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“Menopause”: Symptoms That May Appear in Your Thirties


Common symptoms in your thirties may be signs of menopause. During this period, hormones begin to change, even though your menstrual cycle has not yet stopped permanently.

The perimenopause phase is associated with up to 34 symptoms and typically begins in the mid-forties. However, some experts suggest it may start much earlier.

According to the UK’s National Health Service (NHS), perimenopause is characterized by irregular menstrual cycles. However, women may also experience joint pain, decreased libido, difficulty sleeping, weight gain, heart palpitations, sensitive teeth, mood swings, and low self-esteem.

Doctors reveal that fatigue, anxiety, and brain fog are also symptoms of perimenopause, which in rare cases can begin in a woman’s thirties.

Dr. Harriet Connel, a menopause specialist at Westbury Health and Her, explains that perimenopause is “a transitional phase leading to menopause, usually lasting several years.”

She explains that during this phase, the body’s production of estrogen and progesterone (the hormones that regulate the menstrual cycle and pregnancy) becomes irregular, causing a variety of physical and emotional symptoms such as fatigue, anxiety, and brain fog (the “FAB” symptoms).

Dr. Connel adds: “These symptoms often impact daily life more than classic hot flashes or menstrual changes and may appear years before late menopause.”

One concern associated with early menopause is the potential loss of a woman’s chances of motherhood. However, Dr. Connel assures that parenthood is still largely possible.
She adds: “Pregnancy remains possible during perimenopause, as ovulation can occur intermittently even if menstrual cycles become irregular.”

Although fertility naturally declines with age and becomes less predictable during perimenopause, it is still possible for a woman to ovulate and conceive a child.

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