The lowdown on menopause and anxiety

by Laura Keyes · July 28, 2022

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Reviewed by Dr Becky Mawson on July 28, 2022

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If you’re experiencing anxiety during the menopause, you’re not alone! Get the lowdown on the link between menopause & anxiety and the best ways to tackle it.

If you’re experiencing anxiety whilst going through the menopause, you’re not alone. We look at the link between the menopause and anxiety, and the treatment options available to you.

What’s the lowdown?

  • Menopause typically occurs between the ages of 45 and 55
  • 36% of women surveyed by the British Menopause Society said the menopause had an impact on their social life
  • Cutting down on alcohol, eating a healthy, calcium-rich diet, and quitting smoking can help with the symptoms of menopause
  • Cognitive behavioural therapy (CBT) can be a great alternative to medication in the treatment of anxiety
  • Starflower oil is rich in gamma-linolenic acid (GLA)
  • You can buy starflower oil to ease menopausal symptoms directly from The Lowdown or from Amazon (our affiliate link, checked by doctors!)

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When you consider the menopause is something over half the world’s population will go through, it’s astounding to think we are prepped with so little information. And when there are so many symptoms that can impact every aspect of life, it’s time to get the facts straight. Check out our blog on menopause and contraception for more information, specifically how this can affect your contraception.

The menopause typically occurs between the ages of 45 and 55, although it can start earlier.  And perimenopause – which includes the time before your periods stop as menopausal symptoms start, and the twelve months after your periods have stopped – can last for months, or even years

Is there a link between menopause and anxiety?

The menopause can cause a whole host of symptoms, including both physical and mental. The most commonly known physical symptom is perhaps hot flushes, with 79% of women surveyed by the British Menopause Society experiencing hot flushes as a symptom of the menopause. 70% suffered from night sweats and 50% noted an impact on their sex lives.

MYLA Health Perimenopause | The Lowdown

Symptoms of menopause anxiety

Can the menopause cause anxiety? Yes – and it’s not the only mental health symptom. Symptoms of menopause anxiety include:

  • low mood
  • brain fog (problems concentrating and difficulty with memory)
  • low self-esteem
  • lack of confidence

20% of women surveyed had difficulty with their memory and concentration, and 36% of said the menopause had an impact on their social life.

So whilst this all might sound a little unnerving, there are treatments available.

What are the treatment options for menopause anxiety relief?

Lifestyle changes

Eating well and exercising regularly are easy changes that can have a positive impact as you go through the menopause. A healthy diet rich in calcium will help support bone health, and cutting down on tea, coffee and alcohol may reduce the triggers of hot flushes. Keeping to a regular sleep schedule to help stay well rested, and introducing yoga or mindfulness may help in calming down anxious thoughts. It is also recommended to not smoke and to limit your alcohol intake to 14 units a week.

Anxiety around physical symptoms of the menopause can have a knock-on effect on self confidence and self esteem. Tackling the physical symptoms of the menopause can help boost confidence and overall wellbeing.

Support can also come through nutritional supplements. By taking supplements, such as Wellwoman or Wild Nutrition, you will not only be provided with lots of nutrients but also migraine and stress relief. Wellwoman also includes starflower oil…

Starflower oil

Starflower oil is high in gamma-linoleic acid – or GLA – an omega-6 fatty acid that helps to reduce inflammation. GLA is used in the treatment of nerve pain, joint aches and skin conditions. It has also been found to help in the management of breast pain, which women often experience as a symptom of premenstrual syndrome (PMS). There isn’t currently enough evidence to confirm that starflower oil helps with other symptoms of PMS, but anecdotally, loads of our community tell us that it’s helped them manage PMS aches, pains and cramps.

As with starflower oil, evening primrose oil also contains gamma linoleic acid (GLA). It is rich in omega-6 and has shown positive effects in cyclical breast pain, rheumatoid arthritis, and dermatitis. Starflower oil generally contains a much higher concentration of GLA than evening primrose oil (just over double the amount!), which is why we think it can be more effective at managing these symptoms.

More research is also needed to confirm, but there is some evidence that GLA may help with psychological symptoms of menopause. A ‘prominent alleviation’ of symptoms was shown in participants of a 2020 clinical trial. GLA may also help ease physical symptoms of the menopause such as hot flushes, leading to improved sense of wellbeing and quality of life.

It also comes with few side effects and is a great option for those looking to avoid hormonal treatments – you can grab starflower oil from The Lowdown in our new shop! There are some drug interactions to note, so chat to your GP or pharmacist beforehand if you’re currently on other medication.

Order Starflower oil from The Lowdown


Cognitive behavioural therapy (CBT) can be a great option to run alongside other treatments or as an alternative to medication. CBT is a talking therapy that you can often self-refer to through the NHS without the need to see your doctor. It can help with feelings of anxiety and low mood by breaking negative thought patterns and looking for practical solutions you can implement in your everyday life.

