn, get irritated and get bloodshot.
Some ladies also likened it to having grains of sand flinged into their eye (a gritty, annoying feeling).
If your eyes get inflamed, there might also be abrasions on your eye’s surface. More severe cases also can cause a stringy discharge and blurred vision.
Why does this happen?
When hormone levels fluctuate, tear production starts to decrease and there are fewer tears to lubricate your eyes. If you’re on antidepressants or anti-histamines, they might also be contributing to this.
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Menopausal acne is another common symptom.
This is typically linked to the fluctuation of estrogen levels in the gut.
Hormonal adult (menopausal) acne typically forms on the lower part of your face including the bottom of your cheeks and around your jawline.
Acne breakouts in your 40s may also be due to the increase of androgen hormones like testosterone and increase of cortisol levels.
Ladies who have chosen to go through Hormone Replacement Therapy (HRT) might still experience menopausal acne because some HRTs use an influx of the hormone progestin to replace estrogen and progesterone.
This new hormone introduction can still cause breakouts.
Natural Remedies, Go-To Health Foods & Quick Relief Tips:
It might have been 2 hours since dinner, but you still feel full and uncomfortable.
Other times, you might even feel abdominal pain together with a burning in your chest with a lot of burping.
And it doesn’t stop there - some ladies also complain about constipation, diarrhea, nausea, and decreased appetite.
Why does this happen?
Estrogen helps keep stress hormones low and our digestive system running smoothly. So when estrogen runs low, all these symptoms of indigestion start popping up.
With three meals every day, indigestion is a near 24-hour daily battle.
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Lack of motivation…
Low energy…
It’s a constant and overwhelming fatigue that lulls us into bed by 7 pm…
Where we’re feeling tired from just going out for groceries that are just around the corner…
And causing us to find it tough to get out of bed to do anything even if it is to enjoy ourselves like going to a dinner party with our friends or loved ones.
Menopause seems to have stolen our mojo!
Our hormones that support energy are changing during menopause - estrogen, progesterone, thyroid, and adrenal hormones. This leaves our bodies tired and trying to work with all the changes.
The changing hormones also leave us with other symptoms like headaches and night sweats that make it hard to sleep and we end up feeling fatigued.
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Always nervous and anxious...
Restless…
Tensed up.
Your heart is pounding and you’re finding it difficult to breathe.
Sweat is beading up on your forehead.
If you’ve ever felt this way, you might be suffering from mini-panic attacks.
When you’ve had panic attacks before, you will be more likely to experience panic attacks during perimenopause.
They typically occur for women with low estrogen and progesterone levels and can be amplified reaction to the stress of other menopause symptoms.
Lasting 10-30 minutes, you might notice other signs like heart palpitations, shortness of breath, dizziness as well.
For some, it can seem like a terrifying experience similar to that of a heart attack or a nervous breakdown, but for more serious attacks it’s usually due to increase of cortisol levels or irregular breathing.
Natural Remedies, Go-To Health Foods & Quick Relief Tips:
“What were we talking about again?”
Being constantly distracted is no fun.
You might find yourself reading the same paragraph 2 or 3 times and are still not sure what the paragraph was about.
The days of being able to focus on one task for hours seems to have quietly crept away.
You might also notice forgetting a few words, misplacing your keys or losing track of conversations. It’s affecting your work life - as you are spending too much time over one task…
It disrupts your personal life - as you have trouble with all the bills and small tasks, that are just piling up waiting for you to clear.
This might be happening to you because when estrogen levels are low, there’s a direct impact on your hippocampus (key in-memory processing).
Researchers from Brigham and Women's Hospital, Massachusetts General Hospital and Harvard Medical School in Boston have found that women who had lower levels of estradiol did worse on memory tests.
This might also feel familiar to those who’ve had kids as many ladies report having symptoms similar to having “mom-brain” during pregnancy.
Natural Remedies, Go-To Health Foods & Quick Relief Tips:
Spotting or heavy flow?
