What Actually Happens to Hormones During Menopause?

Hormones can sound complicated. 

Fortunately, you do not need a medical textbook to understand the basic principle behind menopause. 

The body contains a network of glands and chemical messengers that continually communicate with one another. 

Among these are the hypothalamus and pituitary gland in the brain and the ovaries. 

During the reproductive years, these systems work together to regulate the menstrual cycle and the production of hormones including oestrogen and progesterone. 

As menopause approaches, ovarian function changes and hormone levels fluctuate before eventually settling into a different pattern. 

Why can symptoms seem so unpredictable? 

The body likes balance. 

When hormone patterns are changing, that balance can temporarily become more difficult to maintain. 

This helps explain why menopausal symptoms can seem to come and go. 

One week may be relatively easy; the next may bring disturbed sleep, flushes or changes in mood. 

And because hormones influence many systems within the body, the effects are not confined to periods stopping. 

Temperature regulation 

Hot flushes and night sweats are among the most familiar menopausal symptoms. 

Changes in reproductive hormones can affect the brain’s temperature-regulating mechanisms, so relatively small changes in body temperature may trigger a much bigger response than before. 

The result can be an intense sensation of heat, sweating and sometimes a racing heartbeat. 

Sleep, energy and mood 

Poor sleep can have knock-on effects throughout the following day. 

When you repeatedly wake because of night sweats or general sleep disruption, tiredness can affect: 

  • concentration 

  • resilience 

  • mood 

  • appetite 

  • motivation 

It is therefore useful to think of menopausal symptoms as interconnected rather than separate problems. 

Sexual comfort 

Reduced oestrogen after menopause can also affect the tissues of the vagina and vulva. 

Some women experience: 

  • dryness 

  • reduced natural lubrication 

  • discomfort 

  • changes in sensitivity 

These changes are common and there is no reason to feel embarrassed about discussing them. 

Understanding before acting 

Knowing what is changing does not mean every symptom should automatically be blamed on menopause. 

New, severe or persistent symptoms should still be discussed with a healthcare professional. 

But understanding the basic hormonal transition gives you a much clearer foundation from which to look after yourself. 

That is the first stage of The Menopause Reset: 

Understand the Change. 

Internal links 

  • Article 1: Menopause Is a Transition 

  • Article 3: Hot Flushes 

  • Article 4: Menopause and Poor Sleep 

  • Article 7: Vaginal Dryness 

  • Book page 

Facebook post 

Why can menopause affect sleep, temperature, mood, energy and sexual comfort when they seem like completely different things? 

Because hormones work as part of a much larger communication system in the body. 

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