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Menopause can be a time of personal liberation where we emerge wiser, healthier and ultimately stronger in mind and body. Menopause can also be a time of confusion and anxiety if women are not well informed, supported and equipped to deal with the changes they may experience on their journey.
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Tearfulness

Daliah / Menopause Essentials / Tearfulness

Tearfulness

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Menopause can be an emotional rollercoaster ride for many women! One minute you feel fine. The next you are in tears, and you have no idea why. It can happen at any time, any place – sometimes leaving us feeling embarrassed when it happens in public. It might feel like we have no control over our emotions or that we are behaving irrationally.

The truth is that crying is a perfectly natural response to the hormonal upheaval happening in our bodies.
Crying can even be therapeutic.
It’s nothing to be ashamed of, but it does help to understand why it happens and what you can do to help manage it.

1 in 3 South African women across all phases of the menopause journey, experienced increased tearfulness during the past 12 months. (Source: Daliah SA Menopause Benchmark Study, 2022)

Why does tearfulness happen?

The hormonal changes that women experience during menopause (all stages of menopause) can make us more susceptible to crying when we feel sad, mad, happy or any other emotion. It can make how we experience these emotions much more intense that before, and that can lead to a tearful moment.
Sometimes the smallest thing can set you off and it might seem completely irrational – and for some, this can be very concerning.

During the menopause journey, there are a number of factors that can all contribute to increased tearfulness for many women. These include:

  • Oestrogen: as the levels of this hormone start to fluctuate and eventually decline, this can lead to tears
  • Serotonin: as you may have read in some of our other articles, oestrogen has an impact on how our brains use serotonin. So as oestrogen levels decrease during menopause, so our happy hormone (serotonin) doesn’t work as effectively as before and this can lead to a number of mood changes – including anxiety, depression, irritability, mood swings, and you’ve guessed it, tearfulness.
  • MAO-A (monoamine oxidase A): this is another brain chemical that researchers have found may be impacted by changes in the levels of oestrogen during menopause. MAO-A helps to regulate healthy brain functioning, by managing (or removing) certain chemicals in our brains – including serotonin and dopamine, both of which play a role in our moods

What you can do

Here are a couple of things that you can do to help manage tearfulness during menopause.

  • Be kind to yourself: Use the tears as therapy. Allow yourself to feel the emotions and release those feelings by crying. Sit down in a quiet spot. Breath. Once you feel better, move on. There is nothing to be ashamed of.
  • Exercise (no we are not crazy!): As with many of the other mood-related symptoms you may experience during menopause, exercise is a great way to help stimulate endorphins that make us feel better. A health body and a health brain are better able to cope with the stresses of menopause, and exercise is a great way to release emotional stress too.
  • Feeding your brain: Before you grab that sugary comfort food when you next feel emotional, think about whether this will really help you in the long run? Maintaining a diet high in zinc and magnesium has been shown to help improve mood. Some of the best sources for this are spinach, egg yolks and legumes.
  • Avoid alcohol: Eek, it feels like we are telling you to give up all the “good stuff” in life!! But when it comes to menopause, alcohol really isn’t your friend. As much as a glass of good wine might seem like the obvious solve when you are feeling emotional – it can actually make mood swings, irritability, depression and the tearfulness that goes with these, worse.
If your feel that your emotions are getting out of control, are impacting your day-to-day life, relationships or work, then you may need to consider professional help in finding a solution that will work for you.  Please speak to your healthcare provider as soon as possible.

Here are a couple of numbers for professional help in South Africa, should you need urgent help.

  • SADAG Suicide Crisis Helpline 0800 567 567
  • SADAG 24 hour Helpline 0800 456 78
  • SADAG is the South African Depression and Anxiety Group, a recognised and eputable NGO helping people in crisis (www.sadag.org)
We’ll keep sharing new tips on how to manage the symptoms associated with menopause. Sign up for the Daliah Digest newsletter, to stay informed, equipped and supported through your journey.

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Disclaimer: This information is for general educational purposes, and should not be used as a substitute for medical advice, diagnosis, or treatment of any health condition or problem.

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