Not-for-profit health organization Jean Hailes says fear of sex with your husband could be adding to the stress and anger you’re directing his way.
Fearing sexual intimacy could be setting up a negative pain cycle: you fear sex, avoid sex, get frustrated, then the sex hurts more.
Their advice is to treat the physical symptoms first, such as looking into HRT or lubricants and moisturizers to help with vaginal dryness.
Treating the physical problems could help lower your anxiety and stress and better your overall mood. In turn, this may improve your relationship with your husband, or at least take the edge off your arguments.
Can HRT help manage menopause mood swings and anger?
If menopause-related mood swings or anger are affecting your relationship, hormone replacement therapy (HRT) may help restore hormonal balance and improve emotional well-being.
However, even if you and your partner are at your wit’s end with each other, we know HRT still gives many women pause.
Here’s why:
The HRT backlash first kicked off over 30 years ago. Researchers from a comprehensive long-term study thought HRT increased women’s risk for health concerns like heart disease, stroke, and breast cancer.
Here’s where things got confusing:
The scientists had been trying to determine if HRT could prevent women aged 50 to 79 from various illnesses. What they weren’t studying were the benefits of HRT as a short-term treatment for menopause symptoms for women in their 40s and 50s. But it was too late, and many women ended their HRT. Game over.
But, stick with us.
Since this time, the data has been reanalyzed, and it was revealed the original HRT research led to exaggerated risks for women (and a lot of unnecessary suffering).
According to the British Menopause Society, HRT provides more benefits than risks when treating symptoms (like a mood imbalance) for women under 60 years of age or within 10 years of menopause.
This off-kilter feeling (or seething anger or depression, depending on your individual experience) could be what’s causing the extra conflict with your partner, and talking with your doctor about whether HRT is suitable for you could be a good first step.
Even if an unnatural anger towards your husband is your only symptom or the one causing you the most concern, don’t dismiss what’s going on.
The anger you feel towards your husband could signify something bigger, and HRT could potentially help you course-correct your relationship by improving your mood imbalance.
How to manage menopause mood swings and anger
From supplements to therapy, there’s a range of evidence-based and natural options that can help improve your mood, reduce menopause-related anger, and support your relationship.
Best natural supplements for menopause mood swings
St John’s wort is a natural supplement derived from a wild flowering plant that might get your mood (and relationship) back on track. It can be taken as a pill or brewed as a tea.
St John’s wort has been known to have a positive effect on menopausal mood swings, as well as helping with your anxiety. However, if you think you have severe rather than mild depression, this might not be the option for you.
Yoga for menopause mood swings and stress relief
Yoga is more than just a way to get a good stretch, and several studies have shown that yoga is effective for reducing menopausal symptoms.
Researchers found that the stretching and relaxation techniques in yoga can help improve and stabilize your mood and improve your quality of life during menopause, which might help with the anger you’re feeling.
Whether you go to a class or carve out some time to practice yoga in your living room, it could also become an ideal go-to when you need a time-out from your husband if things are getting particularly heated. A more vigorous power yoga session could help release some of that anger.
Talk therapy and CBT for menopause anger and anxiety
Talking things out with a professional might help you determine if there’s more going on. It can also give you the tools to manage your menopause-induced anger a little better.
Whatever your motivation, either seeking out a psychotherapist on your own or with your husband could be an essential intervention.
Cognitive behavioral therapy (CBT) has also been proven to help with anxiety and mood swings. It can also help build your resilience and change thinking patterns about you and your partner.
For husbands and partners unsure about who this new person sleeping (or trying to sleep) next to you is, a bit of acknowledgment and understanding can go a long way.
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For starters, physical menopause symptoms can be incredibly debilitating. Your wife might be sweating through the day with hot flashes, if you’ve seen her experience these, you know they’re no joke. And when they happen at an unfortunate time, it can give rise to feelings of deep shame and embarrassment, as well as discomfort.
Scientists have shown that menopause symptoms like hot flashes and mood disorders can go hand in hand. So, know that she’s probably trying to manage a lot right now, and the anger she’s (unfortunately) directing your way is because of a whole range of reasons and frustrations that are out of her control.
Insomnia and interrupted sleep are common menopause symptoms. She may also be stealing the duvet one minute with chills and throwing it back onto you if night sweats kick in.
This could explain why your wife is a bit on edge (or in full-blown rage mode) before the alarm has even gone off.
