Many women tell me that during perimenopause they suddenly feel more anxious, overwhelmed, emotional, or easily stressed than they used to.
They often say things like:
"I don't feel like myself anymore."
While hormones certainly play a role, what many women don't realise is that menopause can also affect the nervous system.
Your nervous system controls how your body responds to stress.
When you feel safe and relaxed, your parasympathetic nervous system helps you rest, digest, heal and recover.
When you're under pressure, your sympathetic nervous system activates your "fight or flight" response, increasing alertness and stress hormones.
Throughout our reproductive years, hormones such as progesterone help keep this system balanced.
Progesterone has a calming effect on the brain and nervous system. As progesterone levels begin to fluctuate and decline during perimenopause, many women notice they feel less resilient and more reactive to everyday stress.
A stressed nervous system can show up in many ways, including:
Many women assume these changes are simply part of ageing, but often they reflect a nervous system that is working harder than it once did.
Hormones are only one piece of the puzzle.
By midlife many women are juggling careers, family responsibilities, ageing parents, financial pressures and their own health concerns.
When hormonal changes are layered on top of years of accumulated stress, the nervous system can become more reactive and less adaptable.
Things that once felt manageable may suddenly feel exhausting.
The good news is that there is a lot you can do to support nervous system health during menopause.
Some of the foundations include:
These simple strategies help send a message of safety to the nervous system and improve resilience over time.
If you feel more anxious, sensitive, overwhelmed or reactive than you used to, you're not imagining it.
Menopause is not simply a hormonal transition. It can also be a nervous system transition.
Understanding this can be incredibly empowering because it shifts the focus from "What's wrong with me?" to "How can I better support my nervous system?"
In future articles, we'll explore the connection between menopause, histamine, adrenaline surges, panic attacks and sensory overload, and why so many women feel like their nervous system has changed during midlife.