Menopause and Anxiety | PYHP 141

In this episode we discuss Jenell’s question she submitted on our website (Ask the Dr). Jennell has been having terrible anxiety since entering menopause and it is really affecting her quality of life. Jenell’s Question: Since starting menopause, I’ve had debilitating anxiety, especially bad in the morning. By evening, It practically goes away. I’m 54 and have been on BHRT 50/50 Bi-est and 175 mg progesterone for 3 months. My hot flashes reduced but the anxiety remained. Now hot flashes are returning and the anxiety is increasing even more. It was determined to put me on Bi-est 50/50 0.8 mg/ml of estrogen cream and 175 mg progesterone SR. I know I need estrogen to keep up serotonin levels. I tried this new delivery method (est cream and prog pills) for 2 days and felt drugged but with even more very high anxiety, if that’s possible. I’d like to get back to work of some kind, but I can’t seem to get this anxiety under control, although I’m told progesterone will do that. I hope you have some ideas. It’s been three years and my life has radically changed because of this anxiety. We breakdown Jenell’s question into: ● Why does menopause cause anxiety? ● Hormone replacement dosing for menopausal symptoms. ● How adrenals can affect anxiety. ● How to reduce morning fatigue caused by oral progesterone. If you have a question, please visit our website and click  Ask the Doctor a question.