18/04/2026
Hypervigilance, a low threshold for overwhelm, palpitations, anxiety, feeling out of control…. Some of the hallmarks of perimenopause for many women.
In perimenopause, you’re in the eye of the storm hormonally. The impact on your cortisol levels can lead to up-regulation of your sympathetic nervous system- the so called “fight and flight” response.
Tips for how to manage this:
1) Good quality HRT- generally speaking, oestrogen, progesterone and testosterone all have the potential for providing neurocalming effects
2) Prioritising sleep through hormonal adjustments and good sleep hygiene
3) Quality of diet- a high protein, low GI, plant diverse diet designed to nourish
4) Regular exercise, avoiding too much high intensity cardio which can increase cortisol levels; prioritising strength training 💪🏻
5) Opportunities for mindfulness and stillness 🧘♀️ Feeling present, breath work, gentle movement which connects mind and body
6) Selective supplementation to support the nervous system and aid cortisol re-balancing