During perimenopause, the years leading up to menopause, some women experience only mild symptoms while others experience significant physical, emotional, and psychological changes. Some of these changes include irregular periods, heavier bleeding, shorter/longer menstrual cycles, and vasomotor symptoms such as hot flashes, skin flushing and night sweats. Mood changes and sleep disturbances are common, as well as fatigue, weight gain and hair loss. Vaginal dryness is another problem that many women experience during perimenopause.
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