Understanding the Psychological Impact of Menopause on Women

Menopause brings about significant hormonal changes that can profoundly affect women's mental health, often leading to feelings of despair, hopelessness, and in some cases, suicidal thoughts. Recent research highlights how these mental health challenges are frequently overlooked or inadequately addressed within healthcare services. In a study involving interviews with 42 women experiencing suicidal thoughts during perimenopause or menopause, a pattern of misdiagnosis and inappropriate treatment emerged. Many women were prescribed antidepressants despite guidelines recommending hormone replacement therapy (HRT) for menopause-related mood disturbances, revealing a gap in medical understanding and care.

Suicide rates among women aged mid-40s to mid-50s have increased over the past two decades, coinciding with the typical menopausal transition. Unfortunately, the role of hormonal fluctuations in this rise has not been sufficiently acknowledged. Women reported enduring intense feelings of worthlessness, fatigue, and being a burden to loved ones—symptoms that extend beyond ordinary depression. These emotional states often led women to question their purpose, with some describing life as bleak and unmanageable.

The study exposed systemic issues in healthcare, including delayed access to HRT and insufficient knowledge among GPs about how hormones influence mental health. Women who explicitly requested hormone therapy were often refused treatment, and in some cases, antidepressants worsened their symptoms. This reflects a longstanding societal bias rooted in the historical diagnosis of female hysteria, a misogynistic concept that trivialized women's emotional experiences.

Although recent policies and updated guidelines aim to improve support for menopausal women—such as the 2021 UK government recommendations and 2024 clinical updates advocating psychological support—the recognition of suicide risk during menopause remains inadequate. Many women experienced notable mental health improvements when they received appropriate hormonal treatment and attentive care.

It is crucial that every woman experiencing menopausal symptoms has access to proper hormone evaluation and tailored treatment options, with informed choices made collaboratively. The ongoing neglect of mental health issues linked to menopause must be addressed urgently to prevent further tragedies. Elevating awareness and understanding of this biological and psychological intersection can save lives and improve quality of life for countless women.

source: https://medicalxpress.com/news/2025-10-mental-toll-menopause-women.html