When brain fog and hot flushes strike unexpectedly, it can signal you've entered the menopause. These are familiar symptoms that most people recognise - yet numerous others frequently slip under the radar.

A study by supplement brand DR.VEGAN revealed that over half of women endure roughly 10 distinct symptoms throughout menopause. Beyond hot flushes and brain fog, other recognised indicators include mood swings and disrupted sleep.

Ella Kaur, Nutritional Therapy Practitioner at DR.VEGAN, explained: "While several menopause symptoms are widely recognised, others are far less talked about and can come as a surprise to many women."

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She continued: "When menopause is mentioned, most people think of hot flushes, brain fog, mood swings or sleep disturbances. These are among the most common symptoms and there are a number of ways to manage them, from lifestyle changes to treatments and nutritional support, including supplements such as DR.VEGAN'S MenoFriend® formula. However, menopause can also bring about a number of lesser-known and sometimes unexpected symptoms that women may not immediately associate with hormonal changes."

The specialist has compiled a list of seven uncommon menopause symptoms you might not be aware of. Here's what she advises.

"Around one in five women experience this unusual symptom during menopause. It can feel as though insects are moving across or beneath the skin, which can understandably feel unsettling.

"In reality, this is known as a tactile hallucination - a sensation that occurs without a physical cause. It can also trigger itching, ranging from mild irritation to more intense discomfort."

"Falling oestrogen levels can affect the sensitivity of nerve endings around the taste buds. This may lead to a burning, tingling or stinging feeling on the tongue. Some women may also experience dryness, soreness or a lingering metallic taste in the mouth."

Ella said: "Some women report changes in their spatial awareness during menopause. Judging distances may feel more difficult, and bumping into objects or misjudging steps can become more common."

She continued: "When combined with dry or irritated eyes and reduced concentration, everyday movements such as stepping off pavements or navigating busy spaces may feel unexpectedly challenging."

"Hormonal shifts during menopause can affect body odour in several ways. Hot flushes and night sweats increase perspiration, and when sweat interacts with bacteria on the skin it can lead to noticeable changes in smell.

"Lower oestrogen levels can also alter vaginal mucus and disrupt the balance of beneficial bacteria, which may change the smell, consistency or volume of discharge. In addition, women may become more prone to infections such as thrush during menopause, which can also contribute to odour changes."

"Tinnitus refers to hearing sounds such as ringing, buzzing or clicking when no external noise is present. Research suggests that around 20% of women experience tinnitus during menopause. For some it may be mild, while for others it can become more disruptive.

"Some women experience sudden jolts or shock-like sensations in the body during menopause. These can range from mild to more noticeable and often occur just before or alongside a hot flush. Hormonal changes are thought to affect nerve signalling in the body, which may trigger these sensations."

"Declining oestrogen levels can also affect oral health. A drier mouth means less saliva is available to wash away bacteria, increasing the risk of gum disease and tooth decay. Many women during and after menopause report symptoms such as bleeding gums or increased sensitivity."