13 Common Menopause Symptoms

Updated: October 20, 2022

Menopause Symptoms

Every woman is unique.

In body, genetics, and health history. And because of this, the signs and symptoms of menopause, including how they are experienced, are going to vary. (For an in-depth dive into menopause check out The Ultimate Guide to Menopause and its Effect On Your Bones – and natural approaches for menopausal symptoms).

These signs and symptoms are for the most part related to a decrease in two hormones: estrogen and progesterone. Both hormones play significant roles in the body. In addition to regulating the menstrual cycle, estrogen affects a woman’s entire reproductive system, cardiovascular system, urinary tract, pelvic muscles, skin, hair, mucous membranes, brain and bones.

Because of estrogen’s wide-reaching effects on the body, women may experience any range of the following…

The 13 Most Common Menopause Signs and Symptoms

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13 Common Menopause Symptoms

Irregular Periods

This is often one of the first observable signs that a woman is approaching menopause.

However, depending on the woman’s cycle, most will experience irregular periods – anywhere from three to ten years before periods stop completely. Your menstrual cycle is dependent on your hormones, so when they become imbalanced as menopause approaches, irregular periods often occur.

Vaginal Dryness

Estrogen and progesterone are key in regulating the vaginal mucous membrane. Therefore, a decrease in both may cause irritation or discomfort around the vaginal walls. In fact, vaginal dryness affects over half of postmenopausal women between age 51 to 60!

Menopausal-related vaginal dryness can also lead to pain during intercourse and arousal difficulties. Consider using water-based lubricant or a vaginal moisturizer to combat dryness.

Loss of Libido

Loss of libido is a lack of interest and desire in sexual activity. During menopause, as many as 20- 40% of women report loss of libido! Estrogen plays a crucial role in female sexuality as it assists in the production of vaginal lubrication and increasing sensations. With less estrogen being produced during this time, it may cause this symptom.mature woman experiencing hot flashes

Hot Flashes

According to Johns Hopkins Medicine, about 75% of women experience hot flashes during menopause. Making them the most common symptom experienced by menopausal women!

Also known as “hot flushes,” they are considered a vasomotor symptom. Meaning, they disrupt the normal regulation of blood vessels resulting in perspiration and intense heat. Depending on the woman, the duration and frequency of hot flashes can vary. They can occur at any time of the day or night. Though they are often referred to as “night sweats” when they happen during sleep.


If you experience night sweats, it may be difficult for you to get a well-rested sleep. According to the National Sleep Foundation adults between 26-64 should get 7-9 hours of sleep per night, while older adults 65+ should get 7-8 hours per night.

If you are not within these ranges during menopause, consider relaxation techniques before bed, such as deep breathing, meditation or yoga. In addition, try to establish a bedtime routine and avoid technology one hour prior to bed.

Urinary Incontinence

You may experience frequent and abrupt urges to urinate, resulting in an involuntary loss of urine. Coughing, lifting or laughing can also cause urinary incontinence. You can strengthen your pelvic floor muscles with Kegel exercises or practicing your bridge pose.

If the incontinence and/or frequent need to urinate become excessive, contact your healthcare provider to discuss solutions. Women do experience a higher rate of UTIs (urinary tract infections) during menopause. If you experience a burning sensation in addition to the incontinence and frequent need to urinate, you may have a UTI and should seek treatment.

healthy habit - smelling flowers

Mood Changes

In addition to hormone related mood variances, menopause is a major life transition and can be emotionally trying. Anxiety and irritability are common during menopause. Know that you’re not alone in experiencing these hormone related symptoms and that your mindset may also impact them.

Thirteen studies were reviewed to see the impact of attitudes towards menopause and women’s symptom experience. It was found that women with more negative attitudes during menopause reported more symptoms in general during the menopausal transition.

Memory and Cognitive Function

Perimenopause may have long term and contemporary (occurring only during menopause) effects on cognitive function. Symptoms like forgetfulness, fuzzy thoughts and trouble focusing are common.

