Symptom library

You're not imagining it — here's what's happening

Over 30 symptoms are linked to perimenopause and menopause. These guides explain the biology in plain language and separate what genuinely helps from noise.

Hot flushes & night sweats

Why it happens: Falling oestrogen narrows the temperature range your brain treats as comfortable, so small changes trigger a full flush.

What helps: Trigger tracking, layered clothing, paced breathing, cooling the bedroom, and HRT or non-hormonal prescriptions for moderate to severe symptoms.

Sleep problems & insomnia

Why it happens: Night sweats, a more fragile sleep architecture and rising anxiety combine into 3am waking.

What helps: A fixed wake time, a cool dark room, limiting alcohol, CBT for insomnia, and treating night sweats at the source.

Mood changes & anxiety

Why it happens: Hormone fluctuation affects serotonin and cortisol regulation — often before periods change.

What helps: Strength and aerobic movement, sleep repair, therapy, and a clinical review if low mood persists.

Brain fog & memory

Why it happens: Oestrogen supports verbal memory and processing speed; the dip is usually temporary.

What helps: Sleep, single-tasking, written prompts, exercise, and ruling out thyroid or iron deficiency.

Joint pain & fatigue

Why it happens: Oestrogen has an anti-inflammatory role, so aches in hands, knees and shoulders are common.

What helps: Daily movement, resistance training, protein intake, vitamin D and a clinical check for other causes.

Vaginal dryness & low libido

Why it happens: Thinning tissue and reduced blood flow cause dryness, discomfort and urinary changes.

What helps: Vaginal moisturisers, local oestrogen (very low systemic absorption), and an open conversation with a clinician.

Irregular or heavy periods

Why it happens: Cycles shorten, lengthen and skip as ovulation becomes unpredictable.

What helps: Cycle tracking, iron checks, and prompt review of very heavy or post-menopausal bleeding.

Weight & metabolic changes

Why it happens: Muscle loss and fat redistribution to the abdomen shift how your body uses energy.

What helps: Resistance training twice weekly, protein at each meal, sleep, and cardiovascular risk screening.

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