Menopause: An Emotional Roller Coaster

Declining estrogen levels associated with menopause can cause more than those pesky hot flashes. They can also make a woman feel like she is in a constant state of PMS (premenstrual syndrome). Unfortunately, these emotional changes are a normal part of menopause.

Some of the emotional changes experienced by women undergoing perimenopause or menopause can include:

• Irritability
• Feelings of sadness
• Lack of motivation
• Anxiety
• Aggressiveness
• Difficulty concentrating
• Fatigue
• Mood changes
• Tension

If you are feeling irritable and sad there is a good chance it could be related to menopause, but the above listed symptoms are not linked only to menopause. There are a number of conditions that can cause you to feel down right irritable. Tell your doctor how you are feeling. He or she can make sure a more serious condition is not causing you to feel this way.

How Can I Cope With These Emotional Changes?

Irritability and feelings of sadness are the most common emotional symptoms of menopause. Often, they can be managed through lifestyle changes, such as learning ways to relax and reduce stress.

Here are some tips that may make it easier for you to handle your fluctuating emotions.

• Exercise and eat healthy.
• Find a self-calming skill to practice, such as yoga, meditation or rhythmic breathing.
• Avoid tranquilizers and alcohol.
• Engage in a creative outlet that fosters a sense of achievement.
• Stay connected with your family and community.
• Nurture your friendships.

Although depression is not caused by menopause, some women do exhibit the symptoms of depression during this time. If you are feeling increasingly unable to cope, see your doctor. He or she may be able to recommend medicine, such as antidepressants, or therapy that can get you through this rough time.

Can Hormone Therapy Ease My Emotional Problems?

While there is growing evidence to suggest that hormone therapy (HT) can relieve emotional symptoms, HT alone is not effective in treating more severe depression. Antidepressant drug therapy and/or psychotherapy may be necessary.

I Have a Hard Time Concentrating and I'm Forgetful. Is This a Normal Part of Menopause?

Unfortunately, difficulty with concentrating and minor memory problems can often be a normal part of menopause. Current medical knowledge is limited as to why memory changes occur with menopause; and there are currently no treatments available to relieve these symptoms. If you are having memory problems, discuss this with your doctor. He or she can help manage memory problems, or may be able to provide reassurance.