The Seattle Midlife Women’s Health Study had 230 women from age 33 to 55 years old reveal their perceived cognitive function. 60% of the women noticed unfavorable memory change “over the past few years”. Stress, aging and physical health were linked to memory change more often than hormonal use and menstrual cycles. Meaning, it may be a combination of a few or all of these factors that contribute to declining cognitive performance.

However, you can protect your brain health with food or supplements. Fish oil and brain health have been linked in multiple studies. In fact, omega 3 fatty acids have been shown to reduce inflammation. Systemic inflammation in the brain specifically, has been linked to premature brain aging and decline associated with dementia and Alzheimer’s. Supplementing with a fish oil that contains clinical doses of the omega 3 fatty acids EPA and DHA, plus two potent antioxidants: turmeric curcumin and astaxanthin, will ensure you combat inflammation at its source – and protect your memory and cognitive function.

Hair Loss

Women may experience hair thinning and hair loss during menopause. This can occur on the top, front, side and back of the head. It is also not uncommon for large clumps to fall out during showers and brushing of the hair.

A decrease in estrogen and progesterone causes this as these hormones affect the hair growth cycle. Just as hair loss is common after pregnancy, similar symptoms happen during menopause because of hormone fluctuations.

Avoid chemical hair dyes and opt for nourishing products free of toxic chemicals.

Decreased Breast Fullness

Along with the decrease in estrogen production comes changes in fat tissue and collagen. There will be a decrease in the fatty tissue of the breasts and thus a decrease in size or fullness.

Skin Issues

In addition to a decrease in breast fullness, menopause is often accompanied by dry, itchy or thinning skin with decreased elasticity. A loss of collagen and fatty tissue, plus reduced estrogen are all factors.

Foods rich in skin-rejuvenating astaxanthin and healthy fats, such as salmon, and/or supplementing with these nutrients can help with age and menopause related declines in skin elasticity.weight gain - menopause symptoms

Weight Gain

Women gain an average of five pounds during menopause, according to the National Heart, Lung and Blood Institute.

Fat tissue deposition in the abdominal area is the most common area of weight gain. Being physically active, getting plenty of sleep and eating a healthy diet are the best ways to combat this.

Bone Loss

Hormonal changes during menopause dramatically affect your ability to maintain healthy, strong bones.

Estrogen, progesterone, and testosterone are hormones that are produced by the ovaries. These three fluctuate during menopause and can increase your risk of bone loss.

Estrogen is the most commonly discussed hormone when it comes to menopause. It plays a crucial role in the maturation and growth of bone. It also supports your body’s ability to absorb the calcium you consume. So when estrogen levels are reduced, your body has a more difficult time utilizing calcium. Making it a challenge to maintain healthy bone mineral density levels.

These inevitable changes in your hormones during menopause can significantly affect your bone health. To help avoid this bone loss due to hormonal changes, supplementation is crucial.

You may be thinking you can get the nutrients you need from your diet, but why take the chance when you can guarantee the exact minerals in their proper proportions for bone health.

AlgaeCal Plus contains ALL 13 known essential bone supporting minerals, including plant-based calcium. And it provides the vital vitamins C, D3, and K2 as well. When you’re going through menopause it’s crucial you feed your bones with the nutrients they need to avoid menopause-related bone loss. AlgaeCal just does this. For more go here.

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The good news is, all these menopause-associated symptoms are naturally treatable and preventable.

This midlife transition does not have to be endured. Rather, it can be embraced!

Challenges like hot flashes, night sweats, a drop in libido, dry skin, mood changes, and an increase in bone loss are possible, not foreordained, occurrences during this time.

Check out our post: The Ultimate Guide to Menopause and its Effect On Your Bones for science-backed information on menopause and what you can do to sail through menopause without symptoms.

