Menopause Mood Swings

“You’re laughing with your friends one minute and
close to tears a few moments later. You feel tired,
overwhelmed, and out of control. You’re not crazy—”.1

Umbrella
What may the Menopause Mood Swings Umbrella include?

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

  • Menopause Mood Swings
  • Perimenopause Mood Swings

Menopause

Is there an association between menopause and mood swings?

According to the North American Menopause Society (NAMS):

“…many women do experience mood swings during perimenopause. Happy highs that turn into teary-eyed lows. Cheerful times followed by crabby days”.2

Menopause Mood SwingsMenopause Mood SwingsMenopause Mood Swings

 

 

 

In Menopause Mood Swings the (United States) Hormone Health Network (HHN) explain:

“You’re laughing with your friends one minute and close to tears a few moments later. You feel tired, overwhelmed, and out of control. You’re not crazy—it’s one of the common symptoms of perimenopause (the first stage of menopause, usually in the early 40s): mood swings. And there are ways to cope”.3

In Mental Health & Emotions: Emotions the (Australian) Jean Hailes for Women’s Health (JH) also note:

“The hormonal changes during perimenopause and in the first few years after the menopause can cause emotions to change quite quickly. Emotions can swing from joy one moment to anger and irritability the next. Sometimes you might think you are feeling one thing when really it is a mask for another feeling. For example, you might think you are angry when really you are sad about something. Often it is easier, or more acceptable, to display one emotion rather than the emotion you are really feeling.

It is important to pay attention to your emotions and consider how you are really feeling”.4

Bipolar Disorder

Are menopause mood swings different to bipolar disorder?

Yes. Menopause mood swings are different to bipolar disorder. In Bipolar Disorder: Overview the (United States) National Institute of Mental Health’s definition of bipolar disorder is:

“Bipolar disorder (formerly called manic-depressive illness or manic depression) is a mental disorder that causes unusual shifts in mood, energy, activity levels, concentration, and the ability to carry out day-to-day tasks”.5

Depression

Are menopause mood swings different to depression?

Yes. Menopause mood swings are different to depression. In Depression: Overview the World Health Organization explain:

“Depression is a common illness worldwide, with an estimated 3.8% of the population affected, including 5.0% among adults and 5.7% among adults older than 60 years. Approximately 280 million people in the world have depression. Depression is different from usual mood fluctuations and short-lived emotional responses to challenges in everyday life. Especially when recurrent and with moderate or severe intensity, depression may become a serious health condition”.6

In Factors Affecting Women: Menopause the (Australian) Beyondblue elaborate on:

“Menopause can increase the risk of developing mental health issues. Hormone changes in the years leading to menopause (perimenopause) can cause mood swings and irritability and can contribute to depression and anxiety. Changes in hormonal levels can also result in a range of physical challenges such as hot flushes, night sweats, interrupted sleep patterns and weight gain – all of which can affect mental health”.7

Cause

What may cause menopause mood swings?

In Depression & Menopause: Hormones & Mood Connection the NAMS explain:

“It’s thought that these mood swings are related to the fluctuating levels of ovarian hormones during this transition to menopause. Plus, if a woman is not sleeping well due to night sweats, her mood would no doubt be affected, too”.8

The NAMS also note:

“Unpredictable hormone fluctuations plus stress, body image, sexuality, infertility, or aging — any one or a combination of these causes emotional distress that may result in mood swings or, in more severe cases, depression. Determining the cause and extent of your “menopause blues” is very important”.9

In Menopause Mood Swings: What Causes Mood Swings? the HHN elaborate on:

“As a woman ages, estrogen levels are fluctuating from one minute to the next, and erratic. Less progesterone is produced (but stabilizes at low levels in postmenopause, around age 55). Estrogen is related to production of serotonin, a mood-regulating neurotransmitter. Fluctuating estrogen and progesterone levels, plus other factors, cause serotonin production disruption, leading to more mood swings”.10

PMS

Is there an association between PMS (Premenstrual Syndrome) and menopause mood swings?

According to the NAMS:

“Women who had severe PMS in their younger years may have more severe mood swings during perimenopause”.11

Self-Help Measures

What are some self-help measures which may help mood changes?

In Menopause Mood Swings: What To Do About Mood Swings? the HHN explain:

“Mood swings are a part of aging for many women, but the good news is that you can take steps to help prevent them and manage them when they occur. Often, a healthy lifestyle is the first step in preventing mood swings.

