The Link & Effective Treatments 2023



Menopause is a natural transition that every woman experiences as she reaches her late 40’s to mid 50’s. Along with the physical changes, menopause can also bring about significant emotional and psychological shifts.

One common concern that women face during this phase is anxiety. The fluctuation in hormone levels during menopause can trigger anxiety and affect overall well-being. Understanding the link between menopause and anxiety is crucial for effectively managing this challenging period.

Can Menopause Cause Anxiety? 

Yes, menopause can cause anxiety due to hormonal fluctuations and changes in brain chemistry. Menopause-related anxiety can also cause heart palpitations, tingling, and nausea.

Estrogen, a hormone that declines during menopause, plays a vital role in regulating mood and anxiety. When estrogen levels drop, it can lead to imbalances in neurotransmitters like serotonin and dopamine, contributing to depressive and anxious symptoms. This is why many women experience an association between anxiety and menopause.[1]

Additionally, the physical discomfort and life changes associated with menopause can also contribute to increased stress levels and anxiety. It’s essential to recognize and address menopausal anxiety symptoms to ensure a smoother transition.

The Link Between Menopause And Anxiety

Menopause can often create or exacerbate already existing anxiety by influencing   hormones and brain chemistry. Menopause can also bring about a lot of anxiety and depression surrounding life transitions, change, and the uncertain nature of one’s future.

The start of menopause marks the end of a woman’s fertile, or child-bearing years, which is often accompanied by complicated emotions such as grief, remorse, and fear of what the future will bring. Many women find their value in the roles that they fulfill as mothers and nurturers, and moving on from that era of their lives can be very difficult. It is also possible that women become more concerned with their partner’s sexual attraction to them.

Some women may begin to struggle with existential anxiety as they come to terms with nearly half of their lives being over. As previously stated, menopause usually marks the end of midlife and prepares a woman for the latter half of her adulthood.  Due to this, women may find themselves reflecting on their achievements, relationships, and legacy, and feeling anxiety around that which they have not yet accomplished.

Estrogen, which declines during menopause,[2] affects the levels of neurotransmitters involved in mood regulation. This hormonal imbalance can lead to increased anxiety in women. Several other neurotransmitters and hormones are impacted by menopause.

Cortisol, which is the body’s fight or flight hormone, can often surge during menopause due to the rapid changes taking place in the body. Elevated cortisol can cause undue stress, anxiety, and even panic attacks. Additionally, as testosterone and progesterone levels drop in the body, estrogen levels can become more dysregulated, causing a domino effect that often culminates in increased anxiety.

Menopause can also bring about various stressors, including hot flashes, sleep disturbances, and changes in self-image, contributing to heightened anxiety levels. Understanding this connection can help women navigate this phase with greater awareness and seek appropriate support.

1. The Role Of Menopause-Related Stressors

Menopause itself can bring about a range of stressors that contribute to heightened anxiety levels. Hot flashes, night sweats, and sleep disturbances[3] are common symptoms experienced during menopause. These physical discomforts can disrupt sleep patterns and lead to fatigue, irritability, and increased anxiety. Moreover, the changes in self-image and body confidence that often accompany menopause can also impact mental well-being.

Women may feel a loss of identity or struggle with self-esteem, which can further contribute to anxiety. By acknowledging and addressing these menopause-related stressors, women can take proactive steps to manage anxiety and promote their overall emotional well-being.

Does Anxiety From Menopause Go Away?

While menopausal anxiety can be distressing, it’s important to note that it is often temporary. As women progress through menopause, their hormone levels stabilize,[4] and anxiety and physical symptoms may subside.

However, the duration and intensity of anxiety can vary among individuals. Some women may experience only mild anxiety, while others may require additional support and treatment. It’s crucial to consult with a healthcare professional to determine the best approach for managing menopausal symptoms and anxiety on an individual basis.

Treatments For Menopause Related Anxiety

menopause and anxiety
Managing menopausal anxiety: finding balance and empowerment. Photo: Shutterstock

Various treatment options are available to help women manage menopausal anxiety effectively. These treatments aim to alleviate severe anxiety symptoms, promote emotional well-being, and improve overall quality of life. Some common approaches include:

  • Hormone Replacement Therapy (HRT): Hormone Replacement Therapy[5] involves the use of medications that contain hormones to supplement the body’s declining hormone levels during menopause. It can help regulate mood and reduce anxiety symptoms in some women. This therapy is wonderful in alleviating mood changes and hormone imbalances. However, it’s important to discuss the potential risks and benefits of HRT with a healthcare professional.
  • Cognitive Behavioral Therapy (CBT): Cognitive Behavioral Therapy[6] is a type of talk therapy that focuses on identifying and changing negative thought patterns and behaviors. It can be beneficial in managing generalized anxiety symptoms by teaching coping strategies, relaxation techniques, and stress management skills.
  • Lifestyle Modifications: Adopting a healthy lifestyle can positively impact menopausal anxiety. Regular exercise, a balanced diet, adequate sleep, and stress reduction techniques like meditation and yoga can help alleviate anxiety disorders.
  • Supportive Therapies: Engaging in activities that promote relaxation and emotional well-being can be helpful. These may include massage therapy, acupuncture, CBD oil, aromatherapy, and mindfulness practices. It’s important to explore these therapies under the guidance of qualified practitioners.
  • Medications: In some cases, healthcare professionals may prescribe medications to manage severe menopausal anxiety. Antidepressants and anti-anxiety medications may be recommended to alleviate symptoms and improve overall well-being.

