What are the signs and symptoms of perimenopausal and menopause?

Updated: Sep 13, 2021
  • Author: Nicole K Banks, MD; Chief Editor: Richard Scott Lucidi, MD, FACOG  more...
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The spectrum and intensity of perimenopausal and menopausal symptoms vary greatly due to the effect of decreased circulating levels of estrogen on various organ systems.

The most common presentation of menopause (60% of postmenopausal women) is hypothalamically mediated vasomotor instability leading to hot flashes (hot flushes), sweating, and palpitations. Other common presenting symptoms include the following:

  • Irregular menstrual cycles

  • Urogenital symptoms: Vaginal dryness, soreness, superficial dyspareunia, urinary frequency and urgency

  • Psychological symptoms: Mood changes, insomnia, depression, anxiety

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