Nervous system

Anxiety in menopause

Up to 58% of women in perimenopause experience anxiety — often without recognising it as a hormonal symptom.

58%
in perimenopause
3×
more than before menopause
Anxiety

Why does it happen?

Oestrogen and progesterone directly modulate GABA receptors — the brain's natural braking system. When they drop, the nervous system becomes more reactive and stress tolerance decreases. Oestrogen also regulates serotonin and dopamine, whose decline generates a constant state of alertness and difficult-to-control restlessness.

Associated symptoms

  • Restlessness or nervousness without apparent cause
  • Intrusive or ruminating thoughts, especially at night
  • Feeling of impending danger or "bad premonition"
  • Easy irritability and disproportionate reactions
  • Muscle tension, especially in shoulders and jaw
  • Palpitations associated with anxiety episodes
Scientific evidence

Magnesium bisglycinate (300–400 mg/day) reduces mild to moderate anxiety symptoms by activating GABA receptors. Ashwagandha (600 mg/day) reduces cortisol and perceived anxiety by 30% according to a 2023 meta-analysis.

Regulation strategies

  • 4-7-8 diaphragmatic breathing — activates the vagus nerve in seconds
  • Magnesium bisglycinate at night — reduces nervous hyperexcitability
  • Moderate aerobic exercise — naturally increases GABA and serotonin
  • Reduce caffeine and alcohol — both worsen hormonal anxiety
  • Cognitive-behavioural therapy or mindfulness — first-line tools
Vive Tu Balance selection

Life Extension Europe® Optimized Ashwagandha Extract

Ashwagandha with standardised Sensoril® extract (10% withanolides), backed by a 60-day clinical trial in 130 adults with chronic stress that showed improvements in cortisol and DHEA balance. It provides 125 mg of extract per capsule; the recommended daily dose of 2 capsules (250 mg/day) is below the 600 mg/day used in the meta-analysis cited above, so adjust with your doctor if you want to get closer to that dose.

PRIMAVERA — Fine Lavender Essential Oil 5 ml

Organic-quality fine lavender essential oil, an aromatherapy classic to encourage calm and support conscious breathing. Complementary aromatic support: it does not replace the ashwagandha or the supplements in the protocol.

PRIMAVERA — "Relax" Essential Oil Blend 5 ml

A synergy of essential oils formulated to relax and ease nervous tension, ideal in a diffuser during moments of greater restlessness. Complementary aromatic support, not a treatment for anxiety.

Notice: this is not medical advice, but a suggestion for an over-the-counter product. Even though it is available without a prescription, consult your doctor before using it.

The information on this page is for general information only and does not replace advice from a healthcare professional. If a symptom worries you or affects your daily life, talk to your doctor or gynaecologist.

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