• How does menopause affect psychology?

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    Menopause involves significant psychological impacts, as discussed by several experts.

    1. Anxiety and Cognitive Challenges: Dr. Mary Claire Haver emphasizes that during perimenopause, women often experience a new onset of anxiety, executive function disorders, and symptoms resembling ADD. Cognitive issues such as brain fog, memory loss, and a reduction in executive functioning can be profound. She notes that about one in five women quit their jobs due to these impacts, highlighting the significant economic and emotional toll 1 2 3.

    2. Increased Risk of Depression: Women face a nearly fourfold increased risk of mental health disorders, including depression, during perimenopause due to hormonal chaos. Postmenopausal women often see a stabilization in these issues since the estrogen levels have bottomed out, reducing the fluctuation impact on the brain. Estrogen therapy might be more beneficial for managing these mental health issues during perimenopause than traditional antidepressants 3.

    3. Impact of Lifestyle and Societal Factors: Societal support plays a crucial role in mitigating the adverse effects of menopause. Dr. Gemma Newman suggests that in supportive environments where women's contributions are valued, the severity of menopausal symptoms, including psychological ones, can be reduced. This underscores the importance of a supportive community for overall well-being during menopause 4.

    4. Hormonal Shifts and Stress Response: Cindy Geyer explains that hormonal changes during menopause can heighten the body's response to stress. Women with adverse childhood experiences are at a higher risk of experiencing major depression during menopause. Therefore, lifestyle factors such as exercise and reducing exposure to environmental toxins are critical during this transition 5.

    5. Early Menopause Causes and Effects: Early menopause can be induced by factors such as chemotherapy, radiation, physical and sexual abuse, and substance abuse. Women experiencing stress, anxiety, or low self-esteem are less likely to seek treatment, exacerbating their condition. Early diagnosis and intervention are crucial to managing symptoms effectively 6.

    These insights highlight that the psychological effects of menopause are multifaceted, involving hormonal, societal, and lifestyle factors.

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