Menopause and Anxiety: Symptoms and Treatment

Menopause and Anxiety: Symptoms and Treatment |

Menopause sometimes is referred to as the end of youth in women. Regularly, despite their age, they claim to be young even in their 45 but when they are diagnosed with menopause, it is a kind of verdict to acknowledge and move further on following mature habits and activities. It should not be like that. Menopause is nothing but a stage that occurs in every woman the same as puberty, pregnancy, and a woman must meet it decently without any stress or discomfort. But, sometimes it is impossible because this diagnosis is followed by symptoms that may be mild or significant depending on one’s lifestyle, health condition, hereditary and surgical reasons. One of the menopausal manifestations is emotional disbalance, depressive states, and anxiety. But, the latter one occurs only in some, and as of now, it is possible to moderate with a fast indication of treatment and care.

Can menopause cause anxiety?” is a very common question, and the answer is yes. Some women may feel sorrowful or distressed at the time of the menopause as a consequence of changes to their body, such as the loss of fertility. At the same time, others may feel soothed to no longer fear pregnancy. But, for your reference, there are still chances to bear a child if you are in the pre-menopause and anxiety stage. Thanks to modern medicine, a miracle happens. 

Besides, women during the menopause years might experience various important changes in life. Their children might leave home, and they may have difficult relationships with their parents. All of these factors can lead to anxiety. 

The hormonal changes that occur at the time of menopause can also be the reason for anxiety menopause. Changes in hormone levels, particularly those called estrogen and progesterone, may have an impact as well. 

And, do not forget about the environmental reasons for post menopause symptoms anxiety. For instance, a woman can live in poor ecology or areas that are commonly affected by natural disasters. So, it is kind of stress knowing that disasters may happen at any time, and it is necessary to be prepared to overcome them. 

Anxiety Symptoms

Menopause Anxiety Symptoms

If referring to numerous studies aimed to reveal the truth of how or whether anxiety levels occur during menopause, they are mostly unclear and cannot be taken into consideration without official proofs from scientists and dedicated experts. But, as of now, anxiety is a visibly confirmed symptom. For instance, with the studies, women in their midlife show the prevalence of anxiety manifestations at approximately 51%, they are who are 40-55 years old. Besides, the post-menopause anxiety is accompanied by nervousness and irritability. Around 20% of women report having frequent anxiety attacks that prevent them from following an ordinary lifestyle. Important to add, menopause transition anxiety attacks are followed in most cases by hot flashes and night sweats. 

According to the studies, women are a lot more likely to have anxiety in comparison to men even under normal circumstances. Now imagine what happens when menopause and anxiety panic attacks come to place. Here are the most common symptoms of anxiety menopause:

  • Mood swings
  • Muscle tension
  • Depression
  • Sweating
  • Dizziness
  • Irritation
  • Social anxiety
  • Feelings of helplessness
  • Panic attacks
  • Heart palpitations
  • Nausea
  • Fatigue

Some psychological symptoms may be associated with physical changes caused by our hormone re-balancing. Others may be directly linked to hormonal changes that occur during menopause. Physical symptoms management can help relieve certain psychological symptoms. For instance, a hormone imbalance that wakes you up at night can make you feel exhausted, and nervous once you get up in the morning.

Besides, it is worth adding that some menopausal women may experience such attacks not only with the onset of their menopause but due to the previous health conditions, such as diagnosed generalized anxiety disorder and panic disorder. In their case, menopause symptoms are only increasing, and one cannot easily deal with them like before. Now, together with a diagnosis, the situation is getting worst due to the hormone levels fluctuations. For example, generalized anxiety disorder during menopause will start bothering a woman’s sleep. She both cannot fall asleep fast and wake up easily. She experiences extreme headaches, unexplained ailments or pains. In the case of having stress, they become intolerable. As for, panic disorder, their frequency raises, and a woman feels a shortage of breathing and she thinks she might have a heart attack.

Thus, whether you have your anxiety attacks with menopause or you acquired them earlier, think of overviewing your treatment and care with the help of a number of specialists such as gynecologists, endocrinologists, and psychologists together.

Menopause And Depression Anxiety Treatment

Receiving hormone replacement therapy (HRT) and other treatments to relieve menopause and anxiety symptoms is very common among women. The purpose of such treatment is clear, you get your estrogen and progesterone replaced to balance your health condition and alleviate the symptoms. But, there are many myths that may frighten women and when they hear about HRT, they tend to decline such offers from doctors. Note, it is untrue that you will gain weight. It happens in some cases, but experts stop the treatment or adjust the dosages. Besides, you should remember that endocrinologists will review your thyroid because you could possibly have weight problems before. Together with exercises and proper nutrition, the risk of HRT regarding excessive fat is minimized, and you can safely proceed with taking hormonal pills.

