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Common symptoms of multiple sclerosis include: Fatigue , often described as overwhelming or “bone-deep” Numbness or tingling , especially in the face, arms, legs, or torso Muscle weakness or loss of coordination in one or more limbs Balance problems or dizziness (vertigo-like symptoms) Blurred or double vision , sometimes with eye pain (optic neuritis) Brain fog , memory lapses, or slowed cognitive processing Bladder or bowel dysfunction , including urgency or incontinence Muscle stiffness or spasms (spasticity), especially in the legs Depression or mood swings , sometimes unrelated to situational stress Heat sensitivity , which can temporarily worsen symptoms (Uhthoff’s phenomenon) Speech or swallowing difficulties , in more advanced stages During menopause, many women with MS notice a worsening of fatigue, cognitive symptoms, and sleep disruption , partly due to estrogen’s withdrawal and increased inflammation