Psychological and Cognitive Symptoms of Perimenopause and Menopause

Perimenopause and menopause are phases characterised by hormonal fluctuation's that can lead to a variety of symptoms, both physical and psychological. While much attention is often given to the physical symptoms, the psychological and cognitive symptoms are equally important and can significantly impact a woman's quality of life.

Psychological Symptoms

Mood Swings

One of the most common psychological symptoms experienced during perimenopause and menopause is mood swings. Women may find themselves experiencing rapid changes in mood, from happiness to irritability or sadness, without any apparent reason. These fluctuations can be attributed to hormonal changes, particularly the declining levels of estrogen and progesterone.

Depression

Depression is another significant symptom that can occur during this transitional period. The hormonal shifts can affect neurotransmitter levels in the brain, leading to feelings of sadness, hopelessness, and a lack of interest in activities previously enjoyed. It is important for women experiencing these symptoms to seek professional help, as depression can severely impact daily functioning and overall well-being.

Anxiety

Increased anxiety is often reported by women going through perimenopause and menopause. This can manifest as generalised anxiety, panic attacks, or heightened levels of worry and stress. The unpredictability of hormonal fluctuations can exacerbate these feelings, making it challenging for women to manage everyday stressors.

Sleep Disturbances

Sleep disturbances, including insomnia and night sweats, are common during perimenopause and menopause. These issues can contribute to psychological symptoms, as lack of sleep often exacerbates feelings of irritability, anxiety, and depression. Establishing a regular sleep routine and addressing sleep hygiene can help alleviate these symptoms.

Loss of Libido

A decrease in sexual desire is another psychological symptom associated with menopause. Hormonal changes can affect sexual arousal and satisfaction, leading to a reduced interest in sexual activity. This can also affect self-esteem and intimate relationships, further contributing to psychological distress.

Cognitive Symptoms

Memory Problems

Many women report experiencing memory problems during perimenopause and menopause. This can include difficulty recalling names, dates, or recent events. These memory lapses, often referred to as "brain fog," can be frustrating and may lead to concerns about cognitive decline.

Difficulty Concentrating

Concentration issues are another common cognitive symptom. Women may find it harder to focus on tasks, stay organized, or follow through on plans. This can impact work performance and daily activities, adding to the stress and anxiety already being experienced.

Decreased Cognitive Function

Some women may notice a general decline in cognitive function, including slower processing speeds and difficulties with problem-solving and decision-making. These changes can be subtle but noticeable, affecting confidence and competence in various aspects of life.

Word-Finding Difficulties

Word-finding difficulties, or the inability to retrieve specific words during conversation, can be a frustrating cognitive symptom of perimenopause and menopause. This can lead to communication challenges and feelings of embarrassment or self-consciousness.

Impacts on Quality of Life at Home and Work

·       Home Life: The psychological and cognitive symptoms can lead to strained relationships with family members due to mood swings, irritability, and decreased libido. Sleep disturbances and anxiety can reduce the ability to participate in household activities and maintain a harmonious home environment.

·       Work Life: Symptoms like memory problems, difficulty concentrating, and decreased cognitive function can affect job performance, productivity, and interactions with colleagues. Increased anxiety and mood swings may also lead to challenges in managing work-related stress and responsibilities.

If the symptoms of peri/menopause are affecting your emotional and mental well-being and ability to cope, please know that help is available. Your GP (should) be a great place to seek support regarding your symptoms and to open the discussion about MHT - Menopause Hormone Therapy if you wish to do so.