It can be a difficult time for women when they go through menopause due to both the physical and mental changes that occur.

The menopause usually affects women between the ages of 45 and 55, but it can happen earlier to some.

Women can also be perimenopause, which is when they have symptoms of menopause but their periods have not stopped, explains the NHS.

If you are unsure whether you are going through this hormonal change, the NHS says these signs suggest it could be happening to you, which can last for months or years.

Signs you are going through the menopause

Physical symptoms

Common physical symptoms of menopause and perimenopause according to the NHS, include:

  • hot flushes, when you have sudden feelings of hot or cold in your face, neck and chest which can make you dizzy
  • difficulty sleeping, which may be a result of night sweats and make you feel tired and irritable during the day
  • palpitations, when your heartbeats suddenly become more noticeable
  • headaches and migraines that are worse than usual
  • muscle aches and joint pains
  • changed body shape and weight gain
  • skin changes including dry and itchy skin
  • reduced sex drive
  • vaginal dryness and pain, itching or discomfort during sex
  • recurrent urinary tract infections (UTIs)

Gazette: Headaches are just one of the physical symptoms of going through the menopauseHeadaches are just one of the physical symptoms of going through the menopause (Image: Getty)

Mental health symptoms

Some common mental health symptoms of the menopause and perimenopause can include:

  • changes to your mood, like low mood, anxiety, mood swings and low self-esteem
  • problems with memory or concentration (brain fog)

Although symptoms can last for a while, they can also change over time.

The NHS says: "For example, hot flushes and night sweats may improve, and then you may develop low mood and anxiety.”

If you have any health concerns related to menopause or premenopausal symptoms, you should contact your GP.

You can also speak to a pharmacist for advice about treatments and things you can do.