Mood Swings

Understanding Menopause Irritability


If you find yourself snapping at your family or feeling pushed to the edge at work, you may think it’s simply due to stress. But irritability and emotional changes around menopause are just as common as physical symptoms—and sometimes much more challenging. While it’s impossible to avoid all of the impacts of perimenopause and menopause, there are tools to help make the midlife emotional rollercoaster less of a wild ride. 

Contributors to Menopause Irritability

Menopause is primarily driven by hormonal shifts, most notably a decline in estrogen and progesterone levels. These hormones are not merely responsible for regulating the menstrual cycle—they also play a crucial role in mood regulation. 

The Impact of Estrogen

Estrogen isn’t just a reproductive hormone, it’s a mood stabilizer. Declining estrogen levels during perimenopause can disrupt the balance of neurotransmitters, chemical signaling agents in the brain that contribute to mood. Changes in levels of neurotransmitters like serotonin and dopamine can create the conditions for mood swings that take you from joy to frustration in the blink of an eye.

Sleep Disturbances

The majority of women experience sleep disturbance around menopause as a result of hormonal fluctuations, mood changes and night sweats. Many develop insomnia, chronic sleep disturbance that affects their functioning. Sleep is essential for emotional resilience, and insufficient rest can leave you feeling exhausted, frustrated, and even more prone to irritability. 


Regardless of hormone levels, midlife is frequently a time of high stress in life. Work, family, and financial pressures combine with the symptoms of perimenopause to create a perfect storm of challenges. While the body is designed to handle stress in short bursts, chronic and unmanaged stress keeps the body in its “fight or flight” mode—further exacerbating irritability and anxiety. 

Manage Menopause Irritability

There isn’t one straightforward solution for navigating menopause-related irritability. Helping your body meet its basic needs for nutrition, rest, and exercise is critical. You may also benefit therapy or counseling, as well as intervention with medication. The right strategy for you depends on your history and preferences. 

Lifestyle Support

Regular Exercise

Research shows that exercise can both turn your mood around in the short term and reduce your risk of mood challenges in the long term. It’s even more effective than medication in managing anxiety, depression, and emotional distress. Working hard and moving your body doesn’t just offer physical benefits but also enhances your self-esteem, reduces stress, and improves the quality of your sleep – all of which can lead to a more stable and positive mood. So whether you’re lacing up your sneakers, rolling out your yoga mat, or setting up your squat rack, get your body moving every day to manage the emotional challenges of midlife.


Techniques like meditation, paced breathing, and mindfulness-based stress reduction are your allies in managing mood fluctuations. They teach you to be fully present in the moment, helping you cope with the emotional rollercoaster that menopause can be. Mindfulness allows you to acknowledge and accept your feelings without any judgment. This, in turn, builds emotional resilience and reduces anxiety and irritability, empowering you to face each day with more inner peace.

Healthy Nutrition

A well-balanced diet rich in fruits, vegetables, lean proteins, and whole grains can make a world of difference. These foods provide the nutrients your brain craves and help keep your hormones in check. Don’t forget about omega-3 fatty acids found in fish; they’re mood-boosting champions. Also, consider limiting caffeine and alcohol as they can intensify mood swings and disrupt your sleep patterns, something you definitely want to avoid.


Quality sleep can be a reset for your mood. When you sleep well, your brain can process and manage the stresses of your day more effectively. In contrast, sleep deprivation can exacerbate mood swings, irritability, and feelings of sadness or anxiety. Prioritizing restful nights can be a game-changer in managing the emotional challenges of menopause. So, make sleep a non-negotiable part of your self-care routine. 

Social Connection

Sharing your experiences, worries, and joys with others fosters a sense of connection and understanding. These connections act as a buffer against feelings of isolation, anxiety, and depression that can sometimes accompany this life stage. So, don’t underestimate the power of social interactions; they play a vital role in maintaining your emotional well-being and helping you navigate the journey of midlife with greater resilience and positivity.


Therapy is here to support you every step of the way. You’re not alone in feeling these emotions, and therapy offers a safe space for you to express yourself and work through the ups and downs. Whether it’s cognitive-behavioral therapy (CBT), mindfulness techniques, or simply talking to a compassionate therapist, these approaches can help you manage irritability effectively. Remember, your emotions are valid, and seeking support is a powerful step towards taking charge of your menopause experience.

Medication & Menopausal Hormone Therapy (MHT)

While research is mixed on the effect of MHT on mood, it has been an effective treatment for some people around menopause. MHT is not typically prescribed only to treat mood changes, but it may address several of your concerns including mood. Antidepressant and anti-anxiety medication may also be appropriate for you if your mood symptoms are severe. If you choose to use prescription medication, work with a trusted healthcare provider to understand your options and ensure that your dosage remains appropriate for your needs.

Irritability and mood changes are a challenging aspect of the menopausal journey. While your journey is unique, you don’t have to travel it alone. For more expert support during menopause, including guidance on managing changes in your mood, download the Midday menopause app from the App Store or visit us at Midday.Health.

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