Along with night sweats, hot flushes are one of the most common symptoms in the perimenopause and menopause. These can range from mild to severely debilitating, affecting sleep and day to day function.

With hormonal changes, mood can fluctuate leading to anxiety and depressive symptoms. Those already struggling with mood changes may find that these get worse through the perimenopause.

Energy levels may lower as the oestrogen hormone lowers, not helped by joint pains and sleep problems in perimenopause and menopause.

Loss of memory and concentration can be noticeable during the perimenopause and menopause, leading to distress and worry about dementia.

Vaginal dryness is a common symptom that can occur early in the perimenopause affecting sex and libido. It can also lead to vaginal itching, discharge and bleeding. It is often an overlooked symptom that can present with recurrent urinary tract infection type symptoms.