Menopause symptoms you should know about
ca. 20 Minuten

Sudden hot flashes in the middle of the night, unexplained sweating, or a crushing fatigue that just won't go away—these are often the first symptoms of menopause that many women experience after 40. We often blame everyday stress, but in reality, these are important signals from your body as it adjusts to a new, natural phase of life.
Your body is sending signals: What menopause really means
Maybe you know the feeling: You're in your mid-40s and feel great, but suddenly a hot flash jolts you awake or your mood swings for no apparent reason. Don't worry, you're far from alone. Around 9 million women in Germany between the ages of 40 and 55 are going through this exact phase of life.
Statistics show that around 80 percent of them experience typical symptoms, from hot flashes and sleep disorders to emotional fluctuations. You can find out more in the findings on the situation of women going through menopause, published by the Federal Anti-Discrimination Agency.
This phase isn't an abrupt stop, but a gradual transition that often leaves people feeling uncertain. Many women wonder: Are my exhaustion, unexplained weight gain, or thinning skin really the first signs? This uncertainty is exactly what keeps many from taking active steps to improve their well-being.
An overview of the most common early symptoms of menopause
This table summarizes the typical early signs to help you quickly get your bearings and recognize what your body is trying to tell you.
| Symptom category | Typical signs | Possible cause |
|---|---|---|
| Vasomotor symptoms | Hot flashes, night sweats | Fluctuating hormone levels affect the brain's temperature regulation. |
| Psychological changes | Mood swings, irritability, anxiety, difficulty concentrating | Hormonal changes directly affect neurotransmitters such as serotonin and dopamine. |
| Sleep disorders | Difficulty falling and staying asleep, often made worse by night sweats | Falling progesterone levels and night sweats disrupt the sleep cycle. |
| Physical changes | Irregular cycles, weight gain (especially around the stomach), joint pain, dry skin & mucous membranes | Falling estrogen levels affect metabolism, collagen production, and joint health. |
| Lack of energy | Persistent tiredness, exhaustion, reduced performance | Hormonal imbalances and poor sleep drain the body of valuable energy. |
Remember: Not every woman experiences all symptoms to the same degree. Your body is unique, and the same is true of your menopause.
Why interpreting the symptoms is so important
Your body is a finely tuned system in which hormones like estrogen play a central role. When their production gradually declines, it affects almost every area—from your skin to your bones and your mental well-being.
So the first symptoms are much more than just annoying side effects. They’re valuable clues that your body is searching for a new balance. If you ignore these signals, you risk symptoms becoming entrenched or missing important opportunities to safeguard your well-being in the long term. For example, falling estrogen levels can increase the risk of osteoporosis or affect cardiovascular health. Read more about the specific signs in our article on estrogen deficiency symptoms.
Think of menopause not as an ending, but as your body’s invitation to give it targeted support. It’s the perfect time to take charge of your health and lay the foundations for a vibrant future.
The key lies in understanding exactly what’s happening in your body. A hormonal imbalance or a lack of essential nutrients can make existing symptoms worse. Taking a closer look at your blood test results, as enabled by mybody-x.com’s hormone and nutrient tests, can give you the clarity you need to regain control and shape this new phase of life on your own terms and with plenty of energy.
The hormonal journey through menopause
Menopause isn’t a switch that flips overnight. Think of it more as a long journey, a kind of hormonal roller coaster with different stages that gently but surely leads your body into a new phase of life.
This process can be divided into three major phases: perimenopause, menopause, and postmenopause. Each phase has its own unique characteristics and typical menopause symptoms, triggered by hormonal fluctuations.
Perimenopause: The beginning of change
Perimenopause is the real starting point. It can often begin as early as your early 40s - and even earlier for some women. This phase lasts an average of four to five years, but can also extend over an entire decade. During this time, the ovaries begin to produce hormones less regularly.
