Inside Emme Elle’s Journal

Distinguishing Between Flu and Perimenopause Symptoms

With autumn comes a rise in head colds and influenza as temperatures begin to cool. Respiratory viruses that cause colds and the flu tend to be more stable and survive longer in cool, dry air, and this climate is the ideal environment for these viruses to persist for longer periods, thereby increasing the risk of transmission. Of course we tend to converse more indoors leading to close contact with others, which can facilitate the spread of respiratory viruses.

As women approach their forties and fifties and are experiencing perimenopause their hormonal changes can sometimes manifest in ways that mimic head colds and the flu.

In this article , I will explore the subtle differences between flu symptoms and perimenopause symptoms, empowering women to better understand their bodies and take appropriate action when necessary.

Flu Symptoms:
Influenza, is a viral infection that can strike at any age. Its symptoms are often sudden and intense, including:

  • Fever and chills: The flu commonly brings on a high fever, accompanied by shivering and chills.
  • Body aches and pains: Muscular discomfort is a hallmark of the flu, with pain often prominent in the back and legs.
  • Fatigue: Overwhelming tiredness and weakness can set in, making even basic tasks feel challenging.
  • Headache: A throbbing headache is a common symptom of the flu.
  • Cough and sore throat: Respiratory symptoms like a dry cough and sore throat are frequent flu companions.
  • Congestion and runny nose: The flu can lead to nasal congestion and a runny nose.

Perimenopause Symptoms:
Perimenopause is the transitional phase leading to menopause when the body’s estrogen levels fluctuate. The symptoms can be quite diverse and may include:

  • Irregular periods: One of the primary signs is changes in the menstrual cycle, with periods becoming irregular.
  • Hot flashes and night sweats: These sudden waves of heat and perspiration can be intense and come on rapidly.
  • Mood swings: Emotional fluctuations, such as irritability and mood swings, are common.
  • Sleep disturbances: Insomnia or disrupted sleep patterns are often experienced.
  • Vaginal changes: Dryness and discomfort in the vaginal area can occur.
  • Weight gain: Some women may notice an increase in visceral (abdominal) fat.
  • Brain Fog: In addition to physical symptoms, some women experience cognitive difficulties and memory lapses during the hormonal changes. Menopause is now being better understood as a brain function phenomenon, a topic that is discussed in my podcast episode All Things Menopausal with guest, Dr. Fiona Lovely.

Key Differences:
While some symptoms may overlap, there are distinct differences to look out for:

  • Onset: The flu typically strikes suddenly, while perimenopause symptoms develop gradually over months or even years.
  • Fever: The presence of a high fever is a strong indicator of the flu and is not a typical perimenopause symptom.
  • Menstrual changes: Irregular periods are a sign of perimenopause, not the flu.
  • Hot flashes: Intense, sudden hot flashes are more indicative of perimenopause.
  • Fatigue: While both conditions can cause tiredness, the flu’s fatigue is often accompanied by severe body aches, whereas perimenopause-related fatigue is more generalized.
  • Brain fog is related to cognitive functioning and mental clarity, while a head cold is a viral infection that primarily affects the sinuses and throat.

Bottom line, be wise on your transition and get familiar with the difference between flu symptoms and perimenopause symptoms. Knowledge and understanding will empower you to navigate this phase of life with greater confidence and ease.

Experiencing brain fog? I’ve got a quick tips cheat sheet to help!


Always, consult with a healthcare professional if you’re unsure about the cause of your symptoms or you are concerned there is more going on with you health than seasonal changes.

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