In the months or years leading up to the menopause, women can experience common symptoms including hot flushes, night sweats and insomnia, especially before a period. Fortunately, many recognise these symptoms and ask for advice. But women with less common symptoms may not ask for help, delaying the diagnosis. Less common symptoms include joint aches and pain, ‘brain fog,’ feeling forgetful, skin changes, low mood or mood swings, a loss of interest in sex, vaginal dryness and bladder problems.

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