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The years leading up to menopause are called perimenopause. During this time, changing hormone levels can make periods less predictable and may bring changes such as hot flushes, night sweats, interrupted sleep, vaginal dryness, urinary changes, mood shifts, or difficulty concentrating. These experiences vary widely in type, severity, and duration; there is no single “normal” menopause journey.
Hot flushes, sweating, or night sweats.
Difficulty falling or staying asleep, often worsened by night sweats.
Periods that become irregular, lighter, heavier, closer together, or further apart during perimenopause.
Vaginal dryness, irritation, discomfort during sex, or urinary changes.
Low mood, anxiety, irritability, forgetfulness, or difficulty concentrating.
These changes are commonly reported, but they can also overlap with other health conditions. Persistent or troublesome symptoms deserve individual assessment from a qualified healthcare professional. Bleeding after 12 months without a period should be assessed promptly.
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