{"id":10739,"date":"2025-11-14T11:27:46","date_gmt":"2025-11-14T10:27:46","guid":{"rendered":"https:\/\/www.dexeus.com\/midlife\/?p=10739"},"modified":"2025-11-18T15:44:20","modified_gmt":"2025-11-18T14:44:20","slug":"34-symptoms-premenopause","status":"publish","type":"post","link":"https:\/\/www.dexeus.com\/midlife\/en\/34-symptoms-premenopause\/","title":{"rendered":"34 symptoms of premenopause: early signs and solutions"},"content":{"rendered":"\n<p>It usually occurs between the ages of 40 and 50, although its onset and duration can be prolonged by about five years depending on the individual. Factors such as <strong>stress<\/strong>, <strong>smoking<\/strong> or certain <strong>gynaecological procedures<\/strong> can bring forward its onset or shorten its duration. <\/p>\n\n\n\n<p>Although it is a natural process, this stage may involve changes which affect physical and emotional wellbeing.<sup>2<\/sup> At Dexeus Midlife, we support each woman with personalised medical follow-up designed to understand this stage and take care of her holistic wellbeing. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What are the first symptoms of premenopause?<\/strong><\/h2>\n\n\n\n<p>As <strong>oestrogen and progesterone hormone levels<\/strong> gradually decrease, the body begins to show the <strong>first symptoms of premenopause<\/strong>, a natural process that marks the beginning of a new stage. Below we review the <strong>34 symptoms of premenopause<\/strong>.<sup>3<\/sup><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Physical symptoms <\/strong><\/h2>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li>Changes in the menstrual cycle <\/li>\n<\/ol>\n\n\n\n<ol start=\"2\" class=\"wp-block-list\">\n<li>Hot flushes and night sweats <\/li>\n<\/ol>\n\n\n\n<ol start=\"3\" class=\"wp-block-list\">\n<li>Breast pain or tenderness <\/li>\n<\/ol>\n\n\n\n<ol start=\"4\" class=\"wp-block-list\">\n<li>Muscle or joint pain <\/li>\n<\/ol>\n\n\n\n<ol start=\"5\" class=\"wp-block-list\">\n<li>Fatigue or a feeling of exhaustion <\/li>\n<\/ol>\n\n\n\n<ol start=\"6\" class=\"wp-block-list\">\n<li>Headaches or migraines <\/li>\n<\/ol>\n\n\n\n<ol start=\"7\" class=\"wp-block-list\">\n<li>Weight gain or loss <\/li>\n<\/ol>\n\n\n\n<ol start=\"8\" class=\"wp-block-list\">\n<li>Fluid retention or swelling <\/li>\n<\/ol>\n\n\n\n<ol start=\"9\" class=\"wp-block-list\">\n<li>Mild urinary incontinence <\/li>\n<\/ol>\n\n\n\n<ol start=\"10\" class=\"wp-block-list\">\n<li>Osteopenia or incipient osteoporosis <\/li>\n<\/ol>\n\n\n\n<ol start=\"11\" class=\"wp-block-list\">\n<li>Hair loss or weakness <\/li>\n<\/ol>\n\n\n\n<ol start=\"12\" class=\"wp-block-list\">\n<li>Skin changes <\/li>\n<\/ol>\n\n\n\n<ol start=\"13\" class=\"wp-block-list\">\n<li>Palpitations or mild arrhythmias <\/li>\n<\/ol>\n\n\n\n<ol start=\"14\" class=\"wp-block-list\">\n<li>Digestive changes <\/li>\n<\/ol>\n\n\n\n<ol start=\"15\" class=\"wp-block-list\">\n<li>Changes in cholesterol levels <br><\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Emotional and cognitive symptoms <\/strong><\/h2>\n\n\n\n<ol start=\"16\" class=\"wp-block-list\">\n<li>Mood swings and irritability <\/li>\n<\/ol>\n\n\n\n<ol start=\"17\" class=\"wp-block-list\">\n<li>Anxiety or nervousness <\/li>\n<\/ol>\n\n\n\n<ol start=\"18\" class=\"wp-block-list\">\n<li>Sadness or low mood <\/li>\n<\/ol>\n\n\n\n<ol start=\"19\" class=\"wp-block-list\">\n<li>Difficulty concentrating <\/li>\n<\/ol>\n\n\n\n<ol start=\"20\" class=\"wp-block-list\">\n<li>Forgetfulness or brain fog <\/li>\n<\/ol>\n\n\n\n<ol start=\"21\" class=\"wp-block-list\">\n<li>Insomnia or waking up at night <\/li>\n<\/ol>\n\n\n\n<ol start=\"22\" class=\"wp-block-list\">\n<li>Apathy or lack of motivation <\/li>\n<\/ol>\n\n\n\n<ol start=\"23\" class=\"wp-block-list\">\n<li>Decreased self-esteem <\/li>\n<\/ol>\n\n\n\n<ol start=\"24\" class=\"wp-block-list\">\n<li>Mental fatigue or lack of energy <br> <\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Sexual and relationship symptoms <\/strong><\/h2>\n\n\n\n<ol start=\"25\" class=\"wp-block-list\">\n<li>Decreased sexual desire <\/li>\n<\/ol>\n\n\n\n<ol start=\"26\" class=\"wp-block-list\">\n<li>Vaginal dryness <\/li>\n<\/ol>\n\n\n\n<ol start=\"27\" class=\"wp-block-list\">\n<li>Pain or discomfort during sexual intercourse <\/li>\n<\/ol>\n\n\n\n<ol start=\"28\" class=\"wp-block-list\">\n<li>Difficulty maintaining intimacy or