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Low levels of progesterone can make it hard to fall and stay asleep.

Low estrogen levels can also cause hot flashes that make you sweat while you sleep.

Doctors and researchers do not know why hot flashes are so common during menopause.

There are medicines that can prevent some hot flashes, and there are ways you can try to manage hot flashes when they do happen.

You may also get heavy sweating during hot flashes or cold chills after the hot flashes.

Some women get more cold chills (also called cold flashes) than hot flashes.

Missing a few of periods does not always mean you are in perimenopause or the transition to menopause.

Low levels of the hormone estrogen may cause your vaginal tissue to get drier and thinner.

Other women get symptoms that affect several areas of their lives. During the transition to menopause, changing hormone levels can affect your menstrual cycle and cause symptoms like hot flashes and problems sleeping.

It’s not always possible to tell whether these changes are related to aging, menopause, or both. As you get closer to menopause, you may notice other symptoms, such as pain during sex, urinary problems, and irregular periods. Medicines and other treatments can help relieve your symptoms.

This may be caused by changing hormones, menopausal symptoms, or both.

You may experience sadness or depression over the loss of fertility or the changes in your body.

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