  • Avoid caffeine, alcohol, and spicy foods
  • Eat a balanced, health diet with fruits, vegetables, and whole grains
  • Talk to a therapist or counselor
  • Get enough sleep
  • Exercise regularly
  • Find healthy ways to deal with stress”.12

In Menopause: Treatment – Mood Changes the (United Kingdom) NHS elaborate on:

“Self-help measures such as getting plenty of rest, taking regular exercise and doing relaxing activities such as yoga and tai chi may help. Medicine and other treatments are also available, including HRT and cognitive behavioural therapy (CBT)”.13

Treatment

How can menopause mood swings be treated?

The NAMS explain:

“For perimenopausal mood swings, some experts recommend a low-dose oral contraceptive (OC) — even if contraception is not desired. These estrogen-progestin pills provide continuously stable hormone levels and may control mood swings. Plus, they provide other health benefits such as regulation of uterine bleeding and decreased risk for uterine and ovarian cancer. Smokers over age 35 should not use OCs”.14

In Menopause Mood Swings: What To Do About Mood Swings? the HHN acknowledge:

“Sometimes, however, all of the lifestyle changes you make are not enough. For severe mood swings, especially those that interfere with enjoying everyday life, hormone therapy can help.

  • Hormone Therapy…
  • SSRI’s (Selective Serotonin Reuptake Inhibitors)…
  • Complementary Alternative Medicines (CAM)…
  • Low Dose Birth Control Pills…”.15 

Health Care Provider

What if I would like help with menopause mood swings?Menopause Mood Swings

If you would like help with menopause mood swings, it may be in your best interest to choose to talk to your health care provider about this. The NAMS note:

“Whether suffering from a slight case of the blues to something more severe, no one should suffer with mood swings in silence. Help is available”.16

Health Topics A-Z

Where may I find Health Topics related to Menopause Mood Swings?

In Health Topics A-Z you may find:

Health Topics A-Z

Links

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  1. Anxiety
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  3. Bioidentical Hormones Explained – A British Menopause Society Video
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  8. Cognitive Behaviour Therapy (CBT) for Menopausal Symptoms
  9. Complementary Medicine Options for Menopausal Symptoms
  10. Complementary and Alternative Therapies Explained – A British Menopause Society Video
  11. Compounded Bioidentical Hormone Therapy [Video]
  12. Depression In Women: 5 Things You Should Know
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  14. Dr. Susan Kok – Sleep and Menopause
  15. Early Menopause: Experiences and Perspectives of Women and Health Practitioners – Women’s Profiles
  16. Exercise: Walking for Health
  17. Factors Affecting Women: Menopause
  18. Fast Facts: HRT and Breast Cancer Risk
  19. Find A Menopause Practitioner [United States and Other]
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  21. Find Your Nearest BMS Menopause Specialist [British Menopause Society]
  22. Getting Active
  23. Good-Mood Food: Joining the Dots Between What We Eat & Mental Wellbeing
  24. Guidelines for the Evaluation and Treatment of Perimenopausal Depression: Summary and Recommendations
  25. Hormone Replacement Therapy (HRT) Explained – A British Menopause Society Video
  26. How Long Does Menopause Last? – Ask Dr Jean
  27. How Right Now How Right Now
  28. I am 54 years old, struggling with hot flashes and mood swings. But when I ask for help from my care providers, I am told “Live with it. You are just getting older.” Please advise.
  29. Infographic: Exercise Is Medicine
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  33. Making Sense of Menopausal Hormone Therapy Means Understanding the Benefits As Well As the Risks
  34. Management of Depressive Symptoms In Peri- and Postmenopausal Women: EMAS Position Statement [European Menopause and Andropause Society]
  35. Managing Menopausal Symptoms—Hormone Replacement Therapy Is Not the Only Option!
  36. Mayo Clinic Minute: Help With Hot Flashes Due To Menopause [+ Video]
  37. Mayo Clinic Minute: Lifestyle Changes To Manage Menopause Symptoms [+ Video]
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  44. 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?
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  57. Mental & Emotional Health
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  59. MentalHealth.gov [National Institute of Mental Health, United States]
  60. Mentalhealth.org.uk [Mental Health Foundation, United Kingdom]
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  64. National Center for Complementary and Integrative Health: 4 Things To Know About Menopausal Symptoms and Complementary Health Practices
  65. National Center for Complementary and Integrative Health: Anxiety At A Glance
  66. National Center for Complementary and Integrative Health: Depression
  67. National Center for Complementary and Integrative Health: Herbs At A Glance
  68. National Center for Complementary and Integrative Health: How Safe Is This Product or Practice?
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  70. National Center for Complementary and Integrative Health: S-Adenosyl-L-Methionine (SAMe): In Depth
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  72. Natural Remedies To Help Manage Perimenopause Symptoms
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  75. Perimenopause
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  83. Supporting Women Through Menopause – Fact Sheet
  84. The Menopause: Menopause and Your Mental Wellbeing [+ Video: Menopause Only Affects You Physically!]
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  86. Transformations: The Mental Health Issues That Can Accompany Menopause Often Go Unaddressed
  87. Types of Talking Therapies: Cognitive Behavioural Therapy (CBT)
  88. Understanding Menopause – Booklet
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  90. Video Series-2019: Mood Changes During Perimenopause
  91. Video Series-2019: What You Need To Know About Mood During the Menopause Transition
  92. Video Series-2020: What You Need To Know About Cognition and Mood Changes
  93. Video Series-2021: How Menopause Symptoms Can Affect Your Quality of Life
  94. Video Series-2021 – What Women Need To Know About Hormone Therapies
  95. Videos and Podcasts: Interviews and Podcasts – Interviews: The Menopause Blues
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Sources

