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Confused about menopause? Physician Dr Kunal Sood shares 5 symptoms that are often overlooked

The onset of menopause presents a number of symptoms that are often ignored or misinterpreted; Dr Kunal Sood shares five of them. 

Updated on: Jul 27, 2026, 13:15:12 IST
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Menopause is a natural part of ageing and, according to the Cleveland Clinic website, refers to a time when a person has gone 12 consecutive months without menstruating. It happens around the age of 52 when the ovaries stop producing reproductive hormones.

The symptoms of menopause are not always apparent. (Pexel)
The symptoms of menopause are not always apparent. (Pexel)

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As a result of this, a number of changes take place within the body. There are symptoms that announce the advent of menopause, which may confuse individuals or may be overlooked. Taking to Instagram on July 25, Dr Kunal Sood shared five of them.

1. Heart palpitations that come and go

One of the most prominent symptoms of hormonal shift is palpitations of the heart. In the words of Dr Sood, “Palpitations are common and may be linked to autonomic changes, hot flashes, poor sleep, stress, and anxiety. While many episodes are benign, new palpitations should not automatically be dismissed as hormonal.”

2. Brain fog or trouble focusing at work

At the onset of menopause, many individuals notice slower word retrieval, reduced concentration, or more effort with multitasking. Estrogen fluctuations, poor sleep, stress, anxiety, and vasomotor symptoms may all contribute, although these changes are usually subtle and temporary rather than dementia.

3. Sudden anxiety episodes despite no clear stressor

Hormonal changes during menopause may affect brain systems involved in emotional regulation and stress responses. “Hot flashes, sleep disruption, and palpitations can also trigger panic-like episodes, particularly in women without a prior history of anxiety,” pointed out Dr Sood.

4. New joint stiffness in the morning

Declining estrogen at the advent of menopause may affect cartilage, muscle, tendons, and connective tissue. Joint aches and morning stiffness are common during midlife, even without clear evidence of osteoarthritis, although persistent swelling or prolonged stiffness deserves evaluation, according to Dr Sood.

5. Waking up at 3am and struggling to return to sleep

As Dr Sood stated, “Nighttime awakenings are common during menopause. Hot flashes, hormonal changes, anxiety, and sleep disorders can all fragment sleep, making it difficult to fall back asleep once awake.”

“When several of these symptoms appear together alongside changes in menstrual timing, hot flashes, or night sweats, menopause becomes a more likely explanation,” explained the physician. “They are common, but they should not automatically be dismissed as ‘just hormones.’”

Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.

This report is based on user-generated content from social media. HT.com has not independently verified the claims and does not endorse them.

Dr Kunal Sood, MD, is a double board-certified physician in Anesthesiology and Interventional Pain Medicine. He did his residency and fellowship in anesthesiology at Wayne State University in Detroit, Michigan, followed by a one-year fellowship in interventional pain medicine. He later became the Medical Director of the office in Germantown, Maryland.

  • Debapriya Bhattacharya
    ABOUT THE AUTHOR
    Debapriya Bhattacharya

    Debapriya Bhattacharya is a Content Producer at Hindustan Times. He started his career in 2022, working in newsrooms in beats like education, US news, trending stories, and entertainment. In his new role in the lifestyle desk, he seeks to deliver a balanced blend of research-driven reporting and creative storytelling from health and recipes to art and culture. Science, philosophy, food and pop culture are what pump his veins and help bring heart to his stories. Debapriya tries to see out subjects that will allow him and readers to explore new frontiers and improve the quality of life for all. The explorations can be both external and internal, as thoughts seek to be as chaotic as the greater universe. As a citizen of the world, Debapriya has been fascinated by the lives of people across the globe throughout time. His curiosity leads him to explore new linguistic and cultural landscapes to broaden his horizons and deepen his understanding of global narratives. Beyond the newsroom, Debapriya loves to participate in debate and theatre, spaces that he considers to be holy grounds for nuance and self-expression. A graduate from Ashutosh College, University of Calcutta, Debapriya completed his Master's degree from the same university in 2022. An ambiverted bibliophile, he loves his solitude as much as he adores stimulating conversations. And despite his reverence for tech, libraries continue to be his favourite place for research.Read More

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