How often should I fill out the checklist?

Try once a week for 1 to 3 months. Daily tracking may help if symptoms change fast or affect sleep, work, sex, or care.

Should I track symptoms that feel private?

Only track what you want to keep. Vaginal, sex, mood, and medicine notes can be sensitive. Use paper or a private app if that feels safer.

When should bleeding changes be checked?

ACOG says to talk with an ob-gyn about bleeding changes near menopause. Any bleeding after menopause should be checked.

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Perimenopause Symptoms Checklist

A plain checklist for perimenopause symptoms, grouped by cycle changes, hot flashes, sleep, mood, brain fog, body changes, sex symptoms, and daily impact.

Perimenopause can feel messy. One month may look normal. The next may bring a short cycle, poor sleep, and hot flashes.

Use this checklist to name what changed. Do not use it to diagnose yourself. Use it to spot patterns and plan care questions.

There is no official symptom count

You may see lists of 34 symptoms, 66 symptoms, or 100 symptoms online. Those counts are not official medical checklists.

Major medical sources group symptoms instead. They focus on period changes, hot flashes, sleep, mood, vaginal and urinary symptoms, sex pain, and body changes.

Your list does not need to match anyone else's list. Track what is new, repeated, or hard on daily life.

Cycle and bleeding changes

Mark what happened this month.

Period came earlier than usual. Period came later than usual. Period skipped. Bleeding was heavier than usual. Bleeding was lighter than usual. Bleeding lasted longer than usual. Spotting happened between periods. Spotting happened after sex. Clots were new or larger than usual. Cramps or pelvic pain changed.

Write the dates if you can.

Start date End date Flow New for you? Notes Light / medium / heavy Yes / no Light / medium / heavy Yes / no

Talk with a clinician about bleeding changes. Do not wait for a perfect log if bleeding feels severe or wrong.

Hot flashes and night sweats

Hot flashes can happen during the day. Night sweats are hot flashes during sleep.

Sudden heat in face, neck, chest, or body. Sweating during the day. Sweating at night. Chills after a hot flash. Heart racing with heat. Needed to change clothes or bedding. Avoided plans because of heat or sweat.

Simple notes help.

Date Time Mild / strong Trigger, if known What helped

Sleep changes

Sleep can change even when bleeding is quiet.

Hard to fall asleep. Woke often. Woke too early. Night sweats woke you. Needed to pee at night. Felt tired during the day. Napped because of poor sleep.

Mood and stress

Track what you feel. Also track what it changes.

More anxious. More irritable. Low mood. Tearful. Anger felt harder to control. Stress felt stronger than usual. Symptoms affected work, school, care, or relationships.

If danger is immediate, use emergency services now. If you are in suicidal crisis or emotional distress and not in immediate physical danger, contact 988 in the United States.

Brain fog and focus

Brain fog is a plain name for focus and memory trouble.

Lost words more often. Forgot tasks or names. Had trouble focusing. Felt slower at work or school. Needed more lists or reminders. Made mistakes that felt unlike you.

Headaches and pain

Headaches changed. Migraines changed. Joint aches changed. Muscle aches changed. Breast tenderness changed. Cramps changed. Pain affected sleep or daily tasks.

Vaginal, urinary, and sex symptoms

Skip this section if you do not want to track it.

Vaginal dryness. Burning or irritation. Pain with sex. Lower sex drive. Bleeding after sex. More urinary urgency. More nighttime bathroom trips. More urinary leaks.

These notes can feel private. Keep only what you need.

Body changes

Bloating changed. Weight changed in a way you want to discuss. Skin changed. Hair changed. Acne changed. Energy changed. Exercise felt harder. Food cravings changed.

Daily life impact

This part matters. Symptoms that disrupt your day deserve care.

Area No change Some change Big change Notes : : : Sleep Work or school Care tasks Exercise Sex or intimacy Mood Social plans

One week summary

Fill this in at the end of each week.

Question Your note Most repeated symptom Symptom that changed the most Worst day this week Bleeding pattern this week Sleep pattern this week Main question for care

What to bring to care

Bring a short list, not every detail.

The date your pattern changed. Your last few bleeding dates. The symptoms that repeat. The symptoms that disrupt life. Any medicine or hormone changes. Your main question.

Floriva can help if you want private on device notes. Use short labels like "night sweat," "poor sleep," or "heavy flow." The goal is a pattern you can read later, not a diagnosis from the app.