The Complete Guide to HRT and Anxiety

Woman thinking about HRT and Anxiety

Perimenopause—the transitional period before you reach menopause—can bring a range of uncomfortable symptoms, from hot flashes to itchy ears. 

But for many, the mental changes like anxiety and depression are the most unexpected (and unwelcome).

Anxiety can be overwhelming and affect your daily life, but you don’t have to navigate it alone. Hormone replacement therapy (HRT) offers a way to manage these symptoms, helping to bring balance back to your life.

In this guide, we’ll explore how hormones affect anxiety, how HRT works, and what you can expect if you’re considering this treatment.

What Is Anxiety?

Anxiety is a feeling of worry, nervousness, or fear that can range from mild to severe. While it’s normal to feel anxious in certain situations, chronic anxiety can disrupt your daily life.

The symptoms of anxiety can vary from person to person—some may feel constantly on edge and unable to sleep, while others might feel drained and struggle to get through their daily tasks. 

Common mental and physical symptoms of anxiety include:

  • Irritability and restlessness
  • Feelings of impending danger or panic
  • Difficulty concentrating
  • Elevated heart rate
  • Sweating or chills
  • Headaches
  • Gastrointestinal issues, such as nausea or stomach discomfort
  • Difficulty sleeping or excessive tiredness

Everyone’s experience with anxiety is different, but recognizing the symptoms is the first step toward finding the right support and treatment.

Can Hormones Cause Anxiety?

At various times in our lives, we might feel anxious due to specific situations, like a major life change or taking on more responsibilities at work. Some people even deal with ongoing anxiety disorders. But anxiety linked to perimenopause can feel different.

If you’re experiencing sudden bouts of racing heart, tension, or panic attacks without an obvious cause, and these symptoms appeared in your mid-thirties or forties, your hormones could be to blame.

During perimenopause, imbalances in hormone levels—especially estrogen and progesterone—can lead to mood swings, depression, and yes, anxiety. Additionally, other symptoms of perimenopause, such as hot flashes or night sweats, can trigger stress-like feelings, sending your brain into overdrive and making anxiety worse.

happy woman using HRT

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Does HRT Help With Anxiety?

If your anxiety is linked to a hormone imbalance, the right does of hormone replacement therapy (HRT) can be an effective way to find relief.

HRT works by balancing your progesterone and estrogen levels, which helps ease many perimenopausal symptoms, including anxiety. By restoring hormonal balance, HRT can also improve other common symptoms of menopause, like hot flashes, mood swings, and sleep disturbances, offering a more comprehensive approach to your well-being.

How Long Does HRT Take To Work For Anxiety?

When starting HRT, you may begin to notice relief from anxiety symptoms within a few weeks, but it typically takes around three months to experience the full effects. Hormonal treatments need time to build up in your system and achieve a steady balance, so patience is key during the initial stages.

It’s also important to remember that everyone responds to HRT differently. Some may find significant improvement early on, while others might need a few adjustments to find the right dosage. That’s why regular check-ins and open communication are essential throughout your treatment journey.

By tracking your progress and discussing how you’re feeling, we can make any necessary adjustments to your treatment plan to ensure you receive the best possible relief. 

HRT is not a one-size-fits-all solution, but with the right approach, it can be a powerful tool for managing anxiety and improving your overall quality of life.

Can HRT Cause Anxiety?

While HRT is often used to reduce anxiety, some people may feel more anxious when they first start treatment. This is rare and typically a temporary side effect that subsides after a few weeks of continued use. As your body adjusts to the new hormone levels, the effects of HRT often become more balanced, and anxiety symptoms can diminish.

To minimize side effects, including anxiety, many people opt for bioidentical hormone replacement therapy (BHRT). These hormones are designed to closely mimic your body’s natural hormones, resulting in a much lower incidence of side effects compared to traditional HRT.

By working closely with your healthcare provider, you can adjust your treatment to reduce anxiety and manage other menopausal symptoms effectively, ensuring a smoother and more comfortable transition.

happy womans face after using HRT treatment

Take Control Of Your Anxiety with Help from HRT

Anxiety during perimenopause can be challenging, but it doesn’t have to control your life. Hormone replacement therapy (HRT) can help by addressing the root cause of anxiety and restoring hormonal balance. 

While it may take a few weeks to see the full effects, HRT has been effective for many people looking to manage their symptoms and regain a sense of calm. 

If you’re experiencing anxiety and think it could be related to hormone changes, visit The Ageless Center at one of our three convenient locations. We specialize in bioidentical hormone replacement therapy, as well as weight loss programs and med spa services, to help you look and feel your best.

Contact us today to learn how we can support your journey to better health and well-being.