Common symptoms during perimenopause and menopause

The menopause transition can affect much more than periods. Official guidance describes physical, emotional, mental, and social effects, with wide variation from person to person.

Hot flushes and night sweats in perimenopause and menopause

Understand hot flushes and night sweats, what may help, and when these symptoms deserve medical support.

Sleep changes during perimenopause and menopause

Learn why sleep often changes in midlife, what may help, and when poor sleep should be discussed with a clinician.

Mood changes, irritability, and low mood

Clear guidance on mood changes around menopause, what may help, and when to seek prompt support.

Brain fog and concentration

Brain fog can be real and disruptive. Learn what it may feel like, what can overlap, and how to prepare for a visit.

Vaginal dryness and pain with sex

Learn about vaginal dryness, pain with sex, lubricants, moisturisers, and when to discuss vaginal oestrogen or other care.

Urinary frequency, urgency, and stinging

Urinary symptoms can overlap with menopause and infection. Learn what to watch for and when to get checked.

Joint aches and headaches in midlife

Understand how aches and headaches can overlap with menopause and other causes, and when care is sensible.

Libido and relationship changes

Find plain-language guidance on libido change, pain, sleep, mood, and relationship comfort during menopause.

Period changes during perimenopause

Learn what period changes are common in perimenopause and which bleeding changes need medical assessment.

Weight and body changes during midlife

Midlife body changes are common and not a moral failing. Learn what may be changing and what may help.

Not every symptom is menopause

Midlife symptoms can overlap with stress, sleep loss, thyroid problems, medication effects, bladder or vaginal conditions, and other health issues. Perimenopause is often identified from the bigger pattern: age, cycle change, symptom mix, and impact on daily life, not from one symptom in isolation.

Read by symptom or by problem

If your main problem is sleep, start with sleep. If your main problem is vaginal comfort, start there. The right next step is the symptom that bothers you most, not the symptom that is most famous.

When symptoms need care

A symptom page can help you describe what is happening. It cannot rule out infection, bleeding causes, or early menopause. Use the seek-care and local-care pages if something feels severe, new, or worrying.