" I was totally blindsided . "

If you’re not familiar, menopause happens when a person’s estrogen levels decline, and their ovaries stop producing eggs. In short,the person’s periods stop, and they can no longer get pregnant.

Menopausetypically happens when a person is between 40 and 50 years old, but this can vary from person to person. That being said, before someone enters menopause, they go through a transitional period called perimenopause.It signals a drop in estrogen from the ovaries, leading to irregular menstrual cycles and several physical and emotional shifts.

And becausemenopause is often stigmatized and not openly talked about, people are even more uneducated about what to expect during perimenopause.

So, many TikTok users who have been through it aresharing symptoms they experienced, like TikTokerChrissy Allenhas gone viral for some of herperimenopause videos.

She has racked up millions of views,especially in one of her videoswhere she showed herself realizing itchy ears were a sign of perimenopause.

Itchy ears seem to be the most common symptom amongst TikTokers who have experienced it and seen the video:

People have also shared that they feel like bugs are crawling on them:

Others smell cigarettes when no one is smoking:

Sleep seems to be also affected:

There are a lot of symptoms that people really had no idea about:

But, thankfully, TikTok is helping connect people to change that:

BuzzFeed spoke toDr. Louise Fitzgerald, who said menopausal symptoms affect approximately75–80% of people.Perimenopause may affect fewer, but it is estimated thataround 1.1 billion women worldwide may be currently experiencing it.

And it is important to note that perimenopause is part of the three phases of themenopausal transition: perimenopause, menopause itself, and postmenopause. This transitional period typically lasts seven years, but can take up to 14!

Fitzgerald saidhot flashes are one of the most commonly reported symptomsof perimenopause and menopause. “A hot flush or flash is caused by hormonal fluctuations, particularly changes in estrogen levels. During perimenopause, estrogen levels fluctuate much like a rollercoaster, which can lead to temperature dysregulation and trigger hot flashes. After menopause, when there is a steep decline in estrogen levels, hot flashes often continue but may become less frequent over time,” she explained.

Irregular menses and nighttime lather are othercommon symptoms of perimenopauseand menopause . " blistering blush are an case of vasomotor symptoms . Other symptoms let in brain fog , anxiety , feeling overwhelmed , joint aches and pains , muscle pain , dry heart or pilus , tinnitus , vaginal dryness , rescues libido , weightiness increase , reduced vigor levels , " Fitzgerald said , adding that people may experience all , some , or none of these symptoms .

In addition to the lesser-known symptoms shared by the TikTokers above, people may also experienceburning mouth syndrome, nipple discharge, and hormonal acne. Fitzgerald said Hormone Replacement Therapy (HRT) is one of the most effective options when it comes to helping stabilize estrogen levels to diminish symptoms like hot flashes. “However, some people cannot have hormones or do not want to have hormones,” she then emphasized that you should always consult your physician to figure out what may be the best option for you.

Fitzgerald has provided some resources if you want to further educate yourself :

Women ’s Health Concern Fact Sheet

Menopause Symptom Checker

Infographic showing estrogen level decline with age, from 20 to 80 years, highlighting lowest levels at menopause around age 50

General Menopause Information

Her Menopause Website

Her Women ’s Health Podcast(Specificallythis episodeandthis sequence . )

Person relaxing on a sofa, holding a letter and smiling, next to an open laptop. The setting suggests a comfortable home environment

Naomi Wattsis also a big advocate for menopause education. Back in 2023,Today with Hoda & Jenna(now calledJenna & Friends) hada special segment centered around women’s health called “Own Your Health.“In the episode, Naomi Watts shared how she discovered she was going into early menopause in her 30s.

Reddit post from r/TwoXChromosomes discusses lack of education on menopause, expressing the need for better lifelong sexual and reproductive health education

Woman sitting in a chair, looking amused, with text above her about not having perimenopause symptoms in her 30s

A comment says, "OMG! I thought it was just me! My ears itch so much! And my bladder can't hold for 10 minutes lol" with 1352 likes

Comment from Rowan Hawk expressing surprise that itchy ears can be a perimenopause symptom. Image includes emoji of a relieved face and heart count of 104

Post by Kelly Kiefer: "Everybody else feel like you got a bug crawling on you? And you're looking right at the spot and there's nothing there?"

Comments about smelling cigarette smoke inside a smoke-free home, both expressing surprise and concern

Cathy Meddows comments on experiencing phantom smells, itchy ears, scalp pain, dizziness, and severe brain fog, fearing early onset dementia

Comment from BabyGirl: "Yuuup!! Perimenopause TikTok has made me feel so validated. lol" with 233 likes

Comment about experiencing perimenopause unnoticed until menopause and advocating for better awareness for future generations

Smiling woman in professional attire outdoors, with text introducing her as Dr. Louise Fitzgerald, founder and general practitioner at Informed Menopause

Typewriter with a paper reading "Hello Menopause," surrounded by flowers and stationery items on a flat surface

Person in casual outfit with a tote bag, standing beside graphic T-shirts on display