By considering these treatment options, women can find relief from menopausal anxiety and regain a sense of control over their emotional health.

How To Manage Menopausal Anxiety

menopause and anxiety
Empowering yourself, self-help strategies for menopausal anxiety. Photo: Shutterstock

Managing menopausal anxiety requires a holistic approach that addresses both physical symptoms and emotional well-being. Here are some effective strategies to help manage menopausal anxiety.

First, practicing stress management techniques[7] like deep breathing exercises, meditation, and yoga can promote relaxation and reduce anxiety levels. Engaging in regular exercise, maintaining a balanced diet, and getting enough sleep are also crucial for managing anxiety during menopause.

Additionally, seeking support from loved ones, joining support groups, or even considering therapy can provide a safe space to express emotions and receive guidance. Exploring relaxation techniques, alternative therapies, and, if necessary, consulting with a healthcare professional about medication options are also viable strategies.

Recognizing the temporariness of menopausal anxiety can also help reduce overall anxiety as well as the relationship between menopause and anxiety attacks. Temporariness is another key aspect of mindfulness-based therapies. By embracing the transient quality of life, and the shifting nature of emotions, one can gain greater perspective into the scope of their problems.[8]

By incorporating these techniques into daily life, women can effectively manage menopausal anxiety and improve their overall well-being during this transitional phase.

1. The Importance Of Self-Care In Managing Menopausal Anxiety

Self-care plays a crucial role in managing menopausal anxiety effectively. During this transformative phase, it is essential to prioritize self-care activities that nurture and support overall well-being. Taking time for oneself, engaging in activities that bring joy and relaxation, and practicing self-compassion can have a significant impact on reducing anxiety levels.

Whether it’s indulging in a favorite hobby, spending time in nature, enjoying a warm bath, or simply setting aside moments for quiet reflection, self-care allows women to recharge and replenish their emotional reserves.

By prioritizing self-care, women can cultivate a stronger sense of self, reduce stress, and promote emotional balance, ultimately enhancing their ability to navigate through menopausal anxiety with resilience and self-empowerment.


In conclusion, menopausal anxiety is a common and challenging symptom experienced by many women during the transitional phase of menopause. Understanding the link between menopause and anxiety, as well as implementing effective coping strategies, is essential for managing this symptom and promoting overall well-being. 

By educating oneself, seeking support from loved ones or support groups, practicing stress reduction techniques, adopting a healthy lifestyle, and considering alternative therapies or medications when necessary, women can navigate through menopausal anxiety with greater ease. 

With the right tools, support, and self-care practices in place, women can successfully manage menopausal anxiety and embrace this stage of life with greater confidence and well-being.

Frequently Asked Questions

What causes anxiety during menopause?

Anxiety during menopause is primarily caused by hormonal fluctuations, particularly the decline in estrogen levels. These hormonal changes can affect brain chemistry and neurotransmitters, leading to anxiety symptoms.

Are there any natural remedies for menopausal anxiety?

es, several natural remedies can help alleviate menopausal anxiety. These include regular exercise, practicing relaxation techniques like yoga and meditation, maintaining a healthy diet, and incorporating stress-reducing activities into your routine.

Can menopausal anxiety be treated with medication?

In some cases, medication may be prescribed to manage severe menopausal anxiety. Hormone replacement therapy (HRT) and certain antidepressant medications can help regulate hormone levels and alleviate anxiety symptoms. It’s important to consult with a healthcare professional to determine the most suitable treatment approach.

Can lifestyle changes help reduce menopausal anxiety?

Yes, making certain lifestyle changes can have a positive impact on reducing menopausal anxiety. Engaging in regular physical activity, practicing stress management techniques, maintaining a balanced diet, and prioritizing self-care activities can contribute to better overall emotional well-being.

Are there any specific superfoods that can help with menopausal anxiety?

Yes, certain superfoods can provide nutritional support and help manage menopausal anxiety. Foods rich in omega-3 fatty acids, such as fatty fish and walnuts, can promote brain health and reduce anxiety symptoms. Other superfoods include leafy greens, whole grains, and foods high in antioxidants.

Can hormone replacement therapy (HRT) alleviate menopausal anxiety?

Hormone replacement therapy (HRT) can be effective in alleviating menopausal anxiety in some cases. By replacing declining hormone levels, HRT can help regulate mood and reduce anxiety symptoms. However, the decision to undergo HRT should be made in consultation with a healthcare professional, considering individual health factors and potential risks.


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