Which of the following is NOT a common symptom of perimenopause?

• A. Hot flashes
• B. Irregular menstrual cycles
• C. Increased libido
• D. Mood swings

Answer: (C)

In the context of perimenopause, which is the transitional phase before menopause, various symptoms arise due to hormonal fluctuations, primarily the decline in estrogen levels. Hot flashes, irregular menstrual cycles, and mood swings are well-documented symptoms experienced by many women during this period.

Hot flashes occur as the body adapts to changing hormone levels, often leading to sudden feelings of warmth and sweating. Irregular menstrual cycles are characteristic of perimenopause, as hormonal changes can cause irregularities in the timing and flow of menstrual periods. Mood swings are also common, as fluctuations in hormones can impact emotional stability and overall mood.

In contrast, increased libido is not typically associated with perimenopause. Many women may experience a decrease in libido due to hormonal changes that affect sexual desire and overall reproductive health. Therefore, the assertion that increased libido is not a common symptom of perimenopause appropriately identifies the distinction between the more prevalent symptoms and the less likely experience during this transitional phase.