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"what are the 34 symptoms of perimenopause": Perimenopause is the transition period before menopause when the ovaries gradually produce less estrogen. Symptoms of perimenopause can include hot flashes, night sweats, irregular periods, mood swings, fatigue, and vaginal dryness, among others. While there are many symptoms associated with perimenopause, not all women will experience all 34 of them.