The level of progesterone, the hormone that helps keep your cycle regular, usually drops first. Shortly afterward, your estrogen levels also begin to fluctuate - sometimes surging, then falling sharply again. This hormonal roller coaster is precisely what causes the first noticeable signs:
- Cycle changes: Your period becomes unpredictable - sometimes shorter, sometimes longer, and the flow may also change.
- Sleep problems: You wake up more often during the night or have trouble falling asleep, often for no apparent reason.
- Mood swings: Suddenly, you’re more irritable, anxious, or simply more prone to tears. This is typical.
- First hot flashes: They may occur occasionally even now, but are usually still milder.
Many women don’t associate these first symptoms with menopause because they are still getting their period. But this is exactly when the major hormonal changes begin.
This graphic clearly shows where menopause fits into a woman’s life journey.

It is clear that perimenopause is a gradual transition from the fertile phase to menopause, not an abrupt event.
Menopause: The turning point
Medically speaking, the term “menopause” refers to just one day: the date of your last menstrual period, after which twelve months pass without another period. The average age for this milestone in Germany is about 51 years.
At this point, the ovaries have reduced their production of estrogen and progesterone to a permanently low level. Hormone levels have now fallen so far that ovulation no longer occurs, and therefore neither does menstruation.
Postmenopause: A phase of reorientation
Immediately after menopause begins, postmenopause accompanies you for the rest of your life. In the first few years of this phase, your hormones stabilize at a consistently low level. Your body slowly adjusts to the new state, and many typical symptoms, such as hot flashes and mood swings, ease or even disappear completely.
However, persistently low estrogen levels bring new concerns. Estrogen has many protective functions in the body, so a deficiency can have long-term effects, for example on bone density (risk of osteoporosis) or the health of the skin and mucous membranes.
If you’d like to know more precisely where you are on this journey, checking your levels can be very revealing. Learn more in our article about how to get your hormone levels tested. A blood test, such as the hormone test from mybody-x.com, gives you a valuable snapshot and helps you better interpret your body’s signals.
Typical physical and emotional symptoms in detail
Suddenly, heat rushes to your face, your joints ache in the morning, or your mood is on a roller coaster and you barely recognize yourself - the list of possible menopause symptoms is long and, above all, very personal. Let’s take a closer look at the symptoms that are typical and what’s actually going on in your body.
Above all, it’s important to understand that every woman experiences this phase differently. While one may hardly notice anything, another may feel overwhelmed by a wave of symptoms. The severity of the symptoms and the combination in which they occur are unique to each woman - almost like a personal fingerprint of hormonal change.

The physical roller coaster of hormonal change
Physical signs are often the first that women notice and the ones that have the greatest impact on everyday life. Falling estrogen levels are almost always the main culprit. You can think of estrogen as a conductor who directs countless processes in the body.
As this important hormone gradually declines, the perfectly coordinated orchestra of your body falls out of rhythm. The result is the familiar symptoms that many women know all too well.
And this is no rare occurrence: Around 75 percent of all women experience noticeable symptoms during menopause, with between one-third and one-half feeling severely affected. One serious, often invisible consequence is accelerated bone loss. While we lose around 0.3 to 0.5 percent of our bone mass each year from age 35 onward, this figure rises dramatically to 3 to 5 percent per year at the start of menopause. Naturally, this increases the risk of osteoporosis.
Here is an overview of the most common physical symptoms:
- Hot flashes and night sweats: Sudden, intense waves of heat that rise from the chest to the head, often accompanied by flushed skin and sweating. Many women wake up drenched in sweat at night, which severely disrupts sleep.
- Joint and muscle pain: Many women complain of stiff, painful joints, especially just after getting up. Estrogen has anti-inflammatory properties and keeps joints supple—when levels drop, pain can result.
- Dry skin and mucous membranes: Estrogen is a real boost to collagen production and skin hydration. A deficiency leads to thinner skin, brittle nails, and hair loss. The mucous membranes in the vagina and bladder are also affected, which can cause dryness, itching, or more frequent urinary tract infections.
- Weight gain: Your metabolism slows down, and your body tends to store fat, especially around your abdomen. Many women find that they gain weight even though they haven’t changed their diet or exercise habits.