It’s a common issue during perimenopause.
During this stage, there might be a change to the duration and flow of your period. Some women have observed longer gaps between periods or spotting between 2 cycles.
On the flip side, others have also reported very heavy flow that might require several changes a day.
Expect a high level of irregularity depending on which hormones are at a high during your cycle.
Ovulation is triggered by a spike in female hormones - FSH and LH. During perimenopause, your ovaries will age and affect these female hormones. It could cause your ovaries to ovulate less often than before.
When there is no ovulation occurring, your body produces smaller amounts of progesterone. Progesterone acts as a trigger for the uterus lining to shed. So, there is a longer time period between menstruation and each menstruation might have a heavier flow.
Especially for couples trying to get pregnant in their mid-30’s, do take note of this symptom to prevent added anxiety from spotting or irregular cycles.
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Menopause starts with the last menstrual period (bleeding) and lasts for 12 months.
But by this time, the mad chaotic stage of the start of perimenopause would be over and ladies would have settled into some sort of equilibrium and found ways to help their symptoms.
However, menopause would bring a different set of challenges as female hormones start normalizing to a new low.
NOTE: Many of the symptoms experienced during perimenopause may not go away. Things like hot flashes, mood swings and concentration issues tend to persist.
It’s official.
Ovaries stop releasing eggs.
This means there would be minimal production of estrogen.
We start feeling “low”, with the constant need to cuddle in bed and watch Netflix instead of going out and getting drinks with our girlfriends.
How many times have you felt like slapping your partner or colleague hard across the face?
Or suddenly go from feeling pretty stable to intensely resentful?
You're not going crazy.
Here's what's happening:
Similar to mood swings, lower estrogen affects the production of serotonin. And when those levels drop, so do our patience levels.
Serotonin is the key mood regulator and happiness booster, which explains why we can go into fits over seemingly small things.
Especially when amplified with the discomfort of hot flashes, low energy, poor sleep and migraines...
Our temperament can be greatly affected.
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"The tightness or fullness of the abdomen".
Bloating is sometimes painful, and always uncomfortable.
You might have a flat tummy in the morning, but it balloons over the day and looks fully bloated at night.
As a whole are 2 types of bloating that women over 40 experience. Gas and water (we talk about water retention here).
For menopausal gas bloating...
There are a couple of triggers and usually are more prominent if you experienced digestive issues previously during your menstrual cycle.
The most common trigger is poor gut flora due to diet, eating habits and an imbalance of gut bacteria.
Dysbiosis is the technical term for an imbalance of gut flora and typically happens when estrogen levels in the gut take a sudden tumble.
Besides creating bloat that makes your belly pop out and embarrassing gas, dysbiosis can also lead to other digestive issues like constipation and indigestion.
IBS, Celiac disease and gastric reflux are also common when digestive issues occur frequently.
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Not again!
Migraine headaches are painful and can put your life on hold for several hours or days. They’re often connected to fluctuations in estrogen.
Women, unfortunately, make up 75% of migraine cases.
There are typically 2 types of migraines, the ones with an "aura" and those without.
"Aura" migraines are headaches with that bring on sensory symptoms like the ones below before a migraine hits:
While the research is not fully clear, some studies point to changes in the levels of brain chemicals.
This causes inflammation which makes blood vessels swell and press against nearby nerves.
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“I was thin and active for my entire life. Now, without any eating or exercise changes, my belly looks like I swallowed a balloon.”
You might have felt this way too as you start noticing a shift of fat to the abdomen - a slowly growing MenoPot or Menobelly.
You are not alone.
Hormonal changes during menopause cause more weight to accumulate around women’s abdomen, hips, and thighs.
This can occur even if you’ve been eating right and exercising. You might even gain even more weight, which are clear signs of low estrogen and progesterone levels.
It also happens because of aging and moving around less as we feel more fatigued with bad sleep.
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It is common to notice our hair and skin become drier and thinner.
