This article is part ofHealth Divide: Menopause and Black Women, a destination in our Health Divide series.
There is a connection betweenmenopauseand depression.
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Whats the Link Between Menopause and Depression?
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What Causes Depression During Menopause?
However, disentangling the various factors that may contribute to a heightened risk of depression during menopause is complicated.
This disparity is significant since early-onset menopause increases the risk of depression.
Conversely, older age at menopause can reduce the risk of depression in later life.
Hormonal Changes
During menopause, hormones are in flux, contributing to various physical and mental symptoms.
It’s likely that the disruption inestrogen, in particular, during menopause, is closely connected to depression.
Estrogen helps boost serotonin, a neurotransmitter indicated in depression.
When estrogen levels fall during menopause, serotonin levels may also dip, leading to depression.
Combined, this made the brain vulnerable to depression.
Other researchers have theorized about the connection between estrogen, menopause, and depression.
Sleep Problems
Disruptions in sleep during menopause may also contribute to depression.
There is a close link between sleep problems and depression.
While sleep problems are a symptom of depression, poor sleep quality may increase the risk for depression.
Vasomotor symptomsof menopause, which include hot flashes and night sweats, can lead to insomnia and difficulty sleeping.
After menopause, this ranges from 35% to 60%.
Sleep is another area in which menopausal Black people are disproportionately affected.
However, they are more likely to score as having poor sleep quality on objective tests.
All of these can be mental stressors.
Lifestyle Changes
You may wish to consider positive lifestyle changes if you’re experiencing depression during menopause.
Consult a trusted healthcare provider before making any significant lifestyle changes.
They can advise you on these and other ways to help manage depression.
Due to hormonal fluctuations, menopause can lead to mood swings and trouble sleeping.
Summary
Depression is more common during menopause and due to socioeconomic factors that disproportionately affect Black people.
Black people experience depression during menopause more often than White people but are less likely to receive treatment.
2016;73(2):139-149. doi: 10.1001/jamapsychiatry.2015.2653
Johns Hopkins Medicine.Can menopause cause depression?
2011;135(1-3):10-9. doi:10.1016/j.jad.2011.01.011
Harvard Health.Menopause and insomnia: could a low GI diet help?
Anxiety & Depression Association of America.Depression symptoms.
Herson M, Kulkarni J.Hormonal agents for the treatment of depression associated with the menopause.Drugs Aging.
2020 Sept;26(9):885-895. doi:10.1111/cns.13385
