Navigating Menopausal Challenges: Finding Relief from Mood Swings and Anxiety

Menopausal disorders

At 50 years old and still premenopausal, I always feel very depressed and unwell for about 7 to 10 days each month.
I later tried traditional Chinese medicine for regulation, but after a month, I still experienced discomfort for 7 to 10 days.
Then I applied hormone gel for 20 days and felt no symptoms of discomfort.
However, I then experienced dizziness and discomfort for another 10 days, during which I continued using the hormone gel.
I later switched to taking soy isoflavones, DHEA, and traditional Chinese medicine.
I am now increasing the dosage, but I still cannot escape the 10 days of distress (anxiety and depression).
I have noticed that my symptoms resemble those of premenstrual dysphoric disorder, but I am in menopause.
I have endured this suffering for nearly 10 years, and it has recently become more severe.
I feel anxious and depressed every day from morning until afternoon, unable to sit still.
However, by evening, I feel much more relaxed.
Should I see a gynecologist or a psychiatrist? I am in so much pain every day.
Please help me, doctor.
What can I do to break free from this 10-day curse? If I encounter stressful situations during this time, my symptoms worsen even more.

Any, 50~59 year old female. Ask Date: 2022/05/25

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it is likely related to menopause.
I recommend seeing a gynecologist to obtain hormone therapy, as the dosage may need to be adjusted gradually.
Wishing you good health.

Reply Date: 2022/05/25

More Info

Navigating the challenges of menopause can be particularly daunting, especially when compounded by mood swings and anxiety. Your experience of feeling depressed and uncomfortable for 7 to 10 days each month, even after trying various treatments, suggests that you are dealing with significant hormonal fluctuations that can affect your mental health.
Menopause typically occurs between the ages of 45 and 55, marking the end of a woman's reproductive years. During this transition, hormonal changes, particularly in estrogen and progesterone levels, can lead to a variety of physical and emotional symptoms. These may include mood swings, anxiety, depression, hot flashes, sleep disturbances, and cognitive changes. The symptoms you describe, such as anxiety and depression that seem to follow a cyclical pattern, could indeed resemble those of premenstrual dysphoric disorder (PMDD), which is characterized by severe emotional and physical symptoms that occur in the luteal phase of the menstrual cycle.

Your use of hormone gel and other supplements like soy isoflavones and DHEA indicates that you are actively seeking relief. Hormone replacement therapy (HRT) can be effective for many women in alleviating menopausal symptoms, but it is not without its challenges. Some women may experience side effects or find that their symptoms do not fully resolve with HRT alone. Additionally, the fact that you feel better in the evenings suggests that your symptoms may be influenced by daily stressors or environmental factors, which can exacerbate feelings of anxiety and depression.

Given the complexity of your situation, it is essential to approach your symptoms holistically. Here are some strategies that may help:
1. Consult a Specialist: Since your symptoms are significantly impacting your quality of life, it would be beneficial to see both a gynecologist and a mental health professional. A gynecologist can evaluate your hormonal therapy and consider adjustments or alternative treatments. A mental health professional can help address the emotional aspects of your experience, providing therapy or medication if necessary.

2. Cognitive Behavioral Therapy (CBT): This form of therapy can be particularly effective for managing anxiety and depression. It focuses on identifying and changing negative thought patterns and behaviors, helping you develop coping strategies for your symptoms.

3. Lifestyle Modifications: Regular exercise, a balanced diet, and good sleep hygiene can significantly impact mood and anxiety levels. Engaging in physical activity releases endorphins, which can improve your mood. Mindfulness practices, such as yoga or meditation, can also help reduce anxiety and promote relaxation.

4. Support Groups: Connecting with others who are experiencing similar challenges can provide emotional support and practical advice. Many women find comfort in sharing their experiences and coping strategies in a supportive environment.

5. Monitor Triggers: Keeping a journal of your symptoms, moods, and any potential triggers can help you identify patterns and develop strategies to manage your symptoms more effectively.

6. Medication Review: If you are currently taking multiple supplements and medications, it may be worth discussing with your healthcare provider whether they are interacting in ways that could exacerbate your symptoms.
7. Regular Check-ups: Regular follow-ups with your healthcare providers can help monitor your symptoms and adjust treatments as necessary.

In conclusion, navigating the challenges of menopause requires a multifaceted approach. By seeking the right medical support, incorporating lifestyle changes, and exploring therapeutic options, you can work towards alleviating your symptoms and improving your overall well-being. Remember, you are not alone in this journey, and there are resources and support available to help you through this challenging time.

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