@drjudithjoseph: How many of you have been there? 🩸 Hormonal Imbalance: Shifting levels of estrogen and progesterone (especially a drop in progesterone) can cause the lining of to become thicker than usual before it sheds. Heavy Flow: When this extra-thick lining sheds, it results in a much heavier flow. If the blood pools before it is expelled, it coagulates and forms jelly-like clots. Heavy bleeding in perimenopause severely impacts mental health through both biological and lifestyle disruptions. Fluctuating hormones directly dysregulate mood-boosting neurotransmitters, while chronic blood loss causes iron-deficiency anemia, leading to debilitating fatigue. Furthermore, unpredictable bleeding creates a significant source of daily anxiety, embarrassment, and distress. Hormonal Mood Dysregulation: Drastic and unpredictable fluctuations in estrogen and progesterone directly affect the brain's mood pathways, increasing the risk of new or worsening depression, irritability, and anxiety. Anemia-Induced Fatigue: Heavy blood loss often causes iron-deficiency anemia, which results in profound lethargy, shortness of breath, and brain fog, making it extremely difficult to cope with daily stressors. Lifestyle Interruption: Unpredictable, heavy flow leads to significant anxiety about leaking in public, disrupting work, social activities, and intimate relationships. Sense of Loss of Control: Unlike predictable premenstrual syndrome (PMS), perimenopausal bleeding follows no set schedule. Not knowing from day to day how severe a period will be creates immense psychological distress and feelings of being "out of control" @chiouhuey thanks for inspo #creatorsearchinsights #periods #perimenopause #menopause #MentalHealth

Dr. Judith | Psychiatrist

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Tuesday 23 June 2026 10:35:24 GMT