Anxiety, feeling ill at ease
Anxiety can be a vague or intense feeling caused by physical or psychological conditions. A feeling of agitation and loss of emotional control that may be associated with panic attacks and physical symptoms such as rapid heart beat, shortness of breath and palpitations. The frequency of anxiety can range from a one-time event to recurring episodes. Early diagnosis may aid early recovery, prevent the disorder from becoming worse and possibly prevent the disorder from developing into depression.

Bouts of rapid heart beat
A pounding, racing heart is the second most common complaint associated with perimenopause. These bouts of rapid heart beat scare a lot of women because of their sudden onset, unexpected arrivals, and seemingly no way to stop them. This partially accounts for the sleeping troubles during perimenopause.
This pounding can mean something other than perimenopause, so it's very important for a woman who is experiencing this symptom to report it to her doctor.
There are a couple of things you can do when the pounding begins. First relax and take deep breaths. Try to reassure yourself that this only a symptom of perimenopause and it will pass. If you are in bed when this occurs, change your position and do some deep breathing.

Crashing fatigue
You feel like you just ran a Marathon, but only you just got out of bed. You're completely drained, washed out, running on empty, and feel this way not just today, but every day.
Call it Crashing fatigue, exhaustion. An overwhelming feeling of tiredness that may be related to sleep disturbances, that accompanies perimenopause probably due to estrogen fluctuations.
If you have it, you're not alone. "Fatigue is second only to pain as the most common symptom doctors see in patients," says David S. Bell, M.D., a chronic fatigue researcher at Harvard Medical School and the Cambridge Hospital in Massachusetts. "One-fourth of all Americans will have long episodes of lethargy and tiredness."

Difficulty concentrating, disorientation, mental confusion
During early menopause, many women are troubled to find they have difficulty remembering things, experience mental blocks or have trouble concentrating. Not getting enough sleep or having sleep disrupted can contribute to memory and concentration problems.
If your doctor determines that your disorientation isn't caused by a serious medical condition, then you might consider these possibilities.: -Investigate your drugs. Disorientation is a side effect of some drugs. -Learn to relax. Practice stress-reduction techniques, such as deep breathing exercises, yoga and meditation and try to be physically active on a regular basis.

Disturbing memory lapses
Memory loss affects most people in one way or another. More often than not, it is a momentary memory lapse; nothing to worry about - it happens to the best of us. However, when memory lapses begin to become a regular occurrence, it is wise to dig a little deeper and seek medical advice.
Memory loss: Women approaching menopause often complain of memory loss and an inability to concentrate. Misplaced car keys, skipped appointments, and forgotten birthdays, but these memory lapses are a normal symptom of menopause. It is mostly associated with low levels of estrogen and with high stress levels.

Dizziness, light-headedness, episodes of loss of balance
Dizziness is a transient spinning sensation and/or a feeling of lightheadedness or unsteadiness; also, the inability to maintain balance upon standing or walking. Dizziness is a symptom of many medical conditions.
There are things that people can do to cope with their dizziness. But if you experience an unexplained dizzy spell, see your doctor, because you can't be sure if it's a trivial problem or a symptom of a serious illness.

Electric shock sensation under the skin and in the head
A peculiar "electric" sensation, or the feeling of a rubber band snapping in the layer of tissue between skin and muscle, that may be related to the effect of fluctuating estrogen levels on nerve tissue. It can also be the precursor to a hot flash. If the symptom gets intense, contact you doctor for further assistance.

Feelings of dread, apprehension, doom
A significant and debilitating emotional state characterized by overwhelming fear and anxiety. These feelings can be vague or intense caused by physical or psychological conditions. The frequency can range from a one-time event to recurring episodes. If your life is totally disrupted by this symptom, better contact your doctor.

Irritability
A significant change in mood for an extended period of time associated with loss of interest in usual activities, sleep and eating disorders, and withdrawal from family and friends.
"Occasional irritability is a normal part of being human," says Paul Horton, M.D., a psychiatrist in Meriden, Connecticut. "But irritability also can go hand in hand with almost any illness. Very often, people who are falling ill will become irritable but don't know why."
If your irritability persists more than a week and is adversely affecting your job performance and relationships with your family, friends and co-workers, better see your doctor.

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