What is the problem? 

Anxiety is a normal human reaction to stressful situations. However, it starts to become a problem when it becomes difficult to control the anxiety and this affects your quality of life. Anxiety is a common menopause symptom that can hit you suddenly or come on slowly. Sometimes anxiety is the only symptom of the menopause that a woman will feel. She will therefore not necessarily make a connection with menopause and think that it is the external circumstances that are worrying her.

People who suffer from anxiety are often unable to let go of their worries about everyday events, even though they know that their anxiety is out of proportion to the situation that triggered it. Psychological symptoms of anxiety can include nervousness, difficulty concentrating or relaxing, tension, hypervigilance (increased alertness), restlessness and irritability. However, anxiety is not just limited to psychological symptoms. People suffering from anxiety usually have a range of physical symptoms, including palpitations, muscle aches, digestive problems, fatigue, excessive sweating, frequent urination and shortness of breath.

What are the reasons for this?

We know that oestrogen has an influence on the regulation of moods and emotions by the brain. Fluctuations in oestrogen levels have a direct effect on the neurochemical substances serotonin, noradrenaline, melatonin and dopamine. As all of these neurotransmitters play an essential role in regulating emotions and moods, the disturbances caused by fluctuations in oestrogen levels during the menopause can lead to anxiety.

What possible solutions are available?

One of the first measures you should consider is adjusting your lifestyle, such as exercising more, reviewing your diet and trying relaxation techniques such as yoga or meditation. If these gentle methods are not enough, don't hesitate to consult your doctor. In acute cases, hormone replacement therapy (HRT) - with oestrogen, progesterone or a combination of these - may be necessary. A doctor will also help you to assess the situation and distinguish whether it is menopause-related symptoms or deeper-seated symptoms that require psychotherapy or appropriate medication.