perimenopause symptoms

Living in a female body is wild. There's the whole period thing to begin with. Then, for many of us, there's the pregnancy and childbirth thing that pushes your body to its limits. And then there's the menopausal stage where you get to say goodbye to periods forever. Yay!

But between those last two is a phase that has been woefully neglected by clinical research and is only now starting to get the attention it deserves. Perimenopause happens in the years prior to actual menopause. Filled with super special symptoms that seemingly come out of nowhere, perimenopause can make you feel as if you've moved into an entirely different body. Most women experience perimenopause in their 40s, though it can start as early as the mid-30s, and is something all women should be aware of.

Author and former news anchor Tamsen Fadal shared five perimenopause symptoms she wish she'd known about in her 40s on Instagram, and so many women resonated with it.

The symptoms she shared were:

1. Weight gain

It's very strange to suddenly have your baseline weight go up by 10 pounds when you didn't change anything about your diet or exercise routine. It's also strange to suddenly gain weight in parts of your body that you never previously gained weight.

"I suddenly looked in the mirror and didn't recognize my body despite changing nothing about my routine," Fadal wrote.

"I was probably in perimenopause for ten years and just thought I was going crazy. And that I was lazy and the weight gain was all my fault," shared one woman. "If only I’d known."

"Looking at food and gaining weight is not fun 😭," quipped another.

2. Sudden Anxiety

Even women who aren't prone to anxiety can start experiencing anxiety symptoms during perimenopause. And those who already deal with it can find themselves feeling anxious at a whole new level.

"I felt like I was losing my mind and no doctor was giving me a straight answer which made my anxiety through the roof," wrote Fadal.

"The freaking anxiety rocked my world 😢" shared one woman.

"I've always been anxious. What I'm noticing is now it's gotten worse and I'm feeling paranoid, crazy," wrote another.

3. Itchy skin

This one is weird and not something anyone talks about until all of a sudden you and everyone your age talks about wanting to scratch their skin off.

"Not only was my skin SO dry, it felt like I had little electric shocks underneath my skin at the most odd times," Fadal shared.

"The itchy skin is not talked about enough! Sometimes I just can’t stand it, I want to scream!"

"All.of.this!!!👏 add tinnitus, itchy ears and dry eyes to that list 🫠"

4. Irritability

Whether it's a symptom of its own or a side effect of the many other symptoms piling on is a legitimate question, but perimenopause can definitely make you want to bite someone's head off.

"The irritability isn’t something we talk about enough!" Fadal wrote. "It was like one day I woke up and suddenly I was moody over EVERYTHING and my patience was very, very low."

"I can be fine one moment then suddenly I hate everyone and want to go live in the forest by myself. Then that slides into sadness because we're all going to die. It's exhausting."

"Yes, I was very very irritable with most things that no patience whatsoever! My 15 year old son was like 'why are you always so angry?' That was something unusual of me and it was like a “wake up call” in a way that I realized I wasn’t just same and my body was always under fire with sleepless nights!"

5. Joint pain

Fadal shared that she had sudden pain in her shoulder and wasn't able to put her arm around someone for a picture. I went through about a year where I couldn't reach over to turn my bedside lamp on and off.

"The shoulder pain! So true."

"The joint pain! OMG. Started out of nowhere two weeks ago. Cannot lift arms up to get dressed and my hands are excruciating. It’s not a little bit sore… it’s a LOT sore."

"The shoulder pain out of nowhere is insane!!"

Of course, any symptoms that are concerning to you should be checked out by a medical professional and not just be assumed to be perimenopause. But what so many women shared is the same thing Fadal found when she started experiencing perimenopause symptoms—there's just not nearly enough information out there about it. That may seem shocking, considering the fact that women make up half the population and have been going through menopause for literally all of human history, but meaningful research on perimenopause really only began in the 1980s, and there's still so much that's not fully understood.

Fadal has been on a mission to get more and better information out to women about perimenopause and menopause since she had her first anxiety attack and hot flash live on the air in 2019, which left her shaking on the bathroom floor. Her book, "How to Menopause," is coming out in March of 2025 and she has co-created a documentary, "The M Factor," that will air on PBS on October 17, 2024.

Perimenopause feels impossible to prepare for, but knowledge is power and the more we understand about what's happening with our bodies and what we might expect, the more equipped we will feel when our time comes.

You can follow Tamsen Fadal on Instagram for more about menopause and perimenopause.