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Perimenopausal women may experience similar symptoms to PMS, or no symptoms at all. For some women, the cessation of periods can be the only symptom of menopause they have. About half of women experience slight physical or mental changes while approximately 25% inconvenient and/or distressing problems. Symptoms of menopause or problems include:

Heart palpitations
Hot flashes and sweating
Difficulty sleeping
Memory problems
Infections (Frequent bladder or urinary tract infections)
Headaches
Sexual problems (Often accompanied by, or worsened by, vaginal dryness)
Joint pain
Irritability and mood swings

Alternative treatments include optimizing diet, such as increasing calcium intake to protect against osteoporosis. Soy and phytoestrogen-rich food intake can be increased, which are naturally occurring estrogen-like compounds. Natural medicines such as the use of acupuncture and homeopathy have been found by many women to be helpful with symptoms of menopause. Herbs and vitamins can also help with symptoms.

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