Hatch Athletic Blog

34 Most Common Menopause Symptoms (And 10 That Might Surprise You)

Written by Dr Natalie Summerhill, Menopause Specialist GP | Apr 22, 2025 1:51:23 PM

Let’s cut through the fog—literally and figuratively. Menopause is a major hormonal shift, and with it comes a cascade of physical, emotional, and neurological changes. But most of us are never taught what’s actually happening, let alone how to manage it.

So here’s your cheat sheet: the 34 commonly reported menopause symptoms, plus 10 curveballs you might not expect, but absolutely deserve space in the conversation.

The Classic 34 Menopause Symptoms

This is the list you’ll see referenced most often by women’s health experts, doctors, and researchers. Keep in mind: not every woman will experience all of these—and some may show up earlier in perimenopause, linger into postmenopause, or change over time.

Hormonal + Physical

  1. Hot flashes

  2. Night sweats

  3. Irregular periods

  4. Vaginal dryness

  5. Decreased libido

  6. Weight gain (especially around the middle)

  7. Hair thinning or hair loss

  8. Dry skin

  9. Breast tenderness

  10. Joint pain or stiffness

  11. Muscle aches or tension

  12. Fatigue

  13. Sleep disturbances/insomnia

  14. Palpitations or racing heart

  15. Frequent urination or incontinence

  16. Bloating

  17. Digestive issues (e.g. constipation or gas)

  18. Headaches or migraines

  19. Itchy skin or tingling sensations (formication)

  20. Dizziness or lightheadedness

  21. Osteoporosis or bone thinning

  22. Burning tongue or mouth discomfort

  23. Gum problems or tooth sensitivity

  24. Brittle nails

    Mood + Cognitive

  25. Anxiety

  26. Irritability or rage

  27. Depression or low mood

  28. Mood swings

  29. Brain fog

  30. Memory lapses

  31. Difficulty concentrating

  32. Panic attacks

  33. Loss of confidence or motivation

  34. Tearfulness or emotional sensitivity

10 Surprising Menopause Symptoms (That Are 100% Real)

These ones tend to fly under the radar—but they’re more common than most people realize. If you've been experiencing any of these and thought, “Is this just me?”—it’s not.

1. Dry Eyes

Oestrogen helps regulate tear production. As levels drop, eyes can feel gritty, irritated, or overly sensitive to wind and light.

2. Frequent Throat Clearing

A tickle in the throat or persistent need to clear it can be linked to hormonal changes in the mucous membranes—or silent reflux, which becomes more common.

3. Body Odour Changes

You may start to notice a stronger or different natural scent. Hormonal shifts can alter sweat composition and skin bacteria.

4. Tinnitus (Ringing in the Ears)

Buzzing, ringing, or pulsing in the ears—especially in perimenopause—can stem from nervous system or vascular changes related to low oestrogen.

5. Phantom Smells

Some women experience sudden, strange smells like smoke or burning with no source—thought to be due to changes in the olfactory nerves.

6. Electric Shock Sensations

Described as a “zap” or a jolt in the head or body—this can happen just before a hot flash or randomly. It’s linked to fluctuating oestrogen affecting nerve conductivity.

7. Restless Legs or Crawling Sensations

Especially at night, this creepy-crawly, itchy feeling can disrupt sleep and isn’t just about iron levels—it can also be hormonal.

8. Heightened Allergies or New Sensitivities

Allergic reactions or histamine intolerance may suddenly intensify or appear for the first time during menopause.

9. Burning Mouth Syndrome

A scalded or metallic taste, dryness, or tingling in the mouth—often unexplained and surprisingly persistent.

10. Feeling Short of Breath

You might feel winded quicker during workouts or even day-to-day activity. Hormonal and cardiovascular changes can both play a role here.

So… What Do You Do With All This?

It's a bit of an overwhelming list, but not all of these symptoms happen at once, and they’re not permanent. What matters is recognising the signs, seeking support, and adapting your training, nutrition, and recovery around them.

You’re not losing your edge. You’re recalibrating. And with the right support, this new chapter can be just as powerful as the last.