Hello Hormones with Dr. Carrie Jones

Top 6 Crazy Perimenopause Symptoms Explained

14 snips
Jul 1, 2025
While everyone knows about hot flashes, there are many lesser-known symptoms of perimenopause that can leave women feeling confused. Heart palpitations can occur despite normal lab results, raising concerns. Some may experience burning sensations in the mouth or changes in body odor reminiscent of puberty. Tinnitus and phantom smells like smoke or sewage can also emerge during this time. Listeners are reassured that their experiences are valid and it's crucial to seek a comprehensive evaluation.
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INSIGHT

Hormone-Linked Heart Palpitations

  • Declining estradiol and progesterone can trigger heart palpitations during perimenopause.
  • Dr. Carrie Jones explains hormones can cause palpitations even when cardiac workups look normal.
ADVICE

Rule Out Other Causes First

  • Do get evaluated for other causes like thyroid, iron, B vitamins, magnesium, caffeine, or heart disease.
  • Dr. Carrie Jones urges a full medical work-up before attributing palpitations solely to hormones.
INSIGHT

Burning Mouth Is A Common Symptom

  • Burning mouth, tongue, or lips affects 10–40% of women in perimenopause.
  • Dr. Carrie Jones links this to hormone-driven changes in nerve and blood flow plus dry mouth and gum issues.
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