Aside from changes in menstruation, the symptoms of perimenopause, menopause, and postmenopause are typically indistinguishable. The most common early signs of perimenopause are: - Less frequent menstruation - Heavier or lighter periods than normal - Vasomotor symptoms, including hot flashes, night sweats, flushing Other common symptoms of menopause include: - Insomnia - Vaginal dryness - Weight gain - Depression - Anxiety - Difficulty concentrating - Memory problems - Reduced libido, or sex drive - Dry skin, mouth, and eyes - Increased urination - Sore or tender breasts - Headaches - Racing heart - Urinary tract infections (UTIs) - Reduced muscle mass - Painful or stiff joints - Reduced bone mass - Less full breasts - Hair thinning or loss - Increased hair growth on other areas of the body, such as the chest, neck, back and face Common complications of menopause include: - Vulvovaginal atrophy - Dyspareunia, or painful intercourse - Slower metabolic function - Osteoporosis - Weaker bones with reduced mass and strength - Mood or sudden emotional changes - Cataracts - Periodontal disease - Urinary incontinence - Heart or blood vessel disease