I'm a doctor - if you have these common symptoms in your 30s, you might have perimenopause
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Doctors have revealed the common symptoms that could be a sign of the perimenopause. The perimenopause is the stage before the menopause. During this time your hormones start to change but your periods have not yet stopped for good, according to Bupa.
![[Doctor Harriet Connell (pictured), a Westbury menopause specialist at Health and Her, has described perimenopause as 'the transition period leading up to menopause, typically lasting several years']](https://i.dailymail.co.uk/1s/2024/11/18/11/92190209-14072963-Doctor_Harriet_Connell_pictured_a_Westbury_menopause_specialist_-a-17_1731928773038.jpg)
Perimenopause is associated with up to 34 symptoms and typically starts in your mid-40s, but according to some experts it could start much earlier. According to the NHS, perimenopause is signified by irregular periods, but women may also experience joint pain, low libido, difficulty sleeping, weight gain, heart palpitations, sensitive teeth, mood swings and low self esteem, among others.
![[Doctor Alexis Missick (pictured) from UK Meds, says early perimenopause is hereditary, and is likely to begin in your 30s if someone else in your family experienced early perimenopause]](https://i.dailymail.co.uk/1s/2024/11/18/15/92190655-14072963-Doctor_Alexis_Missick_pictured_from_UK_Meds_says_early_perimenop-a-1_1731942244862.jpg)
And speaking to FEMAIL, doctors have revealed that fatigue, anxiety and brain fog are all symptoms of the perimenopause, which in rare cases can begin in a woman's 30s. Doctor Harriet Connell, a Westbury menopause specialist at Health and Her, says perimenopause is 'the transition period leading up to menopause, typically lasting several years'.
![[Doctor Claire Merrifield (pictured), a GP and medical director at Selph in London, says women who suspect they're in early perimenopause should consult a healthcare professional]](https://i.dailymail.co.uk/1s/2024/11/18/11/92191391-14072963-Doctor_Claire_Merrifield-m-12_1731927670095.jpg)
During that time, the body’s production of estrogen and progesterone (hormones that regulate periods and pregnancy) become irregular, causing a variety of physical and emotional symptoms such as fatigue, anxiety and brain fog, (the 'F.A.B.' symptoms), she explained.
![[According to the NHS, women in perimenopause may also experience mood swings and low self esteem (stock image)]](https://i.dailymail.co.uk/1s/2024/11/18/11/92189685-14072963-image-a-13_1731927892387.jpg)
Dr Connell said: 'These can be some of the earliest and most challenging symptoms of perimenopause. These symptoms often impact daily functioning more than the classic hot flushes or menstrual changes and can appear years before those “late perimenopausal”'.
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