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“I Don’t Feel Like Myself”: What Perimenopause Might Be Trying to Tell You

December 22, 20251 min read

If you’ve caught yourself saying, “I just don’t feel like myself,” you are not alone. A 2024 study called “Not feeling like myself in perimenopause—what does it mean?” looked at women ages 35 to 55 and found that almost two-thirds felt this way at least half of the time over three months.

What did “not feeling like myself” really mean for them? It was less about hot flashes and more about things like:

  • Deep fatigue and low energy

  • Feeling overwhelmed or less able to cope

  • Anxiety, irritability, and sudden mood shifts

  • Brain fog, forgetfulness, and trouble concentrating

  • Changes in sexual interest, comfort, or pleasure

These women were often working, caring for others, and juggling multiple roles—so when their mood, focus, or energy shifted, it felt unsettling, even scary. Many didn’t realize these changes could be connected to the hormone shifts of perimenopause.

The 2024 study suggests that “not feeling like myself” is not a character flaw or a personal failing. It is a cluster of very real, very common symptoms that deserve attention and support.

If this sounds familiar, you don’t have to “push through” in silence. You can learn what’s happening in your body, explore treatment options, and build a plan that supports your energy, mood, brain, and relationships.

Coslov N, Richardson MK, Woods NF. “Not feeling like myself” in perimenopause—what does it mean? Observations from the Women Living Better survey. Menopause. 2024;31(5):390-398. doi:10.1097/GME.0000000000002339

Physician Founder of Midlife reMDy

Caissa Troutman MD

Physician Founder of Midlife reMDy

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