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On October 16, 2025, we reported on findings from a survey 19 000 US women in perimenopause or menopause compiled by Health & Her, a menopause-focused digital health platform.
The findings
Low energy (79%) and sleep disturbances (74%) were the most frequently reported symptoms among participants, followed closely by stress and anxiety (72%), brain fog (71%), weight gain (70%), bloating (69%), and joint aches (68%). Classic vasomotor symptoms (VMS) such as hot flushes (67%) and night sweats (65%) were slightly less common, underscoring the broad psychological and cognitive burden associated with midlife hormonal transitions.
Authors' comments
“The pattern highlights that psychological, cognitive, and fatigue-related symptoms exceed classic vasomotor symptoms in prevalence...Holistic management of menopause should extend beyond hot flushes to address energy, sleep, and mental wellbeing.”