Article Comments

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  1. Makhosi

    March 14, 2019 , 12:06 am

    Hi I’m very happy about all I read here; I gain a lot of information; but only one question; my breasts are very sore, it might also sign of menopause? thank you so much to keep this information on the internet, most of my questions are answered

  2. Jenna AlgaeCal

    March 18, 2019 , 3:18 pm

    Glad you find our blog helpful, Makhosi! Yes, breast soreness could be related to menopause, but there are other possible causes. It would be a great idea to speak with your doctor to determine the underlying cause for you. 🙂

    – Jenna @ AlgaeCal

  3. Judy

    March 30, 2019 , 7:01 am

    Can menopause stop for five months and restart up again?

  4. Jenna AlgaeCal

    April 1, 2019 , 2:31 pm

    Hi Judy,

    It seems symptoms can go away and reappear. We encourage you to speak with your doctor if this is something you’re experiencing!

    – Jenna @ AlgaeCal

  5. Erika Holmstrom

    March 31, 2019 , 4:51 am

    I am 44 years old and just started experiencing hot flashes which are the worst at night leading to the inability to fall asleep and stay asleep. Maybe 3-5 hours a night. Also my period which has always been like clockwork just came in the middle of the month. I have almost all the symptoms except vaginal dryness. I have also had a little bladder leakage from stuff like coughing. Am I too young? Could this be what’s wrong with me?

  6. Jenna AlgaeCal

    April 1, 2019 , 3:11 pm

    Hi Erika,

    It sounds like you may be experiencing symptoms of perimenopause or premature menopause. You can learn more about these stages in this blog post. It’s best to speak with your doctor about the symptoms you have!

    – Jenna @ AlgaeCal

  7. RoselineElder

    July 4, 2020 , 8:19 am

    Good evening ma/ sir,I having problem of cease mentration since, seven years now and am 46yrs this month.

  8. Sylvia Quintana

    January 30, 2021 , 9:49 am

    I’m on menopause and experiencing a whole lot of symptoms including elevated heart rate with increased blood pressure. Are these symptoms of menopause.

  9. Megan AlgaeCal

    February 2, 2021 , 10:25 am

    Hi Sylvia!

    We would recommend checking in with your doctor, as there are many possible causes of increased blood pressure and heart rate. Wishing you the best in health ❤️

    -Megan @ AlgaeCal

  10. J

    October 26, 2022 , 7:07 am

    It makes me feeling anxious and scary after reading this article. I am only middle 40s and I am having most of symptoms, but not ready to entering this stage of life. I have tried to maintain an active lifestyle. I excise almost everyday. Keep a fairly healthy diet. Hope to delay the aging process. I guess getting old is inevitable.

  11. Brianne Bovenizer

    October 26, 2022 , 1:19 pm

    Hello J,

    Thank you so much for commenting, and I am so sorry to hear you are feeling anxious! It certainly sounds like you are taking control of your future by eating well and exercising most days. This is fantastic, and keep up the great work! If you’re looking for more inspiration in healthy eating, HERE is a link to the recipes section of our blog, that I hope you will enjoy! 🙂

    – Brianne @ AlgaeCal

  12. Lisa

    July 16, 2023 , 4:40 am

    i want to take a supplement and Ive been reqdong and comparing them all, which has overwhelmed to the point that I just simply stopped! Ugh. I would like a supplement that was made in America and has the proper amount of magnesium for a menopausal women. Ive tried Meno O Positive and iys was just “Okay”. Ive run out and would like to try another. Any suggestions?

  13. Shelby AlgaeCal

    July 17, 2023 , 2:45 pm

    We’re so sorry to hear that you’ve had such a tricky time choosing which supplement is the best fit for you, Lisa! I took a peak at the supplement you just finished up, and it looks like it’s geared towards relief of symptoms of menopause – but doesn’t look to contain any magnesium. While AlgaeCal is clinically supported to increase bone mineral density specifically, it does contain a full clinical dosage of 350 mg of magnesium in a daily serving. You are more than welcome to check out the ingredients of our supplement HERE. Additionally, it may help to know that AlgaeCal is harvested from protected marine reserves in South America and manufactured in the USA and Canada.

