You may feel depressed. Then, there are the infamous hot flashes during which your body decides it is overheating and tries to cool off. Vaginal dryness and bladder problems can occur since estrogen helps keep vaginal tissues elastic and lubricated. This may result in sexual relations being a bit painful. As estrogen decreases, it affects the collagen in the skin.
Skin becomes thinner and starts to sag a bit.
An increase in the rate of bone loss, which can lead to osteoporosis, results if hormone replacement therapy is not given. Although perimenopause may present temporary symptoms that can be uncomfortable, you can take steps to help lessen them. Not only will exercise make you feel better, it can help reduce the rate of bone loss. Don't forget to include strength training which increases bone thickness. Control hot flashes.