“Most women make the transition into menopause without experiencing depression, but many women report symptoms of moodiness, depressed mood…”.1

Umbrella
What may the Menopause Blues Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Blue Moods
  • Depressed Mood
  • Dysphoria
  • Feeling Blue
  • Feeling Sad
  • “Menopause Blues”
  • “The Blues”

Menopause

Is there an association between menopause and feeling blue?

In Menopause FAQs: Menopause Symptoms – Q. My family tells me that I’ve become moody, and I admit that I sometimes feel blue or short-tempered. Menopause? the NAMS explain:

Menopause Blues “A. Most women make the transition into menopause without experiencing depression, but many women report symptoms of moodiness, depressed mood, anxiety, stress, and a decreased sense of well-being during perimenopause”.2

Blue or Not

What are the menopause blues?

The video interview The Menopause Blues explains:

History

Is there an association between a history of clinical depression and the menopause blues?

In Menopause FAQs: Menopause Symptoms – Q. My family tells me that I’ve become moody, and I admit that I sometimes feel blue or short-tempered. Menopause? the NAMS note:

“Women with a history of clinical depression or a history of premenstrual syndrome (PMS) or postpartum depression seem to be particularly vulnerable to recurrent depression during perimenopause, as are women who report significant stress, sexual dysfunction, physical inactivity, or hot flashes”.3

Cause

What other factors may be associated with the menopause blues?

In Mental Health & Emotions: Depression, Anxiety & Menopause the (Australia) Jean Hailes for Women’s Health (JH) elaborate on:

“Depression and depressed mood around the time of expected menopause (51-52 years in Australia) is more likely to occur because of factors other than menopause, including:

  • Prior episodes of depression
  • Significant stress in your life
  • A negative attitude to things happening in your life
  • Dissatisfaction with your relationships
  • Low self-esteem
  • Poor body image
  • Poor lifestyle such as little exercise or a high intake of alcohol.

Emotional health around the menopause is also more likely to be influenced by previous experiences of prior traumatic events; for example, past abuse”.4

Treatment

How may the menopause blues be treated?

According to the NAMS:

“Relaxation and stress-reduction techniques, including deep-breathing exercises and massage, a healthy lifestyle (good nutrition and daily exercise), and enjoyable, self-nurturing activities may all be helpful. Some women try to treat their menopause symptoms with over-the-counter products such as St. John’s wort or vitamin B6”.5

Menopausal Hormone Therapy

May menopausal hormone therapy (MHT) be beneficial in improving mood?

In Mood and the Menopause: Management the Australasian Menopause Society note:

“Menopausal hormone therapy (MHT) is not a first line treatment for depressive disorders. MHT may be of particular benefit for mood and sleep quality in women experiencing VMS and can be considered in combination with antidepressants. Evidence from RCTs suggests MHT is as effective as other antidepressants in perimenopausal women but is ineffective in post-menopausal women suggesting a window of opportunity for its use in the perimenopause”.6

What is VMS?

VMS can be an abbreviation for Vasomotor Symptoms.

What is RCTs?

RCTs can be an abbreviation for Randomised Control Trials.

Health Care Provider

What if I would like help with my menopause blues?

If you would like help with your menopause blues, it may be in your best interest to choose to talk to your health care provider about this.

On page one in Menopause and Depression: Recognizing Depressive Symptoms and Depression the NAMS explain:

“When you are transitioning into menopause, you should notify your healthcare practitioner whether you have suffered from depression in the past or whether you were particularly sensitive to hormone changes and have experienced premenstrual syndrome or postpartum depression. Be alert and notice whether these mood changes are mild and do not greatly affect your quality of life or whether they are severe and debilitating and interfere with your daily activities”.7

In Depression & Menopause the NAMS elaborate on:

“It’s important that a healthcare provider helps a woman decide whether she is just feeling stressed or blue or whether she is clinically depressed (major depression). Major depression is a condition associated with a chemical imbalance in the brain, and changing hormones during perimenopause may be associated with that imbalance”.8

In Depression: How Health Professionals Can Help – Remember the JH remind us:

  • “Depression is common
  • It is not a sign of weakness
  • It is nothing to be ashamed about
  • It can be treated”.9

Health Topics A-Z

Where may I find Health Topics related to Menopause Blues?

In Health Topics A-Z you may find:

Links

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Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Menopause FAQs: Menopause Symptoms – Q. My family tells me that I’ve become moody, and I admit that I sometimes feel blue or short-tempered. Menopause? North American Menopause Society https://www.menopause.org/for-women/menopause-faqs-menopause-symptoms Accessed: 04 January 2022
  2. Menopause FAQs: Menopause Symptoms – Q. My family tells me that I’ve become moody, and I admit that I sometimes feel blue or short-tempered. Menopause? North American Menopause Society https://www.menopause.org/for-women/menopause-faqs-menopause-symptoms Accessed: 04 January 2022
  3. Menopause FAQs: Menopause Symptoms – Q. My family tells me that I’ve become moody, and I admit that I sometimes feel blue or short-tempered. Menopause? North American Menopause Society https://www.menopause.org/for-women/menopause-faqs-menopause-symptoms Accessed: 04 January 2022
  4. Depression: How Health Professionals Can Help – Remember. Last Updated: 07 December 2020 | Last Reviewed: 10 March 2014. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/mental-emotional-health/depression Accessed: 04 January 2022
  5. Five Solutions for Menopause Symptoms: 1. Mood Changes. North American Menopause Society https://www.menopause.org/for-women/menopauseflashes/menopause-symptoms-and-treatments/five-solutions-for-menopause-symptoms Accessed: 04 January 2022
  6. Mood and the Menopause: Management. July 2021. Australasian Menopause Society https://www.menopause.org.au/hp/information-sheets/mood-and-the-menopause Accessed: 04 January 2022
  7. Menopause and Depression: Recognizing Depressive Symptoms and Depression. 2018: 1. North American Menopause Society https://www.menopause.org/docs/default-source/default-document-library/menonote-menopause-and-depression.pdf Accessed: 04 January 2022
  8. Depression & Menopause. North American Menopause Society https://www.menopause.org/for-women/menopauseflashes/mental-health-at-menopause/depression-menopause Accessed: 04 January 2022
  9. Depression: How Health Professionals Can Help – Remember. Last Updated: 07 December 2020 | Last Reviewed: 10 March 2014. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/mental-emotional-health/depression Accessed: 04 January 2022

Topic Last Updated: 04 January 2022 – Topic Last Reviewed: 04 January 2022
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