Where may I find the Sources quoted?

You may find the Sources at:

Sources

  1. Menopause Mood Swings. Last Updated: August 2018. Hormone Health Network https://www.hormone.org/diseases-and-conditions/menopause/menopause-mood-swings Accessed: 08 December 2021
  2. Depression & Menopause: Hormones and Mood Connection. North American Menopause Society https://www.menopause.org/for-women/menopauseflashes/mental-health-at-menopause/depression-menopause Accessed: 08 December 2021
  3. Menopause Mood Swings. Last Updated: August 2018. Hormone Health Network https://www.hormone.org/diseases-and-conditions/menopause/menopause-mood-swings Accessed: 08 December 2021
  4. Mental Health & Emotions: Emotions. Last Updated: 28 June 2021 | Last Reviewed: 17 December 2017. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/menopause/mental-health-emotions/ Accessed: 08 December 2021
  5. Bipolar Disorder: Overview. Last Revised: January 2020. National Institute of Mental Health https://www.nimh.nih.gov/health/topics/bipolar-disorder/index.shtml#part_145402 Accessed: 08 December 2021
  6. Depression: Overview. 13 September 2021. World Health Organization https://www.who.int/en/news-room/fact-sheets/detail/depression Accessed: 08 December 2021
  7. Factors Affecting Women: Menopause. Beyondblue https://www.beyondblue.org.au/who-does-it-affect/women/factors-affecting-women Accessed: 08 December 2021
  8. Depression & Menopause: Hormones and Mood Connection. North American Menopause Society https://www.menopause.org/for-women/menopauseflashes/mental-health-at-menopause/depression-menopause Accessed: 08 December 2021
  9. Depression & Menopause. North American Menopause Society https://www.menopause.org/for-women/menopauseflashes/mental-health-at-menopause/depression-menopause Accessed: 08 December 2021
  10. Menopause Mood Swings: What Causes Mood Swings? Last Updated: August 2018. Hormone Health Network https://www.hormone.org/diseases-and-conditions/menopause/menopause-mood-swings Accessed: 08 December 2021
  11. Depression & Menopause: Hormones and Mood Connection. North American Menopause Society https://www.menopause.org/for-women/menopauseflashes/mental-health-at-menopause/depression-menopause Accessed: 08 December 2021
  12. Menopause Mood Swings: What To Do About Mood Swings? Last Updated: August 2018. Hormone Health Network https://www.hormone.org/diseases-and-conditions/menopause/menopause-mood-swings Accessed: 08 December 2021
  13. Menopause: Treatment – Mood Changes. Page Last Reviewed: 29 August 2018. NHS https://www.nhs.uk/conditions/menopause/treatment/#mood-changes Accessed: 08 December 2021
  14. Depression & Menopause: How To Deal. North American Menopause Society https://www.menopause.org/for-women/menopauseflashes/mental-health-at-menopause/depression-menopause Accessed: 08 December 2021
  15. Menopause Mood Swings: What To Do About Mood Swings? Last Updated: August 2018. Hormone Health Network https://www.hormone.org/diseases-and-conditions/menopause/menopause-mood-swings Accessed: 08 December 2021
  16. Depression & Menopause: Hormones and Mood Connection. North American Menopause Society https://www.menopause.org/for-women/menopauseflashes/mental-health-at-menopause/depression-menopause Accessed: 08 December 2021

Topic Last Updated: 08 December 2021 – Topic Last Reviewed: 08 December 2021
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