Crying Hormone Mess: It’s Not a Midlife Crisis

April 9, 2018


Did you know that when your hormones start to change, that your brain responds to those changes? Emotional changes are a result of hormone changes.

Hormonal changes during menopause can lead to emotional changes due to the significant fluctuations and declines in estrogen and progesterone levels. These hormonal shifts can affect neurotransmitters in the brain, impacting mood regulation and emotional well-being. Here's a breakdown of how hormonal changes during menopause can cause emotional changes:

1. Estrogen Decline:

  • Impact on Serotonin Levels: Estrogen influences serotonin, a neurotransmitter associated with mood regulation. Declining estrogen levels can lead to decreased serotonin production, potentially contributing to feelings of depression and anxiety.

2. Progesterone Decline:

  • Anxiety and Irritability: Progesterone has calming effects and can promote feelings of relaxation. As progesterone levels decline during menopause, some women may experience increased anxiety and irritability.

3. Hormonal Fluctuations:

  • Menopausal Symptoms: Hot flashes, night sweats, and sleep disturbances can disrupt sleep patterns and contribute to mood changes such as irritability, frustration, and fatigue.
  • Mood Swings: Fluctuating hormone levels can lead to mood swings, ranging from sadness and irritability to sudden bursts of anger or tearfulness.

4. Brain Changes:

  • Impact on Brain Structure and Function: Estrogen receptors are present in various regions of the brain involved in mood regulation, memory, and cognition. Changes in estrogen levels can affect neural connectivity and neurotransmitter activity, potentially influencing emotional responses.

5. Psychological Factors:

  • Life Transitions: Menopause is often accompanied by significant life changes, such as children leaving home, career shifts, or aging parents, which can contribute to stress and emotional upheaval.
  • Body Image Concerns: Changes in body composition, such as weight gain or changes in skin elasticity, may impact self-esteem and body image, leading to feelings of sadness or dissatisfaction.

6. Social and Cultural Factors:

  • Stigma Surrounding Menopause: Negative societal perceptions of menopause and aging may influence women's perceptions of themselves and contribute to feelings of low mood or inadequacy.
  • Support Networks: Strong social support can mitigate the emotional impact of menopausal symptoms by providing validation, empathy, and practical assistance.

7. Personal Coping Strategies:

  • Coping Mechanisms: Women's individual coping strategies and resilience play a significant role in how they navigate emotional changes during menopause. Positive coping strategies such as exercise, mindfulness, relaxation techniques, and seeking social support can help manage emotional symptoms.

Coping with Emotional Changes during Menopause:

  1. Seek Support: Reach out to friends, family, or support groups for understanding and empathy.
  2. Healthy Lifestyle: Prioritize regular exercise, nutritious diet, and adequate sleep to support emotional well-being.
  3. Stress Management: Practice stress-reduction techniques such as deep breathing, meditation, or yoga.
  4. Professional Help: Consult a healthcare provider or mental health professional if emotional symptoms significantly impact daily functioning.
  5. Hormone Therapy: For some women, hormone replacement therapy (HRT) may be recommended to alleviate menopausal symptoms, including emotional changes.

Understanding the complex interplay of hormonal, psychological, and social factors during menopause can empower women to navigate this transition with resilience and self-compassion. By prioritizing self-care, seeking support, and exploring effective coping strategies, women can effectively manage emotional changes and embrace this new phase of life with confidence and vitality.

About the author

Dr. Kelly has 25 years of expert medical experience caring for the sickest of the sick people in critical care (including ICU, Heart surgery, Heart & Lung transplant surgery, as well as cardiology). She is a clinical specialist who has taken care of and trained others to care for the critically ill/the elderly and developed many screening and preventative programs to help improve the health of the population. The reality is that most people just don't have to be that sick. or stay that sick. So, Dr. Kelly decided to change the focus of the care she provided: to prevent, reverse and restore the health of individuals.

Dr. Kelly

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