One hormone. At least five body systems.
Estrogen plays a part in focus, circulation, skin collagen and moisture, muscle strength and bone density. In perimenopause, muscle or joint pain is reported by 57% of women (40% before), and persistent mood symptoms rise from 8–12% to 14.9–18.4%. Estrogen rises and falls erratically, so it helps to track the whole picture, not one symptom at a time.