connection with your partner <\/li>\n<\/ol>\n\n\n\n<ol start=\"29\" class=\"wp-block-list\">\n<li>Decreased fertility <br> <\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Less well-known but common symptoms <\/strong><\/h2>\n\n\n\n<ol start=\"30\" class=\"wp-block-list\">\n<li>Changes in smell or taste <\/li>\n<\/ol>\n\n\n\n<ol start=\"31\" class=\"wp-block-list\">\n<li>Dizziness and nausea <\/li>\n<\/ol>\n\n\n\n<ol start=\"32\" class=\"wp-block-list\">\n<li>Fragile or brittle nails <\/li>\n<\/ol>\n\n\n\n<ol start=\"33\" class=\"wp-block-list\">\n<li>Allergies or increased sensitivity <\/li>\n<\/ol>\n\n\n\n<ol start=\"34\" class=\"wp-block-list\">\n<li>More intense body odour <\/li>\n<\/ol>\n\n\n\n<div class=\"wp-block-columns has-background is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\" style=\"background-color:#ebe0d1\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h2 class=\"wp-block-heading\">Would you like to speak to a team of experts?<\/h2>\n\n\n\n<p>You don&#8217;t have to go through it alone: we provide you with a specialised team to support you and enhance your quality of life in an innovative and personalised approach.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-white-color has-text-color has-link-color wp-element-button\" href=\"https:\/\/www.dexeus.com\/midlife\/en\/request-time\/\"><strong>ASK FOR AN APPOINTMENT<\/strong><\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image aligncenter size-full\"><a href=\"https:\/\/www.dexeus.com\/midlife\/en\/request-time\/\"><img fetchpriority=\"high\" decoding=\"async\" width=\"2200\" height=\"1467\" src=\"https:\/\/www.dexeus.com\/midlife\/wp-content\/uploads\/2025\/02\/Nuestro-equipo.jpg\" alt=\"team of menopause experts\" class=\"wp-image-5859\" srcset=\"https:\/\/www.dexeus.com\/midlife\/wp-content\/uploads\/2025\/02\/Nuestro-equipo.jpg 2200w, https:\/\/www.dexeus.com\/midlife\/wp-content\/uploads\/2025\/02\/Nuestro-equipo-600x400.jpg 600w, https:\/\/www.dexeus.com\/midlife\/wp-content\/uploads\/2025\/02\/Nuestro-equipo-300x200.jpg 300w, https:\/\/www.dexeus.com\/midlife\/wp-content\/uploads\/2025\/02\/Nuestro-equipo-1024x683.jpg 1024w, https:\/\/www.dexeus.com\/midlife\/wp-content\/uploads\/2025\/02\/Nuestro-equipo-768x512.jpg 768w, https:\/\/www.dexeus.com\/midlife\/wp-content\/uploads\/2025\/02\/Nuestro-equipo-1536x1024.jpg 1536w, https:\/\/www.dexeus.com\/midlife\/wp-content\/uploads\/2025\/02\/Nuestro-equipo-2048x1366.jpg 2048w\" sizes=\"(max-width: 2200px) 100vw, 2200px\" \/><\/a><\/figure>\n<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Why do symptoms vary among women?<\/strong><\/h2>\n\n\n\n<p>This transition does not play out the same way for all women: the intensity, frequency and combination of <strong>premenopause symptoms<\/strong> depend on each person&#8217;s body, lifestyle and stage of life.\u00b9<\/p>\n\n\n\n<p>Some women only notice minor menstrual changes while others experience several symptoms at the same time. That&#8217;s why it&#8217;s important to have a <strong>personalised medical assessment<\/strong> to identify whether the changes are due to premenopause or other causes.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>How can the onset of premenopause be identified?<\/strong><\/h2>\n\n\n\n<p>Observing and recording changes in your cycle, sleep or mood can help you <strong>spot patterns<\/strong> and recognise the <strong>early signs of premenopause<\/strong>.\u00b9<\/p>\n\n\n\n<p>At <strong>Dexeus Midlife<\/strong>, we offer an <a href=\"https:\/\/www.dexeus.com\/midlife\/en\/take-test\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>online guidance test<\/strong><\/a> which will help you decide whether you might be in this phase or find out more precisely what stage you are at.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What treatments and solutions are available for premenopause?<\/strong><\/h2>\n\n\n\n<p>Premenopause can be addressed from an <strong>integrative medical<\/strong> standpoint based on the type of symptoms and the individual needs of each woman.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Hot flushes and night sweats <\/strong><\/h3>\n\n\n\n<p>These symptoms are treated through a <strong>personalised hormonal assessment<\/strong> and, when indicated, with <strong><a href=\"https:\/\/www.dexeus.com\/midlife\/en\/tratamiento\/menopause-hormone-therapy\/\">hormone replacement therapy<\/a><\/strong>. <strong>Natural alternatives and lifestyle guidelines<\/strong> are also offered to reduce episodes and improve sleep.