Hot flashes: One of the most common menopause symptoms, characterized by sudden feelings of warmth across the body, particularly the face, neck and chest. Hot flashes can vary in frequency and intensity from person to person
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Night sweats: Intense hot flashes the occur at mainly night. Night sweats can disrupt sleep which can lead to fatigue during the day
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Mood changes: Many women report feelings of sadness, irritability, or anxiety. These can be due to hormonal fluctuations 
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Vaginal dryness: Reduced estrogen levels can lead to discomfort, itching, or pain, particularly during intercourse
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Decreased libido: Estrogen and testosterone are both important hormones for libido, so you may find your sex drive declines during the perimenopause and menopause due to insufficient levels of those hormones
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Sleep disorders: You may experience insomnia or disturbed sleep patterns, which can in turn lead to fatigue
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Memory and concentration issues: Some women may experience ‘brain fog’ including challenges with focus, recalling information, or completing tasks
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Joint pains: Hormonal changes can cause inflammation in joints, leading to discomfort and pain.

Hair thinning: Reduction in hair density and thickness.

Weight gain: Changes in metabolism leading to weight gain, especially around the abdomen.

Frozen shoulder: Menopause can lead to hormonal changes, particularly a decrease in estrogen, which may contribute to joint pain and stiffness, potentially exacerbating conditions like frozen shoulder.

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Heavy, irregular bleeding (perimenopause): Heavy bleeding is common during the perimenopause. HRT can help.

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Migraines: The hormonal fluctuations, particularly the drop in estrogen, during menopause can trigger migraines or make them more frequent and intense