Devyanshi Dixit: 10 Early Perimenopause Symptoms Every Woman Over 40 Should Know
Devyanshi Dixit, Program Manager at CLS Event and Publication and Conference Manager at the 12th Global Summit on Gynecology, shared on LinkedIn:
“10 Early Perimenopause Symptoms Every Woman Over 40 Should Know
Nobody tells women that perimenopause often begins quietly.
It may not start with hot flashes.
Sometimes it begins with changes so subtle that they’re mistaken for stress, busy schedules, or simply ‘getting older.’
Here are 10 early signs worth knowing:
- Irregular periods – Cycles becoming shorter, longer, heavier, lighter, or less predictable are often the earliest clue.
- Hot flashes – Sudden waves of heat can appear even before periods stop.
- Night sweats – Waking up drenched or unusually warm can disrupt restful sleep.
- Sleep changes – Trouble falling asleep or waking frequently may become more common.
- Brain fog – Difficulty concentrating, forgetfulness, or feeling mentally ‘slower’ is frequently reported.
- Mood changes – Irritability, anxiety, or unexpected emotional shifts may accompany hormonal fluctuations.
- Vaginal dryness – Lower estrogen can affect comfort, intimacy, and vaginal health.
- Urinary changes – Increased urgency or more frequent urinary discomfort can occur during the transition.
- Reduced libido – Changes in sexual desire are common and deserve open conversation.
- Joint aches and body changes – Muscle aches, joint discomfort, and changes in body composition may also become part of the journey.
The most important reminder
Perimenopause looks different for every woman.
You may experience several symptoms, only a few, or hardly any at all.
Changes in bleeding patterns or new symptoms should always be discussed with a qualified healthcare professional because other conditions can cause similar changes.
At the 12th Global Summit on Gynecology, Fertility and Women’s Health (GFWH 2026), global experts will explore the future of menopause care, healthy aging, hormone health, precision gynecology, and women’s wellness.
- November 23-24, 2026
- Bangkok, Thailand
Knowing the signs isn’t about fearing menopause – it’s about understanding your body with confidence.”

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