Perimenopause, the phase before menopause, can bring about 34 symptoms, including sore gums, dry mouth and eyes, tinnitus, headaches, dizziness, heart palpitations, sleep difficulties, fatigue, joint pain, breathing issues, frequent urination, dryness, thrush, hair loss, mood swings, anxiety, panic attacks, concentration problems, memory lapses, brittle nails, weight gain, osteoporosis, irritability, allergies, skin issues, acne, libido changes, hot flushes, night sweats, digestive changes, crying spells, lack of confidence, period changes, and body shape alterations. These symptoms may vary among individuals.