14/10/2026
Perimenopause can bring a surprising range of symptoms beyond the commonly known hot flushes, mood swings and brain fog. Doctors say fluctuating oestrogen levels during the transition to menopause can affect multiple parts of the body, including the joints, nervous system, eyes, ears and vocal cords.
According to medical experts, lesser-known symptoms may include frozen shoulder, heart palpitations, dizziness, tingling sensations, itchy ears, tinnitus and changes in the voice.
Frozen shoulder can develop as declining oestrogen affects inflammation and connective tissue health, causing pain and stiffness. Meanwhile, hormonal fluctuations may contribute to heart palpitations, although women should consult a doctor to rule out underlying heart conditions.
Some women may also experience sensations resembling electric shocks, crawling skin or tingling in their hands and feet. Changes in hormone levels can affect the body's sensory signals, while hormonal fluctuations may also influence balance, making some women feel dizzy or light-headed.
Other symptoms include dry or tired eyes, intermittent blurred vision, increased sensitivity to caffeine and changes in hearing. Some women may notice their voices becoming weaker, raspier or more difficult to project as they approach menopause.
Experts emphasise that these symptoms can have causes unrelated to menopause, so persistent or unusual changes should not automatically be attributed to hormones. Sudden vision changes, significant hearing loss, severe dizziness or concerning heart symptoms warrant prompt medical attention.
Menopause symptoms can also continue after a woman's final menstrual period. Their duration and severity vary, with some symptoms gradually improving while others, such as vaginal dryness, may persist.
Doctors recommend seeking professional advice when symptoms interfere with daily life. Understanding the less familiar signs of perimenopause can help women recognise changes in their bodies and obtain appropriate care.