Updated August 2026 · The Bloom Phase Editorial Team
Tick anything you have noticed in the last few months. There is no score and no diagnosis at the end — perimenopause is not diagnosed by a quiz. But seeing your symptoms in one place helps you recognize the pattern, and gives you something concrete to take to a clinician.
Cycle changes
- Periods closer together, or further apart
- Heavier or lighter bleeding than usual
- Skipped periods
- Worse PMS than you used to get
Physical
- Hot flashes or night sweats — read more
- Heart flutters or racing, often at night — read more
- Weight gain, especially around the middle — read more
- Bloating unrelated to food — read more
- New headaches or worse migraines — read more
- Muscle or joint aches without an injury
- Vaginal dryness or discomfort
Sleep and energy
- Trouble falling or staying asleep
- Waking at 3 to 4 a.m.
- Fatigue that sleep does not fix
Mood and mind
- Brain fog — read more
- Irritability or a shorter fuse
- Anxiety, or low mood
- Less interest in sex
Take these to your doctor, and do not wait: very heavy bleeding, bleeding between periods or after sex, palpitations with chest pain or breathlessness, or any symptom that frightens you.
What now?
If you ticked several, you are likely in perimenopause — and far from alone. Start with the full symptoms guide, and the supplements guide if you want to know what does and does not help.