26/09/2025
Alcohol & Menopause: The Hidden Connection
Hot flushes. Night sweats. Brain fog. Mood swings. Weight gain.
Menopause can feel like a rollercoaster at the best of times.
Now add alcohol.
For many women in midlife, a glass of wine feels like a friend: a way to unwind after work, to join in socially, to take the edge off stress. But the truth is more complicated - and far less forgiving during the menopause transition.
Here’s what the research tells us:
Alcohol dilates blood vessels, often triggering or intensifying hot flushes and night sweats.
It disrupts sleep quality, leaving you more restless and exhausted - even if it helps you drift off.
Brain fog, already common in menopause, worsens with regular drinking.
Alcohol is a depressant: it can amplify anxiety, low mood and irritability.
Risks of breast cancer, osteoporosis and heart disease - all heightened after menopause - are made worse by drinking.
Yet the pressure to drink is everywhere. Wine nights with friends. Work dinners. “Me-time” rituals with a glass in hand. And let’s not forget how alcohol has been marketed to women for decades as a well-earned reward.
So many women tell me they know alcohol makes them feel worse but the cultural script is powerful and hard to resist. That’s not weakness - it’s social conditioning.
Here’s the good news: once you spot the connection, you can start to experiment. Many women find that even cutting back - swapping the first drink for sparkling water, choosing a mocktail, setting “alcohol-free nights” - brings huge improvements in sleep, energy, mood and confidence.
This post is part of my new series on Alcohol & Health Across the Ages. At the end, I’ll be sharing practical strategies for reflecting, restructuring habits, and reshaping your relationship with alcohol - without doom or total abstinence.
Because the truth is, menopause is hard enough. You deserve tools that make it easier, not harder.