What is premenopause?

Premenopause is the transitional phase leading up to menopause. It can last several years and usually begins from the age of 40 , although this can vary from woman to woman.

During this time, estrogen and progesterone levels begin to fluctuate, which can cause a wide range of physical and mental symptoms.

The influence of estrogen during premenopause on mental well-being

Hormone fluctuations

• During perimenopause, estrogen levels fluctuate greatly: sometimes they are abnormally high, sometimes very low.
• These unpredictable fluctuations have a direct impact on neurotransmitters in the brain, such as serotonin and dopamine, which are responsible for mood and emotional well-being.

Low estrogen levels

• May contribute to symptoms such as:
  • • Mood swings.
    • Depressive feelings.
    • Irritability and anxiety.
    • Decreased concentration and memory problems ("brain fog").
• Decreased serotonin production can lead to feelings of sadness and increased sensitivity to stress.

High estrogen levels (estrogen dominance)

• Some women experience a period when estrogen levels are temporarily higher than normal, often accompanied by a drop in progesterone.
• This can lead to:
• • • Feelings of restlessness and increased irritability.
    • Insomnia.
    • Uncontrolled emotional outbursts.

Other Mental Symptoms of Estrogen Fluctuations

Reduced stress resistance

Fluctuations in estrogen affect the functioning of cortisol (the stress hormone), which can make women feel more overwhelmed.

Anxiety and panic attacks

Due to declining serotonin levels and increased sensitivity of the nervous system.

Fatigue

Hormonal changes can impact sleep quality and energy levels, causing mental exhaustion.

Consequences for mental well-being

Social and emotional impact

The mental health issues of perimenopause can affect self-confidence and relationships, especially because many women don't realise their symptoms are hormonal.

Underexposure among aid workers

Unfortunately, the link between hormones and mental health issues is often not recognized by healthcare providers, which may lead to women being prescribed antidepressants instead of hormonal support.

Practical tips for support

Hormonal guidance

Approach aimed at restoring balance, such as nutritional advice, exercise and natural supplements.

Stress management

Mindfulness, yoga and meditation can help regulate cortisol levels.

Education

Understanding hormonal changes can help women make proactive choices and know when to seek help.

Why guidance is important

During perimenopause, it is crucial that women are guided by professionals who can recognize and treat hormonal imbalances. Fluctuations in estrogen are complex, but with the right approach, many mental health issues can be alleviated. 🌿

LunaVital can help women in this phase with targeted advice and support to better understand and get through this transition phase.