The next dry spots you might notice is a flaky t-zone or elbows.
While dry skin can occur over your entire body, it will concentrate around the oil-gland-dense areas. This means your face, back, chest, legs, and genitals.
Dry skin will feel itchy and you have to resist scratching at all costs if you want to avoid scars.
When your estrogen levels are low, there will also be lesser collagen and oil production to moisturize your skin.
This causes the outermost layer of the skin (epidermis) to start to crack into dry and brittle platelets with gaps in between them. The cracks allow moisture from the skin to escape and our skin gets even more dry.
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Whoops.
Finding your hair all over your house and clogging your shower can get even more frustrating for women during menopause.
The lack of production of estrogen & progesterone during menopause causes our hair to grow slowly and even thin it in the process.
However, along with this common “reason” other major factors such as - increased stress, low blood circulation or a lack of certain nutrients - also contribute to hair loss during menopause.
The worst part is that - as we start losing hair on our head, some of us might start noticing additional facial hair (around our chin & upper lip) - which can make us feel self-conscious about our physical appearance.
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This problem is more common than you think in menopausal women.
This is typically caused by the decreased estrogen levels which reduce the blood flow to our vagina, making its lining thinner & dryer.
What does that mean for us?
It basically makes it less sensitive to stimulation which can affect our relationships in the long run.
Ladies who have chosen to go through Estrogen therapy have reported an increase in libido compared to women who did not.
However, you should discuss with your doctor before you start taking any medication - as introducing new hormones could come with various side effects.
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Besides lack of focus, you might tend to forget more as well.
You feel “off”, dull and it’s almost like you have “fuzzy wool for brains”.
It’s causing you to be tired, unproductive and unmotivated.
Brain fog is typically linked to the dip in estrogen levels during menopause - as it helps to promote positive activities in our hippocampus (a brain region in memory process).
Additionally, studies have found that women with lower levels of estradiol (a form of estrogen produced by the ovaries) did worse on memory tests - due to increased levels of brain fog.
Ladies who have chosen to go through Hormone Replacement Therapy (HRT) might still experience menopausal brain fog as there’s no solid evidence that it benefits the brain.
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‘There was a blackness where I would wake up… and I would think, “I don’t see the point in carrying on, I don’t see the point in life.”’
Menopausal depression is another common symptom that is not to be taken lightly.
It can be a time where women will feel alone, unsociable, angry and upset while having to handle other menopausal symptoms like hot flashes as well.
It’s a lot to handle at one time and for some ladies, it might feel like it’s just too much.
Early symptoms are women feeling sad, worthless and apathetic; constantly tired and nervous; and having severe mood swings, anxiety and negative thoughts.
Why does depression happen during menopause?
The menopause hormonal shifts causes depression and mood symptoms like sadness, irritability, fatigue and difficulty concentrating. A similar depressive period due to hormones is during postpartum depression.
There may also be life changes during this period that causes women to feel depressed. Your kids may be leaving home, parents might be passing on and there’s worries about retirement and the next phase of life.
The good news is that it will get better once your hormones settle down. Many ladies have said that their depression eventually left them and they did not even have to take antidepressants for it.
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Postmenopause happens when it’s been 12 months since the final bleeding.
A common question at this point would be:
“Can we finally go back to our normal lives?”
However, the troubles don’t end at postmenopause. It is the stage where most of the severe menopausal symptoms start settling down but more health problems come up.
Our ovaries have shut down and our female hormones levels are at a new low normal level.
Our body and health status change because of the very low levels of female hormones - bringing with it other health complications.
Bones.
You don't really think of them as important until everything in your body starts hurting.
When estrogen levels drop during menopause, bones lose mass and become more porous.
One of the early signs is things like back pain, loss of height or stooped posture from a collapsed vertebrae.
Osteoporosis also increases the time it takes for bones to heal.
So fractures from falls, bumps or slips can have heavier health risks.
Hip fractures and throwing out your back also common at this stage.
