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when you start to miss periods during your late 40's its the start of pre-menopause

here are its symptoms:

* Hot flashes, night sweats, coldness
* Irregular periods that can be heavy, light, shorter or longer cycles
* Difficulty sleeping either getting to sleep or staying asleep
* Mood changes, anxiety, depression, irritability
* Heart palpitations (if you experience any heart disturbances, always consult a physician)
* Dry skin and/or hair loss
* Loss of or decreased sexual desire
* Vaginal dryness
* Incontinence -- the inability to hold your urine

I hear that some women in their late 30's experience pre menopausal symptoms already.