Early menopause symptoms: Changes in oestrogen could lead to anxiety and depression

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Changes in hormone levels may influence neurotransmitters in the brain, said Dr Gonsalves.

“The drop in oestrogen levels can also lead to hot flashes that disturb sleep, which can then lead to anxiety and mood swings.

“If you experience symptoms of depression nearly every day for two or more weeks, you might be depressed.

“Talk with your doctor about finding a treatment that will work for you.

“Your doctor will also want to rule out any medical causes for your depression, such as thyroid problems.”

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