    If you would be interested, our Bone Health Consultants would love to connect with you over the phone to make tailored recommendations based on your goals! Please feel free to reach out to us anytime at 1-800-820-0184 (USA & Canada toll-free), and we’ll be happy to help. 🙂
    – Shelby

  14. Jessica Predmore

    August 3, 2023 , 2:39 pm

    Hi I’m 33 and I got fixed in 2013 and I’m like really late on my monthly can it be possible this is happening with me

  15. Samantha AlgaeCal

    August 4, 2023 , 12:57 pm

    Jessica, it would be best to consult with your doctor for further information!
    – Sam

  16. Pamela

    September 19, 2023 , 3:33 am

    I’m m 61 years old. I was diagnosed with cancer and had to go through cancer treatments at the age of 54. That made me go through all of the symptoms of menopause again but worse. I had all of my lady parts removed. I have gone to the doctor and ER multiple times. I was told I was having mental health issues. They were wrong. I started having female issues at the age of 36. Not one doctor would even consider that I could be going through menopause. I hate to be a Debbie downer. But some people can’t take hormones or other drugs. I can’t for fear of the side effects from the medications. It is not something that can be nailed down. I have never found anything, that makes me feel better. I have hot flashes, sometimes every hour on the hour. I believe everyone is different and most people won’t even talk about it. I believe that more discussion and EXCEPTING the fact that we all grow old is a reality. No way around that. I read somewhere in this that it is treatable and the symptoms can be avoided. That’s not true. Some people have it unbelievably, unbearable and some people don’t. We need to stop pretending that drugs can fix it. That brings false exspectations and more issues further on down the road. Menopause in my option and experience is not something that can be stopped or avoided. Not to scare anyone but I am still dealing with this. I usually don’t sleep well. I have not been able to sleep past 1:30. My hot flashes are so bad I can’t go out in humidity and stress will bring on a hot flash instantly. I’ve lost jobs and friends because they did not understand.My advise is if you are feeling “crazy”, you are not alone. My sister who is 9 years younger than me is having the same issues. We just in the last month have discussed how we feel. Neither one of us had a clue because depression and other mental health issues run in our family. We both thought we were going insane. And not one doctor in my case would even considered I was going through menopause. Most women don’t want to talk about it and most doctors won’t even go there. Just because your crying , which I do. A lot. Out of frustration and being sick and tired of doctors trying to give me mental health drug. Does not mean you need drug. If I cry at the doctors office the first thing they want to do is give me mental health drugs. Which made everything worse. I’m not crazy. I’m female. Its a part of life and I’m afraid that it has and is usually misdiagnosed. My advice is except the fact that we all are going to age and denial is not an option. You can try to avoid it all you want. But the plain simple fact is fish gotta swim, birds have to fly. And women age and will have some kind of menopause symptoms. Thank you for your time. And have a hot flash free day!

  17. Samantha AlgaeCal

    September 19, 2023 , 10:13 am

    Thank you for sharing Pamela and we’re so sorry to hear all that you’ve endured. It might be helpful to ask for a second opinion, and many of our community members have shared that working with a functional medicine doctor helped them with different issues they had. You can look for a professional near you on the website here. We wish you all the best on your health journey and please don’t hesitate to reach out to us for bone-health support!
    – Sam

This article features advice from our industry experts to give you the best possible info through cutting-edge research.

Lara Pizzorno
MDiv, MA, LMT - Best-selling author of Healthy Bones Healthy You! and Your Bones; Editor of Longevity Medicine Review, and Senior Medical Editor for Integrative Medicine Advisors.,
Dr. Liz Lipski
PhD, CNS, FACN, IFMP, BCHN, LDN - Professor and Director of Academic Development, Nutrition programs in Clinical Nutrition at Maryland University of Integrative Health.,
Dr. Loren Fishman
MD, B.Phil.,(oxon.) - Medical Director of Manhattan Physical Medicine & Rehabilitation and Founder of the Yoga Injury Prevention Website.,
Prof. Didier Hans
PHD, MBA - Head of Research & Development Center of Bone Diseases, Lausanne University Hospital CHUV, Switzerland,