Understanding Hormonal Fluctuations and Their Impact on Emotional Well-Being
Menopause is a natural life transition that brings a range of physical and emotional changes. Among the most common emotional challenges women face during this time are mood swings and heightened anxiety. These symptoms are often triggered by hormonal fluctuations, particularly a decrease in oestrogen levels, which can profoundly affect mood regulation. Understanding the underlying causes of these emotional shifts and how to manage them effectively is essential for maintaining mental and emotional well-being during menopause.
At our Menopause Treatment Clinic in Bondi Junction, we specialise in helping women navigate the complexities of menopause with evidence-based strategies and medical treatments such as Hormone Replacement Therapy (HRT) or Menopausal Hormone Therapy (MHT).
Why Hormonal Changes Cause Mood Swings and Anxiety
During perimenopause and menopause, oestrogen levels fluctuate significantly. Oestrogen plays a crucial role in regulating the brain’s neurotransmitters, including serotonin, the ‘feel-good’ hormone. When oestrogen levels drop, it can disrupt serotonin production, leading to feelings of irritability, sadness, and anxiety. In addition to serotonin, oestrogen also affects other brain chemicals that regulate mood, further contributing to emotional instability.
Common Symptoms of Mood Swings and Anxiety During Menopause
Women undergoing menopause often experience a range of emotional symptoms, including:
- Irritability: You may feel more easily frustrated or unable to control your emotions.
- Tearfulness: Sudden bursts of tears or emotional ups and downs without a clear trigger can be common.
- Increased Anxiety or Panic Attacks: Stressors that were once manageable may feel overwhelming due to heightened anxiety.
- Low Energy or Lack of Motivation: These feelings can contribute to sadness, a lack of enthusiasm, and even depression.

Effective Strategies for Managing Mood Swings and Anxiety
While menopause can be challenging, there are various effective strategies that can help manage mood swings and anxiety. Below are lifestyle changes and medical treatments that may alleviate emotional symptoms:
1. Hormone Replacement Therapy (HRT) and Menopausal Hormone Therapy (MHT)
Hormone Replacement Therapy (HRT), also referred to as Menopausal Hormone Therapy (MHT), is one of the most effective treatments for managing menopause-related mood swings and anxiety. By replenishing oestrogen levels, HRT can help stabilise mood and alleviate anxiety. At our clinic, we provide personalised guidance with Dr. Sonia Verma on selecting the best hormone therapy tailored to your specific needs and preferences.
2. Lifestyle Changes During Monopause
Making simple but impactful lifestyle adjustments can have a significant effect on mood regulation:
- Exercise: Regular physical activity, such as yoga, walking, or swimming, has been shown to boost mood, reduce anxiety, and improve overall emotional well-being.
- Healthy Eating: A balanced diet rich in omega-3 fatty acids, whole grains, fruits, and vegetables can help stabilise serotonin levels and promote a more stable mood.
- Sleep Hygiene: Quality sleep is vital for emotional regulation. Establishing a calming bedtime routine, reducing stress before bed, and prioritising good sleep hygiene can help you feel more rested and emotionally balanced.



3. Cognitive Behavioral Therapy (CBT)
Cognitive Behavioral Therapy (CBT) is indeed an effective approach for managing anxiety and mood swings during menopause. It focuses on identifying and changing negative thought patterns, helping individuals develop practical coping strategies for stress and emotional regulation. Collaborating with a licensed therapist can provide personalised support and guidance tailored to your unique challenges. At the Menopause Treatment Clinic we can refer you to the right professional who specialises in this area to enhance your health plan.
4. Meditation and Mindfulness Practices
Mindfulness techniques, such as deep breathing exercises, meditation, and progressive muscle relaxation, can be invaluable in reducing stress and managing anxiety. Regular mindfulness practice helps calm the mind, increase emotional awareness, and promote a sense of well-being.
5. Medications and Supplements to Assist With Menopause
In cases where mood swings or anxiety are more severe, medications such as antidepressants or anti-anxiety drugs may be prescribed. Additionally, natural supplements like St. John’s Wort or omega-3 fatty acids have been shown to help manage symptoms. However, it is crucial to consult with a healthcare provider before starting any new medication or supplement to ensure safety and efficacy. As part of our personalised consultation, we will discuss these options with you.