- Heart palpitations and dizziness: Hormonal fluctuations can also disrupt the autonomic nervous system. This can sometimes cause skipped or racing heartbeats or feelings of dizziness.
When your emotions are all over the place
Menopause is not just a physical challenge, but also a profound emotional journey. The hormones that regulated your cycle for decades also affect the brain’s chemical messengers responsible for your mood, especially serotonin and dopamine.
This biochemical imbalance can really test your emotional resilience and trigger feelings you may not even recognize as your own.
Most importantly: You are not oversensitive or imagining it. The hormonal changes have a real, measurable impact on your mental health. This is a biological process, not a personal failure.
Typical emotional and psychological symptoms include:
- Mood swings and irritability: You may feel overwhelmed quickly, become irritable easily, or suddenly burst into tears for no apparent reason.
- Anxiety and panic attacks: A constant inner restlessness or sudden feelings of anxiety may be new and deeply unsettling.
- Concentration problems and “brain fog”: Many women know the feeling: trouble finding the right words, forgetfulness, and the sense that they can’t think as clearly as they used to.
- Lack of motivation and exhaustion: A heavy, leaden fatigue that simply won’t go away, even after plenty of sleep.
- Sleep problems: Along with night sweats, hormonal changes often cause trouble falling asleep and staying asleep. If you’d like to learn more, take a look at our article about sleep problems during menopause.
Knowing and understanding these varied symptoms is the first important step toward taking back control. A hormone or nutrient test from mybody-x.com can give you clarity about whether your symptoms are really related to menopause or whether other causes, such as a nutrient deficiency, might be behind them.
Check your hormone and nutrient levels
Are you wondering whether your symptoms are really due to menopause or whether something else might be behind them? That’s a perfectly valid question. An undetected nutrient deficiency can significantly worsen typical symptoms like fatigue or low mood. This is exactly where we bridge the gap between uncertainty and clarity.
A simple blood test, like the one offered by mybody-x.com, can provide valuable answers. It’s like looking behind the scenes in your body, showing you in black and white what’s going on. That way, you can make decisions based on solid data, not just gut feelings.
Why looking at hormones and nutrients is so important
During menopause, your hormone levels get out of balance. This is completely normal. At the same time, your body’s need for certain vitamins and minerals also changes. A deficiency can unnecessarily worsen menopause symptoms.
Think of your body as an orchestra. Hormones set the tempo, but nutrients are the musicians. When key musicians are missing, even the finest symphony sounds off-key and discordant. That’s exactly what happens when you’re lacking, for example, vitamin D or magnesium: fatigue turns into exhaustion, and mood swings feel uncontrollable.
A blood test is your personal roadmap through menopause. It shows you where you are and what steps you need to take to support your well-being.
Some results are particularly informative at this stage of life because they give you a clear picture of your hormonal and physical health.
Important blood test results during menopause and what they mean
Before groping in the dark, it helps to know which results really matter. Taking a targeted look at specific blood markers can tell you exactly where the causes of your symptoms may lie.
The following table gives you an overview of which blood test results are relevant, what they say about your body, and which symptoms may be associated with an imbalance.
| Blood test result | Function in the body | Typical change during menopause | Symptoms of an imbalance |
|---|---|---|---|
| FSH (follicle-stimulating hormone) | Stimulates the ovaries to produce estrogen. | Rises sharply because the ovaries no longer respond. | A high FSH level is a clear indication of menopause. |
| Estradiol (a form of estrogen) | Important for the menstrual cycle, skin, bones, and mood. | Drops significantly. | Hot flashes, dry skin, mood swings, bone loss. |
| Vitamin D | Essential for calcium absorption and bone health. | Deficiency is common because the skin produces less of it. | Fatigue, bone pain, increased risk of osteoporosis, susceptibility to infections. |
| Magnesium | Important for muscle relaxation, the nervous system, and sleep. | Needs increase; stress can worsen a deficiency. | Muscle cramps, inner restlessness, sleep problems, nervousness. |
| TSH (thyroid-stimulating hormone) | Regulates thyroid function and metabolism. | An underactive thyroid has similar symptoms. | Fatigue, weight gain, hair loss, sensitivity to cold. |
Knowing these results puts you back in control. Instead of groping in the dark, you can recognize connections and take targeted action. If you’d like to learn more about the importance of individual nutrients, you’ll find further information in our article on blood nutrient analysis.
