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Signs & symptoms

Is this normal? The symptoms of the menopause transition, one by one.

Almost everyone has heard of hot flushes. But heart palpitations, aching joints or a word that vanishes mid-sentence? Many women don't link those to the menopause transition straight away.

Here you'll find a guide for each symptom: what's behind it and what can help.

Recognise several symptoms at once? That's common. The symptom check helps you put them in order.

Symptom guides

60–80% of women get hot flushes or night sweats in the (peri)menopause. Source: Belgian Menopause Society, 2026
Guide6 min read

Hot flushes and night sweats

40–69% of women have sleep problems during the menopause transition. Source: International Menopause Society, 2026
Guide6 min read

Sleep problems

About 6 in 10 midlife women notice memory problems during the menopause transition. Source: RIZIV-INAMI menopause consensus, 2024
Guide6 min read

Brain fog

Joint pain is often reported around menopause. The role of menopause itself is unclear. Source: NHG guideline 2022 and IMS 2026
Guide6 min read

Joint pain

For about 1 in 5 women in the transition, muscle and joint pain is the main symptom. Source: RIZIV-INAMI menopause consensus, 2024
Guide6 min read

Muscle pain

More than half of midlife women have anxiety symptoms, such as tension. Source: International Menopause Society, 2026
Guide5 min read

Anxiety

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Had depression before? Then you may be more vulnerable to low mood during the menopause transition. Source: Dutch GP guideline (NHG), 2022
Guide5 min read

Mood swings

Problems with desire or arousal are twice as common in early perimenopause as before it. Source: International Menopause Society, 2026
Guide6 min read

Libido

Extra kilos come mostly with age. Falling oestrogen does shift fat towards your belly. Source: International Menopause Society, 2026
Guide5 min read

Weight gain

60–70% of women notice changes in their skin around the menopause. Source: International Menopause Society, 2026
Guide6 min read

Acne

Vaginal dryness is often part of a chronic condition that does not clear up without treatment. Source: International Menopause Society, 2026
Guide6 min read

Vaginal dryness

Fatigue can come from night sweats. Other changes in your life can play a part too. Source: Dutch GP guideline (NHG), 2022
Guide7 min read

Fatigue

Migraine often worsens in perimenopause. After a natural menopause, hormonal migraine gradually improves. Source: RIZIV-INAMI menopause consensus, 2024
Guide7 min read

Headaches and migraine

A hot flush can come with a faster heartbeat. Unsure? Talk it through with a care provider. Source: Dutch GP guideline (NHG), 2022
Guide6 min read

Heart palpitations

Bloating can get worse during the menopause transition. Tension may play a part too. Source: Kamp et al., J Womens Health, 2026
Guide6 min read

Bloated belly

Falling oestrogen can contribute to thinning hair. There is still little research on this. Source: International Menopause Society, 2026
Guide6 min read

Hair loss

About 1 in 3 postmenopausal women will have an osteoporosis-related fracture in her lifetime. Source: International Menopause Society, 2026
Guide6 min read

Osteoporosis

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