Tingling sensations and ringing in the ear are less known symptoms of perimenopause
Menopause is associated with well-known symptoms like hot flushes, mood swings, and irregular periods. However, there are numerous lesser-known symptoms that can accompany menopause, leaving many women feeling surprised and perplexed. I personally experienced tingling in my right hand for no physical reason (I did see a physio just to be sure) and I had no idea at the time that my hormones could be to blame!
Tingling Sensations (Paresthesia)
It might come as a surprise, but tingling sensations, often referred to as paresthesia, can be a part of the menopausal experience. These sensations are commonly felt in the extremities, like the hands and feet, but can occur elsewhere in the body as well. Paresthesia during menopause is believed to be linked to hormonal fluctuations. Oestrogen, a hormone that declines during menopause, plays a role in nerve function and blood vessel regulation. When its levels drop, it can lead to altered nerve sensitivity and paresthesia.
While tingling sensations can be annoying or unsettling, they are usually harmless. However, if you experience persistent or severe tingling, it's essential to consult your doctor to rule out other potential causes.
Ringing in the Ears (Tinnitus)
Tinnitus, the perception of ringing or other noises in the ears, is another less-discussed symptom of menopause. Like paresthesia, tinnitus can be linked to hormonal fluctuations and changes in blood circulation. Oestrogen plays a role in regulating blood flow to the ears, and as oestrogen levels decrease during menopause, changes in blood flow to the inner ear can occur, leading to tinnitus.
Tinnitus during menopause can vary in intensity and may be temporary or chronic. It can be bothersome, affecting your quality of life and sleep patterns. If you experience persistent tinnitus, it's advisable to consult an audiologist or an ear, nose, and throat specialist to explore potential treatment options.
To manage these symptoms you can take the same general approach as with managing other menopause symptoms. Remembering that this phase of life might last for 7-14 years and you may need to try different things as you go. Overall a change in lifestyle, diet, stress management and exercise will be the best approach to see sustained results. Our body is making a significant transition that is entirely natural and planned but that doesn't mean you just have to put up with the downsides.

Jo Lyall
Head of Nutrition and co-founder of The Better Menopause Dip Nut, mBANT, CNHC
In 2006, Jo certified as a nutritional therapist and set up her own private practice specialising in women’s health and hormones. With well over two decades of experience, Jo is a firm believer in the transformative power of nutrition, wellness and complementary health. Drawing on her previous career as a leader and CEO in the media industry, Jo witnessed firsthand the impact of investing in one’s health on performance and happiness.
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