Your path to clarity with mybody-x.com self-tests
That’s exactly where we come in. We know that the thought of doctor’s visits and long waiting times can be daunting. That’s why we developed the mybody-x.com hormone and nutrient self-tests - a straightforward, reliable way to gain precise insights into your body from home.
The process is very simple: You order the test kit, take a small blood sample from your fingertip, and send it to our certified partner laboratory in Germany. There, your results are analyzed precisely.
The result isn't an incomprehensible collection of data. You'll receive a clear, easy-to-understand report that shows you exactly where you stand and what steps you can take next. This data-based foundation allows you to make targeted adjustments to your diet and lifestyle or go into a conversation with your doctor well prepared. This way, you take an active role in managing your health.
Strategies for greater everyday well-being
Okay, you now know what's happening in your body. That's the first and most important step. Now it's time not only to understand, but also to take action and face the symptoms of menopause. With the right strategies, you can noticeably improve your everyday well-being and reclaim your quality of life.

We'll focus on four key pillars to help you feel centered again: nutrition, exercise, stress management, and sleep. You'll be amazed at what even small but consistent changes in these areas can do.
Nutrition as hormonal support
Your diet is now one of your most powerful tools. Certain foods can support your body in targeted ways, while others may make symptoms worse. This isn't about strict diets, but about making mindful, nutrient-rich choices.
- Include phytoestrogens: These are plant compounds that can have a mild, estrogen-like effect in the body. They are found in abundance in foods such as flaxseeds, soy products (like tofu or edamame), chickpeas, and legumes. They may help balance out hormonal fluctuations a little.
- Calcium and vitamin D for strong bones: Since the risk of osteoporosis increases at this stage, these two nutrients are essential. Choose leafy green vegetables such as kale or broccoli, nuts, and mineral water rich in calcium. The best way to get vitamin D is through sunlight or, if needed, a good supplement.
- Cut back on sugar and alcohol: These two are well-known triggers for hot flashes and sleep problems. Try consciously reducing them and see how your body responds.
Exercise for body and mind
Exercise during menopause is about so much more than just losing weight. Physical activity strengthens your bones, lifts your mood, and helps you sleep better. The key is finding a routine you truly enjoy - only then will you stick with it.
Just 30 minutes of moderate exercise on most days of the week can make a huge difference. A combination of cardio and strength training is ideal.
Exercise doesn't have to mean running a grueling marathon. A brisk walk during your lunch break, a bike ride, or a morning yoga session can already work wonders and strengthen your resilience to stress.
Unfortunately, menopause is still a taboo subject in the workplace. A 2023 Bundestag document (20/8755) shows just how much the psychological and social burdens caused by hormonal changes are ignored. At no less than 46% of workplaces, people stay silent about it. At mybody-x.com, we want to change that by giving you the right tools. Our hormone and nutrient blood tests easily analyze important levels such as estrogen, testosterone, and magnesium from the comfort of your home. Find out more in these insights into the debate about menopause.
Stress management and restful sleep
Inner restlessness and poor sleep are among the most distressing symptoms. That's why active stress management is more important than ever right now. Establish small rituals that help you unwind and clear your head.
Right now, it's essential to incorporate practical self-care tips into your daily life to maintain your inner strength and balance.
Here are a few simple but highly effective techniques:
- Mindful breathing exercises: Take a few minutes several times a day. Slowly breathe in through your nose and count to four, pause briefly, then slowly breathe out through your mouth as you count to six. This immediately calms your nervous system.
