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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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.

ADVICE

Check Labs And See A Dentist

Get checked for B12, iron, vitamin D, zinc, and dental issues if you have burning mouth.
Dr. Carrie Jones recommends a dentist visit and full labs before concluding it's hormone-related.

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Everyone talks about hot flashes and night sweats. But what about the symptoms that make you wonder if you're just losing your mind?

You go to the doctor. You get labs done. You're told you're "fine." But you still don't feel like yourself—and nobody's giving you real answers.

In this episode, I'm pulling back the curtain on the lesser-known (but incredibly common) symptoms of perimenopause that too often get brushed off or misdiagnosed. These are the symptoms that leave women feeling dismissed, confused, and alone in a body that suddenly feels foreign.

I cover:

Why hormone shifts can trigger heart palpitations (even when your labs are "normal")
The surprising reason your mouth, lips, or tongue might burn
How changes in estrogen affect your gums, oral health, and dental visits
Why you might start hearing ringing in your ears (and no, it's not just stress)
The deal with phantom smells like smoke, sewage, or burning wires
What causes sudden changes in body odor (and why it's like puberty in reverse)

We also talk about how to rule out other causes—like low iron, B12, thyroid issues, or real dental problems—and why you always deserve a thorough work-up, even if your doctor shrugs it off.

Your symptoms are real. You're not overreacting. And you deserve real answers.

Thank you to our sponsor:

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FREE GUIDES:

Hormones 101 Cheat Sheet: https://drcarriejones.kit.com/hormones101

The Perimenopause & Menopause Labs Test Checklist: https://drcarriejones.kit.com/labtestchecklist

The Symptoms of The Perimenopausal Transition (WTF…) Ebook: https://drcarriejones.kit.com/perimenopausesymptom

Which Stage of Perimenopause Am I In? Ebook: https://drcarriejones.kit.com/stagesofperimenopause

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