When I first saw this list, I must admit I was in shock. I had no idea so many symptoms were associated with this time in our lives. I can count at least 12 that I am experiencing presently. Thirty-five different perimenopausal and menopausal symptoms have been recorded to date amongst women. These include physical and psychological symptoms, along with heart and bone deficits. Many women go through this stage with minimal problems. Others may suffer significant peri menopausal symptoms, adopt management strategies, and put preventative practises in place which result in very few post-menopausal issues. Awareness of symptoms, and prevention of heart and bone related issues are key.