# Symptoms, one by one · Peri Signals

> Source: https://perisignals.com/topics/symptoms

## Symptoms, one by one

What each symptom of perimenopause feels like, how common it is, and when it is worth mentioning to a doctor.

3 articles

[ ](/articles/pmdd) 

#### [PMDD or perimenopause? How to tell mood symptoms apart ](/articles/pmdd) 

PMDD and perimenopause both bring irritability, low mood and anxiety. How timing against your cycle tells them apart, and why PMDD can get worse in your 40s.

2 Nov 2026 

[ ](/articles/printable-perimenopause-symptom-diary-and-appointment-checklist) 

#### [Perimenopause symptom diary and checklist to print ](/articles/printable-perimenopause-symptom-diary-and-appointment-checklist) 

Pick your symptoms and print a one-page perimenopause diary (periods, flow, symptoms rated mild, moderate or severe, sleep) with questions for your appointment.

1 Nov 2026 

[ ](/articles/perimenopause-symptoms) 

#### [Perimenopause symptoms and how to track them ](/articles/perimenopause-symptoms) 

The signs of perimenopause, from changing periods to hot flashes and brain fog: which are expected, which bleeding to report, and how to keep a symptom record.

1 Nov 2026 

### Quick answers

What is usually the first sign of perimenopause? 

For most women it is a change in their periods: closer together or further apart, heavier or lighter, according to the NHS.

Can you have perimenopause with no symptoms? 

Yes. ACOG says some women have no symptoms or only a few mild ones, while others have many.

Keep reading

### Other topics

* [Periods and bleeding in perimenopause](/topics/periods-and-bleeding)  
Longer or shorter cycles, skipped periods, heavy flow, spotting and clots: which changes are expected and which bleeding to report.
* [Perimenopause or something else?](/topics/is-it-perimenopause)  
Pregnancy, thyroid, stress, depression, ADHD: the conditions that overlap with perimenopause and how a doctor tells them apart.
* [Tracking symptoms for your appointment](/topics/tracking)  
What to write down, how to rate symptoms as mild, moderate or severe, and how to turn months of notes into one page for your doctor.
* [When perimenopause starts and how long it lasts](/topics/stages-and-timing)  
The ages it usually starts, how long the transition runs, early and premature menopause, and what changes after the last period.

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[Peri Signals](/) 

Perimenopause symptoms, explained and tracked

Plain answers on perimenopause symptoms for women 35 to 65: what is common, what to tell your doctor, and how to keep a useful symptom record.

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