Symptoms of perimenopause and menopause are more than just hot flashes and night sweats. I had no idea there are over 30 symptoms of menopause. Some of the most common are: Irregular periods Hot flashes Night sweats Mood swings Difficulty sleeping Fatigue Loss of libido Vaginal dryness Weight gain Changes in hair texture Hair loss or thinning Dry skin Breast tenderness Joint pain Muscle aches Headaches Urinary urgency or incontinence Changes in body odor Difficulty concentrating Memory problems