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Insomnia and fatigue <\/strong><\/h3>\n\n\n\n<p><br>Sleep disturbances and persistent fatigue are addressed through <strong>personalised assessment and bespoke treatments<\/strong>, which may include <strong>hormonal adjustments<\/strong>, <strong>sleep recommendations<\/strong> and support from <strong><a href=\"https:\/\/www.dexeus.com\/midlife\/en\/tratamiento\/natural-treatments\/\">natural therapies<\/a><\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Vaginal dryness and pain during intercourse <\/strong><\/h3>\n\n\n\n<p><br>We offer <strong>regenerative gynaecology treatments<\/strong> such as <strong><a href=\"https:\/\/www.dexeus.com\/midlife\/en\/tratamiento\/vulvovaginal-hydration\/\">vulvovaginal hydration<\/a> with hyaluronic acid fillers, <a href=\"https:\/\/www.dexeus.com\/midlife\/en\/tratamiento\/vaginal-laser\/\">vaginal laser<\/a>, <a href=\"https:\/\/www.dexeus.com\/midlife\/en\/tratamiento\/bio-regeneration-prp\/\">platelet-rich plasma (PRP)<\/a> or <a href=\"https:\/\/www.dexeus.com\/midlife\/en\/tratamiento\/regenerative-mesotherapy\/\">regenerative mesotherapy<\/a><\/strong>, which help restore elasticity and natural lubrication, along with <strong>pelvic floor physiotherapy<\/strong> when necessary.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Decreased libido <\/strong><\/h3>\n\n\n\n<p><br>Decreased sexual desire is addressed holistically, combining hormonal, emotional and relational assessment. <strong>Intimate regenerative therapies<\/strong> coupled with <strong>natural therapies or hormone treatments<\/strong> can enhance intimate wellbeing and sexual satisfaction. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Weight gain and bloating <\/strong><\/h3>\n\n\n\n<p><br>During this stage, metabolic changes may occur which alter the distribution of body fat. At Dexeus Midlife, we offer <strong>comprehensive assessment which combines gynaecology, nutrition and behavioural therapy<\/strong>, plus hormone or natural treatments based on individual needs. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Joint pain <\/strong><\/h3>\n\n\n\n<p><br>Treatment includes <strong>medical assessment<\/strong>, <strong>adapted physical activity<\/strong> and in some cases <strong>physiotherapy or hormone treatment<\/strong>. The goal is to improve mobility and reduce inflammation. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Mood swings and memory loss <\/strong><\/h3>\n\n\n\n<p><br>They are addressed with a combined <strong>cognitive, hormonal and emotional health<\/strong> approach. <strong>Psychological support<\/strong>, <strong>emotional education<\/strong> and <strong>hormonal adjustments<\/strong> can improve stability and mental clarity. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Skin and hair <\/strong><\/h3>\n\n\n\n<p><br>Changes in skin and hair associated with hormonal variations can be addressed with <strong>hormone treatments<\/strong>, <strong>natural therapies<\/strong> and <strong>aesthetic and regenerative techniques<\/strong>, such as mesotherapy, microneedling or radiofrequency. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Holistic wellbeing <\/strong><\/h3>\n\n\n\n<p><br>The <strong>symptoms of premenopause <\/strong>are part of a global process. Each case is thus addressed from a holistic perspective, seeking to strike a balance between hormonal, physical and emotional health.<\/p>\n\n\n\n<p>To take care of your wellbeing in this new stage, you can <a href=\"https:\/\/www.dexeus.com\/midlife\/en\/request-time\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>ask for an appointment at the Dexeus Midlife centre<\/strong><\/a>. Our team, <strong>which specialises in all stages of menopause<\/strong>, delivers friendly, personalised care using safe and effective treatments.