While most people are aware of the common perimenopause symptoms like hot flashes, irregular periods, and mood swings, there are many less talked about and sometimes "weird" signs that can catch women by surprise. These often stem from the widespread impact of fluctuating estrogen levels on various body systems.
These are sudden, sharp, zapping, tingling, or jolting sensations that can occur in various parts of the body, including the head, neck, and limbs. They are thought to be related to estrogen's role in the central nervous system and how it affects nerve signals.
A painful burning sensation in the tongue, lips, gums, or other parts of the mouth, sometimes described as feeling like scalding or numbness. Estrogen plays a role in nerve and tissue health in the mouth, and its decline can cause inflammation, dryness, and pain. It can also lead to a metallic or bitter taste.
A ringing, buzzing, hissing, or clicking sound in the ears that can be constant or intermittent. Estrogen's influence on auditory pathways and blood flow to the inner ear may contribute to this.
The sensation of insects crawling on or under the skin, or persistent itching without a rash. This is linked to skin dryness and nerve sensitivity due to declining estrogen.
While not super common, some women experience lightheadedness, dizziness, or even types of vertigo. Hormonal fluctuations can impact the nervous system, blood circulation, and the inner ear's balance mechanisms
Some women report feeling more clumsy, bumping into things, or having a reduced sense of balance. This may be due to changes in depth perception, concentration, and the inner ear.
Many women report unexplained aches and pains in their joints and muscles, feeling like they're "falling apart." Estrogen helps maintain the tissues of joints and muscles, and its decline can lead to inflammation, stiffness, and increased pain sensitivity.
Nails may become drier, weaker, and more prone to breaking or splitting due to reduced collagen production and moisture retention as estrogen levels drop
You might notice a different or more pungent body odor. This can be due to fluctuations in hormones like testosterone and cortisol, or increased sweating from hot flashes.
Receding gums, increased sensitivity, and even bone density issues in the jaw can occur due to declining estrogen and increased low-grade inflammation
The lacrimal glands produce less fluid due to hormonal changes, leading to dry, scratchy, or irritated eyes
Some women report bruising more easily, even without significant impact. This can be related to changes in skin elasticity and blood vessel integrity.
Hormonal fluctuations can affect digestive function, slowing down the colon and leading to more frequent constipation.
While more common in postmenopause, weakened pelvic floor muscles and connective tissue due to decreased estrogen can lead to organs like the uterus or bladder descending into the vaginal canal, causing pressure, bulging, or difficulty with emptying.
Decreased estrogen can affect the sensitivity and lubrication of vaginal tissues, making orgasms uncomfortable or painful for some women
A decreased ability to cope with everyday stressors, feeling overwhelmed more easily than before.
Some women report feelings of profound sadness, grief, loss, or a sense of things "falling apart," which can be more intense than typical mood swings and feel deeply existential.
Lack of Public Awareness: The "narrative" of perimenopause and menopause has historically been dominated by a few key symptoms like hot flashes. This leaves many women unprepared for the broader range of experiences.
Medical Training Gaps: While improving, medical education has not always adequately emphasized the full spectrum of perimenopausal symptoms beyond the "big three," meaning even healthcare providers might miss the connection.
Normalization of Discomfort: Women are often conditioned to "power through" discomfort and dismiss symptoms as "just part of aging" or "being a woman," rather than investigating them as signs of a hormonal transition.
Stigma and Embarrassment: Many of these symptoms (e.g., changes in body odor, anxiety, digestive issues) can feel highly personal or embarrassing, leading women to suffer in silence rather than discuss them openly.
Difficulty in Diagnosis: Perimenopause is diagnosed clinically based on symptoms and age, rather than a definitive test. The fluctuating nature of hormones means blood tests aren't always reliable indicators, making it harder for women and doctors to confirm the cause of vague or unusual symptoms.
Focus on Reproductive End-Point: The emphasis tends to be on "menopause" (the point of no periods), rather than the potentially long and symptom-filled "perimenopause" phase leading up to it.