Issues like bladder incontinence are experienced by 50% of postmenopausal women, sometimes all it takes is a tiny sneeze and she’s running to the bathroom. And she’s more prone to bladder infections now too. This might be something she’s uncomfortable sharing with a partner.
So, these types of symptoms could be impacting every aspect of her life, her work, her relationships with friends, and her marriage. She can’t just shrug it off.
We know husbands are likely to bear the brunt of the mood swings and anger, but patience and empathy could make a huge difference.
FAQs
Why do I feel angry during menopause?
Hormonal changes, especially fluctuating estrogen, can affect serotonin and other mood-regulating chemicals, leading to irritability or anger.
Is anger toward my husband common during menopause?
Yes. Many women report frustration or rage directed at their partners during perimenopause or menopause due to mood changes, poor sleep, and physical symptoms.
How can I manage menopause anger?
Options include hormone replacement therapy (HRT), talk therapy, and mind-body interventions such as hypnotherapy, yoga, and CBT.
Can menopause cause anxiety and depression?
Yes. During perimenopause, fluctuating hormone levels can increase vulnerability to anxiety and depression, especially for women with prior mood changes linked to hormonal cycles.
When should I talk to my doctor about menopause anger?
If your anger or mood swings are affecting your relationships, sleep, or quality of life, it’s worth speaking with your doctor. They can help assess hormone levels and discuss treatment options like HRT or therapy.
The Wrap Up
If you’ve been directing angry outbursts towards your husband lately, menopause could be to blame for this new rage. Fluctuating estrogen levels in menopause can make a huge impact on your overall mood, and potentially exacerbate your other symptoms like hot flashes, night sweats, and anxiety. And when you feel the rage rising, often your husband becomes an easy target. However, support, tools, and answers are available, such as HRT, antidepressants, and talk therapy. And for husbands feeling unsure about how to best support their partners, know that a little empathy goes a long way.
References
Cramer H, Peng W, Lauche R. Yoga for menopausal symptoms—A systematic review and meta-analysis. Maturitas. 2018;109:13-25. doi:10.1016/j.maturitas.2017.12.005
de Villiers TJ, Gass ML, Haines CJ, et al. Global consensus statement on menopausal hormone therapy. Climacteric. 2013;16(2):203-204. doi:10.3109/13697137.2013.771520
Elkins GR, Fisher WI, Johnson AK, Carpenter JS, Keith TZ. Clinical hypnosis in the treatment of postmenopausal hot flashes: A randomized controlled trial. Menopause. 2013;20(3):291-298. doi:10.1097/gme.0b013e31826ce3ed
Freeman EW, Sammel MD, Lin H, et al. Symptoms associated with menopausal transition and reproductive hormones in midlife women. Obstet Gynecol. 2007;110(2 Pt 1):230-240. doi:10.1097/01.AOG.0000270153.59102.4
Hunter MS, Chilcot J. Is cognitive behaviour therapy an effective option for women who have troublesome menopausal symptoms?. Br J Health Psychol. 2021;26(3):697-708. doi:10.1111/bjhp.12543
Information for partners. Jean Hailes for Women's Health. https://www.jeanhailes.org.au/health-a-z/menopause/information-for-partners. Published March 24, 2021. Accessed March 7, 2022.
Ketai LH, Komesu YM, Schrader RM, et al. Mind-body (hypnotherapy) treatment of women with urgency urinary incontinence: changes in brain attentional networks. Am J Obstet Gynecol. 2021;224(5):498.e1-498.e10. doi:10.1016/j.ajog.2020.10.041
Kulkarni J. Perimenopausal depression – an under-recognised entity. NPS Medicinewise. https://www.nps.org.au/australian-prescriber/articles/perimenopausal-depression-an-under-recognised-entity#r1. Published 2018, March. Accessed March 9, 2022.
Langer RD. The evidence base for HRT: what can we believe?. Climacteric. 2017;20(2):91-96. doi:10.1080/13697137.2017.1280251
Long-term follow-up suggests estrogen-only and combination hormone replacement therapy have opposite effects on breast cancer risk. Breastcancer.org. https://www.breastcancer.org/research-news/hrt-and-its-effect-on-bc-risk. Published January 10, 2020. Accessed March 10, 2022.
Mood and the menopause. Australasian Menopause Society. https://www.menopause.org.au/hp/information-sheets/mood-and-the-menopause. Published July 2021. Accessed March 7, 2022.