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>References<\/strong> <\/p>\n\n\n\n<p>\u00b9 Dexeus Midlife &#8211; <em>Premenopause<\/em>, <a href=\"https:\/\/www.dexeus.com\/midlife\/en\/your-menopause\/premenopause\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.dexeus.com\/midlife\/salud-ginecologica\/premenopausia\/<\/a><\/p>\n\n\n\n<p><sup>2<\/sup> MedlinePlus &#8211; <em>Menopause<\/em>, <a href=\"https:\/\/medlineplus.gov\/spanish\/menopause.html\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">https:\/\/medlineplus.gov\/spanish\/menopause.html<\/a><\/p>\n\n\n\n<p><br><sup>3<\/sup> <a href=\"https:\/\/medlineplus.gov\/spanish\/menopause.html\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">https:\/\/medlineplus.gov\/spanish\/menopause.html<\/a><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Premenopause is the transition stage which marks the beginning of the end of a woman&#8217;s fertile years. During this time, ovarian function gradually declines and oestrogen and progesterone levels begin to drop.\u00b9<\/p>\n","protected":false},"author":3,"featured_media":10740,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[72],"tags":[],"class_list":["post-10739","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-menopause-mind"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>34 symptoms of premenopause: early signs and solutions - Dexeus Midlife<\/title>\n<meta name=\"description\" content=\"Premenopause is the transition stage which marks the beginning of the end of a woman&#039;s fertile years. During this time, ovarian function gradually declines and oestrogen and progesterone levels begin to drop.\u00b9\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.dexeus.com\/midlife\/en\/34-symptoms-premenopause\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"34 symptoms of premenopause: early signs and solutions - Dexeus Midlife\" \/>\n<meta property=\"og:description\" content=\"Premenopause is the transition stage which marks the beginning of the end of a woman&#039;s fertile years. During this time, ovarian function gradually declines and oestrogen and progesterone levels begin to drop.\u00b9\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.dexeus.com\/midlife\/en\/34-symptoms-premenopause\/\" \/>\n<meta property=\"og:site_name\" content=\"Dexeus Midlife\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/dexeusmidlife\/\" \/>\n<meta property=\"article:published_time\" content=\"2025-11-14T10:27:46+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-11-18T14:44:20+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.dexeus.com\/midlife\/wp-content\/uploads\/2025\/11\/34-sintomas-premenopausia-2.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1000\" \/>\n\t<meta property=\"og:image:height\" content=\"640\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Oriol Gili\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Oriol Gili\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.dexeus.com\/midlife\/en\/34-symptoms-premenopause\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.dexeus.com\/midlife\/en\/34-symptoms-premenopause\/\"},\"author\":{\"name\":\"Oriol Gili\",\"@id\":\"https:\/\/www.dexeus.com\/midlife\/en\/#\/schema\/person\/f13cf830cd7ff18786ac85c95cb12bd6\"},\"headline\":\"34 symptoms of premenopause: early signs and solutions\",\"datePublished\":\"2025-11-14T10:27:46+00:00\",\"dateModified\":\"2025-11-18T14:44:20+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.dexeus.com\/midlife\/en\/34-symptoms-premenopause\/\"},\"wordCount\":852,\"publisher\":{\"@id\":\"https:\/\/www.dexeus.com\/midlife\/en\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.dexeus.com\/midlife\/en\/34-symptoms-premenopause\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.dexeus.com\/midlife\/wp-content\/uploads\/2025\/11\/34-sintomas-premenopausia-2.jpg\",\"articleSection\":[\"menopause and mind\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.dexeus.com\/midlife\/en\/34-symptoms-premenopause\/\",\"url\":\"https:\/\/www.dexeus.com\/midlife\/en\/34-symptoms-premenopause\/\",\"name\":\"34 symptoms of premenopause: early signs and solutions - Dexeus Midlife\",\"isPartOf\":{\"@id\":\"https:\/\/www.dexeus.com\/midlife\/en\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.dexeus.com\/midlife\/en\/34-symptoms-premenopause\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.dexeus.com\/midlife\/en\/34-symptoms-premenopause\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.dexeus.com\/midlife\/wp-content\/uploads\/2025\/11\/34-sintomas-premenopausia-2.jpg\",\"datePublished\":\"2025-11-14T10:27:46+00:00\",\"dateModified\":\"2025-11-18T14:44:20+00:00\",\"description\":\"Premenopause is the transition stage which marks the beginning of the end of a woman's fertile years. 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