Menopause brings many physical and emotional changes. But there's one thing that can make everything worse: stress. When you understand how stress affects your menopause symptoms, you can start to feel better.
Research shows that cortisol levels go up during menopause, especially at night when they should be going down (Woods et al., 2009). This creates problems throughout your body.
When cortisol stays high at night, it triggers other stress hormones like adrenaline. This makes symptoms worse, racing heart, hot flushes, and night sweats. Women with unbalanced cortisol have more frequent and severe hot flushes (Gibson et al., 2016).
Stress and menopause create a vicious cycle. Menopause symptoms like poor sleep and hot flushes make you stressed. This stress raises your cortisol. Higher cortisol then makes your symptoms worse. Round and round it goes.
This cycle shows up as:
Simple breathing exercises can really help. When you breathe slowly and deeply, it tells your body to relax. Research shows this lowers stress hormones and helps with menopause symptoms (Toussaint et al., 2021). Just a few minutes of deep breathing can make a difference.
Women who practise mindfulness regularly experience fewer menopause symptoms. It especially helps with feeling irritable, anxious, and low. Mindfulness programmes typically run for 8–12 weeks and teach you to focus on the present moment without judgement.
This means tensing and then relaxing different muscle groups whilst breathing slowly. A study found that women who did this daily for eight weeks slept better and felt less tired (Sucu et al., 2024).
Yoga helps with many menopause symptoms. It reduces anxiety and depression, improves sleep, and helps you feel better overall. Yoga also stops cortisol from rising, which means fewer symptoms.
Tai Chi is a gentle form of movement. Studies show it helps with body pain, energy levels, and mental health (Wang et al., 2017). It also reduces inflammation, improves balance, and strengthens bones, all things that matter during menopause.
You don't need big changes to reduce stress. Small daily habits help:
Self-care is important, but sometimes you need extra support. Talk to a doctor if you feel anxious or down most days, you're exhausted even after resting, or stress is affecting your relationships and daily life.
Now you know how stress and menopause symptoms are connected. You have real tools to help, breathing exercises, meditation, yoga, or just better daily routines. The secret is doing them regularly. Even small steps can reduce your stress and make menopause easier.
Looking for more support with your menopause symptoms? Book a gap-free bulk-billed doctor consult with the Australian Menopause Centre (powered by Emsee) to discover our holistic treatment pathways. We're here to support you through every aspect of your menopause journey.
Gibson, C. J., Thurston, R. C., El Khoudary, S. R., Sutton-Tyrrell, K., & Matthews, K. A. (2016). Cortisol dysregulation is associated with daily diary‐reported hot flashes among midlife women. Clinical Endocrinology, 85(4), 645-651.
Sood, R., Kuhle, C. L., Kapoor, E., Thielen, J. M., Frohmader Hilsaca, K., Mara, K. C., & Faubion, S. S. (2019). Association of mindfulness and stress with menopausal symptoms in midlife women. Climacteric, 22(4), 377-382.
Sucu, C., Akkaş Gürsoy, A., & Özveren, H. (2024). The effect of progressive muscle relaxation exercises on postmenopausal sleep quality and fatigue: a single-blind randomised controlled study. Menopause, 31(8), 669-678.
Toussaint, L., Nguyen, Q. A., Roettger, C., Dixon, K., Offenbächer, M., Kohls, N., Hirsch, J., & Sirois, F. (2021). Effectiveness of progressive muscle relaxation, deep breathing, and guided imagery in promoting psychological and physiological states of relaxation. Evidence-Based Complementary and Alternative Medicine, 2021, 5924040.
Wang, Y., Shan, W., Li, Q., Yang, N., & Shan, W. (2017). Tai Chi exercise for the quality of life in a perimenopausal women organisation: A systematic review. Worldviews on Evidence-Based Nursing, 14(4), 294-305.
Woods, N. F., Carr, M. C., Tao, E. Y., Taylor, H. J., & Mitchell, E. S. (2009). Cortisol levels during the menopausal transition and early postmenopause: Observations from the Seattle Midlife Women's Health Study. Menopause, 16(4), 708-718.