Quickly review the list or bookmark so you can come back as new symptoms appear. This is your comprehensive list of perimenopause and menopause symptoms.

Perimenopause starts earlier than most of us realize (as early as the mid-30s for some), and symptoms may not be what we expect, so often women are well into perimenopause before they even realize the transition has begun. Too many women begin this natural process in a state of confusion and fear because there’s not enough education about what can happen as our hormone levels change.

Let’s change that. The more informed we are about what to expect, the better we cam manage symptoms as they come.  

Know more about your body in menopause: take the Gennev Menopause Assessment

A proactive stance for menopause could include: putting out a BOLO (be on the lookout) for these symptoms in your body and mind. This list may prove especially helpful if you are approaching 40, or if you’re curious about perimenopause indicators.

Of course, call your doctor or ours if you suspect something is off or concerning. AND review this list... just so you know better what to expect at the onset of perimenopause.

*Note: This is not a checklist, though it is a comprehensive line up.

Symptoms are experienced differently for each woman: some may have hot flashes for a month or several months, some women may never experience heart palpitations, spotting, or an itchy vagina. This list is about arming and empowering yourself with knowledge so you can make the best decisions for yourself and your health.


All about the vagina


More support

Painful sex webinar with panel of experts

Vaginal issues in menopause: q & A with an ob/gyn Part 1, Part 2

Birth control and menopause: what do we need to know?


Skin & body


More support

Skincare tips for menopausal women

The mindful approach to weight management at menopause


Hot flashes: Your internal volcano is now active


More support

HRT and hot flashes: what you should know

Four ways to beat the heat from hot flashes

Menopause cold flashes: yes, that’s a thing

I think I had my first hot flash

Need help to manage menopause symptoms? Consult with a Gennev Health Coach via HealthFix

Brain and mood


More support

Menopause and mental health: finding yourself in isolation

Depression in perimenopause: we really need to talk

How to get good sleep


What about your regular, cycle-sparked PMS symptoms?

The truth is, every woman’s experience is different. So, it could be that your regular cycle’s symptoms show up and intensify (going from PMS into PMDD), or not. You might also experience new PMS symptoms (yeah, sorry), or not.

Our best suggestion is to be on the lookout so you can quickly identify, accept, and act to diminish discomfort and stress.


Red flags

Consider talking with your doctor about these if they appear:

More aware, better care

Looking ahead, this is a time for more self-care and self-support, not less. Improving your comfort and managing these symptoms with excellent self-care (eating good, healthy foods; hydrating, making sleep and exercise bigger priorities, quitting smoking or vaping) will actually improve your health, inside and out.

Absolutely get into the spirit of research and talk with your doctor (or ours) about best options for hormone management or therapies, alternative health practices for menopause symptom relief (e.g. acupuncture or chiropractic), and even hemp-sourced CBD options. AND! Talk with like-minded new friends on our community forums.

Arm yourself with the information you want and need so you’ll recognize perimenopause indicators when (and if) they show up. Take control of your health and enter this part of your life path with confidence and power.

Are you ready to understand your body better & take control of your health in menopause? Take Gennev's ob/gyn-created Menopause Assessment now.