Psychological symptoms are very common in both menopause and perimenopause and commonly include anxiety, irritability, lack of joy, flat mood, feelings of paranoia, loss of self-esteem and confidence.

Often these symptoms are related to the fluctuations or low levels of reproductive hormones at this life stage. In consultation, we can consider your particular symptoms as well as other symptoms you may be experiencing, and this can be helpful in ascertaining the most appropriate treatment options.

Last updated: May 2026

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