For low mood, mood swings and a lack of motivation:
While this is predominantly caused by a reduction in hormones (and therefore hormone replacement/HRT can be very effective at relieving many of these feelings), there are some other things that can help too.
Estrogen is responsible for an increase in cortisol and testosterone levels, which naturally increase energy levels. Progesterone is the hormone that is dominant AFTER ovulation and is what prepares the uterus to receive a fertilized embryo.
The altering levels of estrogen and progesterone during the perimenopause and menopause can cause mood swings. Women may experience being happy one minute and then angry the next. Additionally, they may suffer from low mood, poor motivation and lack of energy, all of which are eased with HRT.
Melatonin and serotonin go hand in hand. Serotonin is a neurotransmitter which can be converted into melatonin, a natural hormone, in the pineal gland. Both of these hormones play a key role in sleep. Melatonin is produced at night and it plays a key role in adjusting your body clock.
Fatigue and Sleep Issues
Estrogen is intimately linked to serotonin, and serotonin makes melatonin. Melatonin is the primary sleep hormone. This means, if you've been sleeping less and feeling fatigued, you could have low estrogen.
Low testosterone levels can cause tiredness and fatigue. This is because testosterone plays a role in our metabolism and production of red blood cells - which is vital for energy. Your testosterone levels naturally drop with age.
Benefits of HRT
Hot flushes or night sweats often improve within a few weeks. Other symptoms like mood changes and vaginal dryness can take a few months to improve.
Oestrogen. Having the right balance of oestrogen is very important for your energy levels. Bear in mind, this rises and changes throughout your cycle.
Boosts your mood
Those mood swings you get right before your menstrual cycle might be caused by the shifting levels of estrogen. The hormone is known to help keep serotonin levels regular (those “feel-good hormones”) and help the effectiveness of endorphins.
Estrogen acts everywhere in the body, including the parts of the brain that control emotion. Some of estrogen's effects include: Increasing serotonin, and the number of serotonin receptors in the brain. Modifying the production and the effects of endorphins, the "feel-good" chemicals in the brain.
Low motivation can be a common symptom of depression, anxiety, and other mental health issues. You can practice self-help and self-care as much as you can, but you may find that seeking professional help is more helpful for your emotions. Online therapy is beneficial, especially during the COVID-19 pandemic.
Dopamine is a type of neurotransmitter and hormone. It plays a role in many important body functions, including movement, memory and pleasurable reward and motivation. High or low levels of dopamine are associated with several mental health and neurological diseases.
Dopamine is your achievement hormone. Higher the dopamine levels in your body, higher is your alertness, focus, creativity, long-term memory and concentration. Dopamine is the motivation molecule that drives you to seek rewards in achieving goals and enables you to take the effort it requires to be successful.
One of the common treatment options for menopausal symptoms is hormone replacement therapy (HRT), supplementing your hormone levels to rebalance your system. However, you may prefer to move through menopause without using hormone treatments. And, women with previous hormone-dependent cancer shouldn't use HRT.
When starting HRT, it's very common to experience some initial side effects or start-up symptoms such as breast tenderness or breast size increase. Some women describe slight nausea, headaches or abdominal bloating. Light erratic bleeding is also quite usual.
Yes. HRT is known to improve sleep, mood and hot flushes, all of which may disrupt your sleep and lead to tiredness. However, HRT comes with risks and is not suitable for everyone.
Hormone replacement therapy (HRT) is medicine used to treat the symptoms of the menopause. It is common to have side effects in the first few months of taking HRT. These usually settle on their own within 6 to 8 weeks. Side effects include weight gain, irregular bleeding, feeling sick (nausea) and skin irritation.
WOULD HORMONE REPLACEMENT THERAPY (HRT) HELP? HRT is known to improve sleep, mood and hot flushes during menopause. While HRT is highly effective for many symptoms of menopause, current research about its effect on brain fog and other cognitive symptoms is mixed and seems to show little benefit.
Symptoms said to be due to adrenal fatigue include tiredness, trouble falling asleep at night or waking up in the morning, salt and sugar craving, and needing stimulants like caffeine to get through the day.
Fatigue is one of the most common symptoms of a hormone imbalance. Excess progesterone can make you sleepy. And if your thyroid -- the butterfly-shaped gland in your neck -- makes too little thyroid hormone, it can sap your energy. A simple blood test called a thyroid panel can tell you if your levels are too low.
Reasons for fatigue in females include high sleep debt, being out of sync with your circadian rhythm, your menstrual cycle and period, pregnancy, menopause, hormonal contraceptives, poor diet, lack of exercise, stress and anxiety, medication side effects, and medical conditions like thyroid issues or anemia.