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Palpitations are irregular heartbeats that can include skipped beats, extra beats (as many as 8 to 16 beats a minute), and a racing heart (as many as 200 extra beats a minute).
If you don't have heart issues but are facing this during menopause, do note that this might be your hormones.
When estrogen levels drop, your heart and blood vessels become stiff and less elastic. Because of these changes, your blood pressure tends to rise, causing hypertension.
Shortness of breath, headaches, lightheadedness, and dizziness are also warning signs of other heart-related diseases.
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Puffy eyes?
Swollen ankles?
Stumpy fingers?
Water retention can make us look puffier than we actually are and isn't great for our cameras or self-esteem.
When hormones get out of whack (estrogen specifically), it affects our adrenal glands which control how our body balances water.
The ironic thing about water retention is then only when we're dehydrated...do we actually puff up.
When our adrenal glands in the nervous system get stressed, our body panics and holds on to all the moisture it can which might make our eyes, feet, and hands look extra bloated.
Not just that, hot flashes and night sweat actually amplify dehydration as well.
This dehydration can really aggravate other symptoms like joint aches, stiffness and back pains.
Natural Remedies, Go-To Health Foods & Quick Relief Tips:
Wondering why you tend to catch a cold so easily?
Before menopause occurs, women have plenty of estrogen, progesterone, and DHEA, which supports immune function.
But as these hormones decline during and after menopause, women lose this protective boost.
Other menopause symptoms like poor sleep from insomnia can also weaken the immune system due to not getting enough quality rest.
If you're experiencing stress symptoms like weight gain, mood swings, fatigue or hot flashes, that might also produce high levels of cortisol that's proven to weaken immune response.
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Oh boy.
What problem WON'T menopause bring am I right?
Drops in estrogen levels also can lead to recurring UTIs even in your 50s or 60s. Changes in vagina bacteria also contribute to this at this stage of life.
For younger ladies, frequent coitus is one of the biggest risk factors for a UTI. Intercourse can cause the bacteria in the vagina to get into the urinary tract.
But at midlife, the main culprits tend to be physical changes, including thinning of vaginal tissue, pelvic organ prolapse, and trouble completely emptying the bladder.
This can create fear of having physical relations with your partner, being unable to enjoy vacations and take several weeks to feel normal again.
Natural Remedies, Go-To Health Foods & Quick Relief Tips:
Summary & Final Thoughts:
Thankfully, not everyone will experience all the 24 symptoms.
Some ladies may not ever experience things like dry eyes, panic attacks or brain fog. Common ones that still rank at the top of the list are hot flashes, weight gain and bloating.
Be sure to have the right supplementation, daily probiotic and nutrients to balance your gut health and hormones.
You'll save yourself a lot of trouble and keep away from many of these annoying symptoms.
One of the simplest ways to ensure that you keep yourself in check is using the “P.I.E Framework” which stands for:
Probiotic supplementation.
Having a daily probiotic can help relieve and rebalance a lot of these symptoms as it stabilized your gut health. Go for probiotic strains with purposeful functions instead of just high CFU (colony forming unit) counts.
Strains like L Gasseri help with the breakdown of fat, B Breve helps with inflammation and B Lactis, for example, helps with immunity. Find out what is best for you. This will help a lot with weight loss, digestion and bloating.
Inflammation levels.
Ensure you are keeping inflammation levels in check. This means getting in aerobic and cardio exercises on a weekly basis. Keeping a diet that is low in sugar is also preferred. Having that green tea once or twice a day will also be a good idea. This will help a lot of pain, stiffness and low energy.
Estrogen precursors.
Getting in curcumin with are phytoestrogens or estrogen precursors like flaxseed, nuts, high tannin red wine and soy are good foods to help support and improve estrogen production. These will help a lot with mood swings, hot flashes, and weight loss.
If you’ve found this article useful or noticed that we missed some symptoms out, comment below to let us know and we’ll be sure to add them in.