- Stick to a regular sleep schedule: Try to go to bed and get up at the same time every day - yes, even on weekends. This does wonders for stabilizing your internal rhythm.
- Take a digital break before bed: The blue light from screens interferes with the production of the sleep hormone. Put your phone or tablet away at least an hour before bedtime. Read a book or listen to relaxing music instead.
Your path to managing menopause on your own terms
Menopause is a completely natural part of life, of course. But that doesn’t mean you simply have to put up with the unpleasant menopause symptoms. The most important thing to take away from this guide is simple: knowledge is power. When you understand your body, you regain control and can take active steps to support your well-being.
It’s time not to simply let this phase of life happen, but to shape it yourself. Listen to your body’s signals—they’re valuable guides. You’re not alone in your experiences, even though your journey is of course unique.
Take the reins of your health again
Instead of stumbling around in the dark and wondering why you feel the way you do, you can easily get clarity today. A blood test is an important first step. It provides concrete data about your hormone and nutrient levels and helps you uncover the real causes of your symptoms.
Menopause doesn’t mean losing control. Rather, it’s an invitation to take control of your health more consciously and with more information than ever before. Make the most of this opportunity.
A test from mybody-x.com gives you exactly that opportunity—conveniently and discreetly from home. The analysis at our certified partner laboratory in Germany gives you a reliable basis for making informed decisions about your health.
Your next step toward greater well-being
Don’t wait any longer for your symptoms to disappear on their own. Take action now and make this new phase of your life vibrant, energetic, and confident.
Order your mybody-x.com blood test and get precise insights into your hormone and nutrient levels. With the personalized recommendations you receive based on your results, you can make targeted lifestyle changes and finally give your body exactly what it needs right now.
The most important questions about menopause symptoms
It’s perfectly normal to feel unsure when your body changes. Here, we briefly and clearly answer the questions women most often have about menopause to give you more clarity and reassurance.
Can I start going through menopause in my early 40s?
Yes, absolutely. Many women are surprised to hear that the so-called perimenopause—the phase before the final period—can begin eight to ten years earlier. It’s a common misconception that menopause only starts at 50.
Typical early menopause symptoms, such as irregular cycles, poorer sleep, or mood swings, are completely normal during this time, even if your period is still regular. A hormone test from mybody-x.com can help you understand and interpret these changes early on.
Are hot flashes the only sure sign?
No, absolutely not. Hot flashes may be the best-known symptom, but they’re far from the only one—and not every woman experiences them. Their intensity can also vary greatly.
The signs of menopause are incredibly varied. They can also be purely emotional, such as sudden feelings of anxiety or a shorter temper. Joint pain, weight gain around the waist, and dry skin are also common companions.
It’s not about a single symptom. The combination of different signs is much more important. Looking at the overall picture is key to interpreting your body’s signals correctly.
Should I always see a doctor about my symptoms?
If your symptoms are seriously affecting you or you’re unsure, seeing a doctor is always the right way to rule out other causes. However, a self-test from mybody-x.com is an ideal first step to proactively and easily gather information about your body.
This gives you a solid foundation for a future conversation with your doctor. Or you gain the information you need to take control yourself by making targeted lifestyle changes.
Do symptoms simply stop after your last period?
That would be nice, but unfortunately, that’s not always the case. Medically speaking, menopause is just the one day of your last period. After that, postmenopause begins and lasts for the rest of your life.
While some symptoms, such as hot flashes, often subside, others associated with long-term estrogen deficiency may persist or even worsen. These include, for example:
- Vaginal dryness
- An increased risk of osteoporosis
- Changes to your skin and hair
That’s exactly why it’s so important to keep getting all the essential nutrients you need after menopause, too, to stay fit and healthy in the long term. A nutrient test from mybody-x.com can help you identify any gaps and take targeted action.
Are you ready to gain clarity about your menopause symptoms? A mybody-x.com hormone or nutrient test gives you the facts you need to shape this stage of life on your own terms. Discover your personal blood test now at mybody-x.com
