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Why do some women experience perimenopausal rage?

Perimenopause refers to the years before menopause; hormone fluctuations can occur anywhere from the 2 to 10 years before a woman stops having her period. Women in the 35-55 age group are vulnerable to the type of anger called "perimenopausal rage." Science has been trying to understand this, as women are complex and each of us is unique as well. There is a complicated and delicate balance of hormones in women, such as estrogen, progesterone, testosterone, dehydroepiandrosterone (DHEA) and pregnenolone. What we know is that hormones start to change with the aging process and often fall far out of balance in perimenopause. This mismatch of hormone activity can impact the feel-good chemistry of the brain in many women and cause extreme emotions, including perimenopausal rage. It can also trigger hot flashes, night sweats, hair loss and restless sleep -- just to name a few other symptoms.

What I tend to see in perimenopausal women is that in the second-half of their cycles, progesterone declines while estrogen may fluctuate wildly. There can also be shifts in androgens like testosterone. But the overall mismatch between hormone levels or a change in proportions seems to be the real problem trigger in many women, and the source of this newfound rage. The key is promoting balance again.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.