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The first and most classic sign is irregular menstrual cycles. This means periods may come earlier or later than expected, and the flow itself can be heavier or lighter, with varying durations.

Hot flashes involve a sudden increase in body temperature, sometimes accompanied by red skin or increased heart rate. Night sweats specifically occur during sleep and can be severe enough to wake a person.

Issues with sleep, such as insomnia or frequent awakenings, are common during this phase. This can sometimes be a direct result of hot flashes and night sweats.

Hormonal changes can lead to mood disturbances, including increased anxiety and depression, especially in women who already have a predisposition to these conditions.

Forgetfulness, such as difficulty finding the right words or misplacing objects, is a common symptom. The speaker reassures that this is usually not a cause for concern and is often related to stress or fatigue.

Many women experience a decrease in sexual desire and increased difficulty with arousal. Vaginal dryness is also common, leading to discomfort or pain during intercourse, which can be alleviated with lubricants.

General body changes include dry skin and hair, weight gain (especially around the waist), decreased muscle mass, and joint stiffness and pain. The video notes that some of these physical changes are also associated with normal aging.