Symptoms of perimenopause can include, according to Ross:

Irregular periods
Hot flashes
Night sweats
Depression
Anxiety
Fatigue
Brain fog
Vaginal dryness
Weight gain
Low libido
Heart palpitations
Joint pain
Frozen shoulder
Itchy and sensitive skin
Ringing in the ears
Electric shock sensations
Gum disease problems
Acne
Urinary tract infections
Burning mouth

Of course, some of these symptoms can overlap with other conditions so it’s important to see your provider if you’re concerned. “During this time there are hormonal, physical and psychological changes happening that are completely disruptive to your life,” says Ross. “Consulting with a healthcare provider who treats menopause is recommended to be given personalized care and safe treatment options.”

Messenger adds that not everyone experiences all of these symptoms—and that some people have minimal symptoms.

Conception Over 35