08/10/2025                                                                            
                                    
                                                                            
                                            Could Your Menopause Symptoms Actually Be MCAS?
8 out of 10 women I see in my clinic have Mast Cell Activation Syndrome (MCAS). MCAS symptoms often overlap with menopause symptoms, and if MCAS is not addressed, menopause symptoms may not improve.
There is no single definitive test for MCAS. Diagnosis is usually based on symptom history and response to treatment. Management often includes dietary changes, mast cell stabilising supplements, prescribed medications, and carefully tailored hormone replacement therapy. Progesterone in particular can act as a natural mast cell stabiliser.
Women with MCAS are more likely to have hypermobile joints, palpitations, headaches, a history of endometriosis, ADHD, polycystic ovarian syndrome, or autoimmune conditions such as an underactive thyroid.
Other common features include:
- Easy bruising
- Bloating and “leaky gut” symptoms
- Early morning waking (2–4 a.m.)
- Sinus symptoms
- Anxiety and panic attacks
- Itchy skin, hives, urticaria
- Wheezing or asthma-like symptoms
- Hair thinning
- Fluid retention
- Difficulty losing weight
- Lipoedema
- Aches and pains
 
10:10 Metabolic Reset
www.menopausemomentumnetwork.com