The Brain Catches Fire at Menopause
An exploration of the physical and emotional changes that can spur growth and creativity for women at midlife.
BY: Christiane Northrup, M.D.
Debunking the Myth of Raging Hormones
Though hormone levels and mood do tend to fluctuate widely during our reproductive years, and even more widely during our perimenopausal years, research has failed to show any appreciable differences between the hormone levels of those women who suffer from PMS-like symptoms and those who don't.
What has been well documented, however, is that the brains of women who suffer the most from PMS-like symptoms are more susceptible to the effects of fluctuating hormone levels. In other words, it is not the hormone levels per se that are the problem; it is the particular combination of a woman's hormone levels and her pre-existing brain chemistry, along with her life situation, that results in her symptoms. It is estimated that 27 percent of all women who become depressed premenstrually will be very sensitive to the hormonal changes that occur at menopause.
Though we tend to blame perimenopausal symptoms on hormonal shifts in the body, their origins are far more complex. Several women in my practice, for example, have experienced symptoms such as hot flashes and mood swings in their later 40s--despite having been on full hormone replacement for over 20 years as a result of hysterectomies and removal of their ovaries while in their 20s. Changes in reproductive hormones alone do not account for these symptoms. They are signals from our mind and body that we have reached a new developmental stage--an opportunity for healing and growth.
Until midlife, it is characteristic for a woman's energies to be focused on caring for others. She is encouraged to do so, in part, by the hormones that drive her menstrual cycles--the hormones that foster her instincts for nurturing. But for two or three days each month, just before or during our periods, there is a hormonal interlude when the veil between our conscious and unconscious selves is thinner and the voice of our souls beckons to us, subtly reminding us of our own passions, our own needs, which cannot and should not always be subsumed to the needs of those we love.
I like to think of the first half of our cycles as the time when we are both biologically and psychologically preparing to give birth to someone or something outside of ourselves. In the second half of our cycles, we prepare to give birth to ourselves. It is at this time that the more intuitive parts of our brain become activated, giving us feedback and guidance about the state of our inner lives.