However, not every woman can receive this type of treatment, so it’s best to first consult a doctor. 

In case a woman is dealing with perimenopause and high levels of anxiety, medication may also be prescribed to treat anxiety.

Selective serotonin reuptake inhibitors may also be prescribed for women with moderate to severe anxiety. However, such antidepressants do have some side effects, and you might experience some difficulties in your sex life.

Reducing the dose can decrease the side effects of taking antidepressants for some people who have sexual difficulties. However, you shouldn’t lower the dosage by first contacting your doctor, because stopping treatment can lead to serious consequences.

The good news is that there are a lot of other antidepressants with a lot fewer side effects, like duloxetine or bupropion.

Another approach is health supplements. They are many for any taste and money capacity. For example, reviewing their choice online, a woman can come across supplements exclusively for menopause, then for hot flashes during menopause, cold sweats, irritability, and of course, anxiety. Sometimes, there are multipurpose supplements in the form of teas and powders. Nevertheless, even though they are considered natural and healthy, it is contraindicated to take them without a doctor’s approval. There is a high risk of some of your symptoms caused by other health conditions. For instance, muscle pains or breast pains may be caused by cancers. And, any pharmaceutical treatment without a doctor’s consent may only worsen the situation.

That’s why be very responsible with anxiety attacks because, with a wrong treatment at sole discretion, you may make your menopause a burden.

Coping Methods for Anxiety And Menopause

Now, let’s speak about alternative methods of coping with your anxiety menopause. As it is always promoted, the best care is your conscious attitude toward health. You do not consume excessive alcohol or you do not smoke too much. Such practices may not deprive you of symptoms but they will greatly dictate when you will start experiencing your anxiety attacks and what harm they will cause to your well-being. Note, one important thing, if you want to change your lifestyle, there is no need to dive into extreme exercising or quitting all habits at once. Everything should be gradual, step by step and slowly. Especially, it concerns smoking. If you quit it today, but you smoked like one pack of cigarettes daily, your anxiety may worsen and provoke extremely high stress. You will be irritable and have signs of depression. Such situations all lead to mental problems.

Talk to others

There is nothing better than finding out that many others are really feeling the same way as you, and the only way to do so is by sharing your feelings and emotions.  It can be challenging bringing up the subject and make you feel very insecure if you believe you are the only one who isn’t coping. It will be really eye-opening for you to find out how many people will keep this conversation going.

Watch your diet

For example, alcohol might make your symptoms even worse, while complex carbohydrates can really help you keep your emotions stable and weight loss during menopause.

Focus on your breathing

Simply calm your breathing for a few moments and count as far as you feel like. It will help you relax and you will feel how quickly your mind will become clear again.

Get enough sleep

This is an important aspect of every person’s life. You can get rid of some of the menopause and anxiety symptoms simply by forming healthy sleep habits.

Finally, let’s warn you. If you have daughters or nieces, or any other beloved young women in your life, start educating them about menopause. It will help them to avoid negative consequences in their 30-35’s, and they will minimize the risks of symptoms such as anxiety, depression, and mood swings. As for you, do not write it off as lost, anxiety attacks and emotions can be adjusted if you listen to all doctor’s recommendations and think positively. If you want to break down in tears, do it but think twice whether it is worth it. Self-deceptiveness may work as well, even though it may sound strange. Take care of yourself, menopause is a decent period in every woman’s life.


What causes anxiety in menopause?

Hormonal changes and understanding of non-fertility may be the primary causes of this health condition.

How to deal with anxiety and menopause?

HRT treatment, change of habits, and medication together with health supplements can be your best tools to affect such a symptom.

Do I need to visit a doctor to treat anxiety in menopause?

Yes, because only he can prescribe you the right direction for the treatment. Do not put yourself at risk for taking any medications without his approval.

How to choose the best supplements for anxiety in menopause?

Ask your doctor, he may choose the best ones for your health conditions, and find out whether you are contraindicated for any of the ingredients.

Leave us your review about this article!

Submit your review

Create your own review

Menopause and Anxiety: Symptoms and Treatment
Average rating:  
 1 reviews
by AnnaLisa on
My anxiety in menopause!

Hello! Thanks for your review! I am 59 years old and I was looking for reasons for increased anxiety. It turns out this is the effect of menopause .... Now I know what to do with it!


Emma J. Johnson

Menopause consultant and sex therapist, media personality, author, woman health expert.

You may be interested