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what are the 34 symptoms of perimenopause: Perimenopause is a transitional phase in a woman's life that precedes menopause. During this time, the body undergoes hormonal changes that can lead to a variety of symptoms, including hot flashes, mood swings, vaginal dryness, insomnia, and irregular periods. In total, there are 34 recognized symptoms of perimenopause, although not every woman will experience all of them.