Talking therapy or counselling can help you tackle specific negative thought patterns and help you overcome unhelpful ways of thinking. But in addition to this, a natter with like-minded individuals going through the same thing you are can work wonders for your mental health. Knowing you’re not going through things alone and laughing over shared experiences can be an invaluable help.

Hormone Replacement Therapy (HRT)

During the menopause, levels of oestrogen drop and bring about both physical and psychological symptoms. Oestrogen can be replaced with hormone replacement therapy (HRT). For anyone with a womb, HRT should contain both oestrogen and progestogen, as oestrogen alone can cause the womb lining to grow.

HRT can take many forms, including tablets, patches, implants, gels and sprays which will need to be prescribed by your doctor. There is also the Mirena, a progestogen releasing coil, so there are many options to choose from. Anyone without a womb, or those who have the hormonal Mirena coil, can just use an oestrogen replacement. 

HRT can come with its own side effects which can include fluid retention, breast tenderness, bloating, headaches and mood swings. However, these often improve with time, and so it is advised to continue with treatment for three months before seeing your GP. HRT also comes with small risks but for most people, the benefits of HRT usually outweigh the risks and your doctor should be able to discuss these with you.

HRT reviews | The Lowdown

Complementary therapies

For many people going through the menopause, HRT can be a life changing solution. But according to Women’s Health Concern, a survey found that 95% of women said ‘they would try alternative therapies before HRT because they think they are more natural and because they are worried about the health risks of HRT.’ 

So with that in mind, what are the alternatives to HRT for managing menopausal symptoms?


A study looking at the effects of acupuncture on the vasomotor symptoms of menopause (that means hot flushes and night sweats) concluded that acupuncture treatments were linked to a reduction in these symptoms compared to no acupuncture. Not only was the reduction significant, but the effects continued 6 months after the end of treatment.

Acupuncture has also been found to offer positive effects in the treatment of anxiety in those with generalised anxiety disorder (GAD). More studies are needed to prove a beneficial link between acupuncture and menopausal anxiety. But the findings so far are promising.

How to seek help for menopausal anxiety

Looking again at the survey from the British Menopause Society, 50% of women aged 45-65 who experienced menopause between 2006 and 2016, did not consult a healthcare professional about their menopause symptoms. Let’s change that!

If you are suffering with anxiety – or any other symptom due to menopause – speak to someone who can help. Talk to a healthcare professional, or get advice on HRT options with one of our brilliant women’s health doctors here at The Lowdown. You don’t need to suffer alone.

If you’re nervous about discussing your symptoms, why not keep a symptom diary? It can help remind you what you want to say, as well as being helpful for noticing any patterns in your symptoms.

Need help? Speak to one of our doctors

  1. NHS Inform, hormone replacement therapy (HRT), 29 April 22
  2. NHS, cognitive behavioural therapy – CBT, 16 July 2019
  3. Mind, anxiety and panic attacks, Feb 2021
  4. GLA:
  5. Haroon Elrasheid Tahir, Gustav Komla Mahunu, Abdalbasit Adam Mariod, Zou Xiaobo, Newlove A. Afoakwah, Chapter 25 – Biological activities of evening primrose oil, Science Direct
  6. NICE, menopause: diagnosis and managment, recommendations, Dec 2019
  7. NHS, menopause:, May 2022
  8. NHS Inform, menopause and your mental wellbeing, May 2022
  9. D F Horrobin, The effects of gamma-linoleic acid on breast pain and diabteic neuropathy; possible non-eicosanoid mechanisms, January 1993, National Library of Medicine
  10. British Menopause Society, National Survey – The Results, May 2016
  11. Science Direct, borage oil, 2019
  12. Women’s Health Concern, complementary and alternative therapies, September 2020
  13. Nancy E. Avis, PhD, Remy R. Coeytaux, MD, PhD, Scott Isom, MS, Kristen Prevette, BA, Timothy Morgan, PhD, Acupuncture in Menopause (AIM) Study: a Pragmatic, Randomized Controlled Trial, June 2016
  14. Yang, Xy., Yang, Nb., Huang, Ff. et al. Effectiveness of acupuncture on anxiety disorder: a systematic review and meta-analysis of randomised controlled trials. Ann Gen Psychiatry 20, 9 (2021)
  15. Sharif SN, Darsareh F. Impact of evening primrose oil consumption on psychological symptoms of postmenopausal women: a randomized double-blinded placebo-controlled clinical trial. Menopause. 2020 doi: 10.1097/GME.0000000000001434. PMID: 31738736.
  16. Farzaneh F, Fatehi S, Sohrabi MR, Alizadeh K. The effect of oral evening primrose oil on menopausal hot flashes: a randomized clinical trial. Arch Gynecol Obstet. 2013. doi: 10.1007/s00404-013-2852-6.

Laura Keyes is a freelance content writer living in Cornwall. With a background in pharmacy, she is passionate about women’s health and the need for access to accurate and meaningful contraceptive advice.