What are the psychological changes associated with menopause
Anxiety, irritability and depression commonly arise during the climacteric (around menopause time) and are usually
the group of symptoms which are worse in the pre-menopause period i.e.
a few years before periods cease.
Why does depression occur
Falling estrogen levels may reduce dopamine receptor sensitivity or reduce available tryptophan for serotonin synthesis, leading to reduced activity of central nervous system transmitters and consequent depression. Other causes of depression may also occur at the time of menopause. These include loss of reproductive potential, a perceived loss of femininity, marital disenchantment, the 'empty nest' syndrome and career disappointments.
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