{"id":266029,"date":"2022-11-29T14:14:06","date_gmt":"2022-11-29T19:14:06","guid":{"rendered":"https:\/\/www.oviahealth.com\/?post_type=article&#038;p=266029"},"modified":"2023-06-12T19:45:01","modified_gmt":"2023-06-12T23:45:01","slug":"mood-swings-during-perimenopause","status":"publish","type":"article","link":"https:\/\/www.oviahealth.com\/guide\/266029\/mood-swings-during-perimenopause\/","title":{"rendered":"Making sense of mood swings during perimenopause"},"content":{"rendered":"\n<p>How\u2019s your mood been lately? If the answer is up and down, or if you\u2019re feeling overwhelmed, tired, and a bit out of control, perimenopause could be a factor.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What\u2019s behind my mood swings?<\/h2>\n\n\n\n<p>During perimenopause (the years leading up to menopause), hormone levels \u2014 especially estrogen levels \u2014 begin to fluctuate. Estrogen interacts with serotonin, a hormone that helps stabilize mood and promote feelings of wellbeing. So as estrogen changes, it may also impact serotonin, leading to mood swings.<\/p>\n\n\n\n<p>Some of the other changes during menopause can also put a dent in our moods, especially sleep disruptions (including those caused by hot flashes), and other symptoms (such as vaginal dryness) that feel uncomfortable or distressing.<\/p>\n\n\n\n<p>Menopause also happens at a time when people may be going through lots of stress, from busy careers to kids leaving home and aging parents needing more care.&nbsp;<\/p>\n\n\n\n<p>All of these things can put a tremendous strain on our moods. So if your moods feel different from what you\u2019re used to, please know that this is common during perimenopause, and you\u2019re not alone.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Lifestyle changes that can help with mood swings<\/h2>\n\n\n\n<p>If your moods are getting you down \u2014 and up, and down \u2014 lifestyle changes can really help. Here\u2019s what to try:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Be mindful about what you eat. A balanced diet with plenty of veggies, fruits, and whole grains can help your body feel well, which can improve mood, too. Try to cut back on caffeine, alcohol, and spicy foods, which can all contribute to hot flashes and make it harder to get good sleep at night.<\/li>\n\n\n\n<li>Get plenty of sleep. We all know how awful it feels when you have a rough night\u2019s rest. Over time, lack of sleep can take a huge toll on our moods. If menopause symptoms, like hot flashes, are making it hard to rest, there are lots of natural approaches that can help, or your doctor can prescribe medication to ease symptoms.<\/li>\n\n\n\n<li>Add regular exercise to your routine. Studies show that exercise can lift your mood, reduce your risk for depression and anxiety, and help you sleep better!&nbsp;<\/li>\n\n\n\n<li>Make a plan to lower stress. You might like to try a mind-body practice such as deep breathing (there are lots of free apps that can guide you), mindfulness meditation, yoga, or tai chi.&nbsp;<\/li>\n\n\n\n<li>Talk to a therapist. A therapist can help you explore how you\u2019re feeling and find meaning in your experiences.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Knowing when to get help<\/h2>\n\n\n\n<p>While mood swings are a normal \u2014 and temporary \u2014 part of perimenopause for many people, the risk for depression is also higher at this time, especially for people who\u2019ve already experienced depression earlier in their lives. Clinical depression is a medical condition, and lifestyle changes can help, but you may also need more support to feel better.&nbsp;<\/p>\n\n\n\n<p>If you\u2019ve spent weeks feeling sad, irritable, low on energy, or disinterested in the things you usually care about, please talk with your doctor. If you and your doctor agree that it\u2019s time to treat depression, prescription hormones (HRT or a low-dose birth control pill) or an antidepressant may help. Therapy is also an important piece of the puzzle.&nbsp;<\/p>\n\n\n\n<p>Are you wondering what\u2019s causing your mood swings? Want to talk through the lifestyle changes or medications that could help? Reach out to your provider for more information. <\/p>\n\n\n\n<p><em>Reviewed by the Ovia Health Clinical Team<\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">Sources<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hormone Health Network: <a href=\"https:\/\/www.hormone.org\/diseases-and-conditions\/menopause\/menopause-mood-swings\">https:\/\/www.hormone.org\/diseases-and-conditions\/menopause\/menopause-mood-swings<\/a>.&nbsp;<\/li>\n\n\n\n<li>Centers for Disease Control (CDC): <a href=\"https:\/\/www.cdc.gov\/physicalactivity\/basics\/pa-health\/index.htm#:~:text=Regular%20physical%20activity%20can%20help,Activity%20for%20Adults%20and%20Children\">https:\/\/www.cdc.gov\/physicalactivity\/basics\/pa-health\/index.htm#:~:text=Regular%20physical%20activity%20can%20help,Activity%20for%20Adults%20and%20Childre<\/a><\/li>\n\n\n\n<li>J.T. Bromberger et al. (2011). Psychological Medicine. Major depression during and after the menopausal transition: Study of Women&#8217;s Health Across the Nation (SWAN) (for info on increased risk of depression at menopause): <a href=\"https:\/\/www.cambridge.org\/core\/journals\/psychological-medicine\/article\/abs\/major-depression-during-and-after-the-menopausal-transition-study-of-womens-health-across-the-nation-swan\/C1492885FCBF9B68C0990E70845F4DF4\">https:\/\/www.cambridge.org\/core\/journals\/psychological-medicine\/article\/abs\/major-depression-during-and-after-the-menopausal-transition-study-of-womens-health-across-the-nation-swan\/C1492885FCBF9B68C0990E70845F4DF4<\/a>.&nbsp;<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>How\u2019s your mood been lately? If the answer is up and down, or if you\u2019re feeling overwhelmed, tired, and a bit out of control, perimenopause could be a factor.<\/p>\n","protected":false},"author":1,"featured_media":259586,"template":"","format":"standard","meta":{"ovia_author_name":"","ovia_author_prefix":"","ovia_author_image":"","ovia_content_type_id":"176","ovia_product_mode":"2","ovia_days_from_signup":"43","ovia_days_from_lmp":"","ovia_days_from_baby_birth":"","ovia_days_from_enroll":"","ovia_health_module_days_from":"","ovia_article_for_email_days_from":"","ovia_health_module":"","ovia_legacy_id2":"","ovia_ttc":"","ovia_article_subtype":"","ovia_health_symptom":"","ovia_partner_id":"","ovia_partner_custom_group":"","ovia_legacy_category":"246971","ovia_legacy_category2":"","ovia_content_url_id":"266029","ovia_include_share_buttons":"","ovia_fertility_goal":"3","ovia_secondary_module":"","ovia_trimester":"","ovia_child_age":"","ovia_share_image":"","ovia_more_menu_image":"","ovia_button1_url":"","ovia_days_from_postpartum":"","footnotes":"","_links_to":"","_links_to_target":""},"fert-category":[6689,6679],"preg-category":[],"parent-category":[],"fert-tag":[],"preg-tag":[],"parent-tag":[],"class_list":["post-266029","article","type-article","status-publish","format-standard","has-post-thumbnail","hentry","fert-category-managing-menopause","fert-category-menopause"],"yoast_head":"<!-- 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