Hot Flashes + Sleep Disruption
Likely: Late perimenopause or menopause
Hot flashesNight sweatsInsomnia
See decision tree →Brain Fog + Mood Changes
Likely: Perimenopause or thyroid mimic
Brain fogDifficulty concentratingAnxiety
See decision tree →Weight Gain + Fatigue
Likely: Insulin resistance, thyroid, or peri-meno metabolic shift
Weight gainFatigueDifficulty losing weight
See decision tree →Irregular Periods + Acne
Likely: PCOS (very likely)
Irregular periodsHormonal acneHirsutism
See decision tree →Low Libido + Vaginal Dryness
Likely: Menopause GSM (genitourinary syndrome)
Low libidoVaginal drynessPainful intercourse
See decision tree →Joint Pain + Muscle Loss
Likely: Menopausal estrogen decline + age-related
Joint painStiffnessSarcopenia
See decision tree →Hair Loss + Fatigue
Likely: Thyroid, iron, or androgenetic alopecia
Hair thinningHair lossFatigue
See decision tree →Heavy Bleeding + Anemia
Likely: Perimenopause heavy bleeding or fibroids/polyps
Heavy menstrual bleedingIron deficiencyFatigue
See decision tree →Depression + Anxiety
Likely: Perimenopausal mood disorder
DepressionAnxietyTearfulness
See decision tree →Palpitations + Anxiety
Likely: Peri/menopause vasomotor, hyperthyroid, or panic disorder
Heart palpitationsAnxietyChest tightness
See decision tree →Fertility Concerns + PCOS
Likely: PCOS with anovulation
Irregular ovulationPCOS diagnosisTrying to conceive 6+ months
See decision tree →GI Symptoms on GLP-1
Likely: GLP-1 side effects (titration too fast)
NauseaConstipationAcid reflux
See decision tree →