Womens Health



Welcome to our insightful blog post, where we unravel the intricate connection between hormonal changes and mental well-being during perimenopause. 

This transformative phase in a woman's life goes beyond physical changes and encompasses significant shifts in mood, emotions, and cognitive function. 

Join us as we delve into the clinical aspects of hormonal fluctuations and their profound impact on mental health, equipping you with knowledge and empowering strategies to navigate perimenopause with confidence and vitality.

Hormonal Changes during Perimenopause:

Perimenopause marks the gradual decline of estrogen and progesterone, two key hormones that play a crucial role in a woman's reproductive system. As these hormone levels fluctuate, they can influence brain chemistry and neurotransmitters, impacting mood, emotions, and cognitive function. Understanding these hormonal changes is essential for comprehending their impact on mental health during this phase ( reference). 

The Impact on Mental Health:

Mood Swings and Emotional Rollercoaster.

 It's no secret that perimenopause can feel like a rollercoaster ride of emotions. Hormonal imbalances can trigger mood swings, leaving women feeling like they're on an emotional whirlwind. One moment, you may be bursting with joy, and the next, overwhelmed with sadness, anger or frustration. Recognizing and acknowledging these emotional fluctuations as a natural part of the journey is the first step towards restoration and healing.

Anxiety and Irritability: Many women experience heightened anxiety and irritability during perimenopause. The hormonal changes can leave you feeling more on edge, restless, and easily irritated. It's important to practice self-care and explore relaxation techniques to manage anxiety and promote a sense of calm.

Cognitive Changes and Memory Fog: Alongside emotional shifts, perimenopause can also bring about cognitive changes. Many women can experience memory lapses, difficulty concentrating, and a sense of "brain fog." These changes can be frustrating, but they are often temporary and improve as hormone levels stabilise. Engaging in brain-boosting activities, including exercise, restorative sleep, community involvement and a nutrient-dense diet can support cognitive function during this phase. 

Strategies for Supporting Mental Well-being:

Hormone Balancing Approaches: Consult with a naturopathic practitioner experienced in women's health to explore natural approaches to hormone balance. Herbal remedies, nutritional support, and lifestyle modifications tailored to your individual needs can help alleviate symptoms and support mental well-being.

Stress Management and Relaxation Techniques: Stress can exacerbate perimenopausal symptoms. Incorporate stress reduction techniques like meditation, deep breathing exercises, and mindfulness practices into your daily routine to enhance emotional resilience.

Prioritise Self-Care: Make self-care a non-negotiable priority. Engage in activities that bring you joy, reduce stress levels, and promote relaxation. Nourish your body with a balanced diet, prioritize quality sleep, and practice self-compassion.

Seek Support: Don't hesitate to reach out to healthcare professionals or therapists specialising in menopause-related mental health. They can provide guidance, coping strategies, and support tailored to your specific needs.

Connect with Others: Building a support network of women going through perimenopause can provide a sense of community and understanding. Share experiences, concerns, and insights in online forums, support groups, or local menopause-focused communities.

Perimenopause is a journey filled with unique challenges and transformations, not only on a physical level but also in terms of mental well-being. Understanding the dance of hormones during this phase empowers you to navigate the ups and downs with resilience and grace. By implementing strategies for supporting mental health, seeking professional guidance, and practicing self-care, you can embrace this transformative phase with confidence and emerge stronger on the other side. 

Remember, you are not alone, and together, we can navigate perimenopause's impact on mental health and embrace this chapter with vitality, joy and wisdom that it deserves. 

Written by Olga Ischenko



Santoro, N., et al. (2016). Menopausal Symptoms and Cognitive Performance: Results from the Study of Women's Health Across the Nation. Journal of Women's Health, 25(9), 936-945.

Bromberger, J. T., et al. (2011). Association of Depressive Symptoms With Conception and Pregnancy Outcomes. Obstetrics & Gynecology, 117(4), 817-825.

Green, S. M., et al. (2018). Mindfulness-based Stress Reduction and Mindful Eating as Treatment Approaches for Women with Menopausal Symptoms. Menopause, 25(8), 874-882.

Greendale, G. A., et al. (2015). Change in Estradiol and Follicle-stimulating Hormone Across the Early Menopausal Transition: Effects of Age at the Final Menstrual Period. Journal of Clinical Endocrinology & Metabolism, 100(11), 4488-4496.

Baber, R. J., et al. (2016). The IMS Recommendations on Women's Midlife Health and Menopause Hormone Therapy. Climacteric, 19(2), 109-150.

Avis, N. E., et al. (2009). A Randomized, Controlled Trial of Tai Chi for the Prevention of Insomnia in Midlife and Older Adults. Sleep, 32(2), 181-190.

Freeman, E. W., et al. (2014). A Clinician's Guide to the Menopause. Endocrinology and Metabolism Clinics of North America, 43(2), 477-492.

Hunter, M. S., et al. (2017). Managing Hot Flushes and Night Sweats in Menopausal Women with Breast Cancer: An Exploratory Evaluation of Cognitive Behavioral Therapy for Insomnia. Menopause, 24(3), 316-322.

Erblich, J., et al. (2019). Online Support for Smoking Cessation: A Systematic Review of the Effects of Interventions that Provide Support via the Internet. Journal of Addiction Medicine, 13(4), 255-263.