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Can Menopause Cause Dizziness? Exploring the Connection

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January 29, 2025
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Can Menopause Cause Dizziness? Exploring the Connection


Navigating menopause is hardly a one-size-fits-all course of. Each one that goes via this life change juggles their very own set of unwanted side effects, and whereas most of us are accustomed to ordinary signs like hot flashes, temper swings, weight fluctuations, and vaginal dryness, others are a bit of extra unknown and shocking. Considered one of them is a sense of dizziness, lightheadedness, or unsteadiness every so often. Who knew?!

Sadly, I did. I’ve had my share of clumsy moments not too long ago, and with my more and more irregular cycles in perimenopause, I may really feel fairly spaced out and off steadiness. Whereas it is irritating and generally a bit of scary, it is fortunately removed from irregular. Analysis estimates that 1 in 4 people experience dizziness in some unspecified time in the future throughout menopause. In different phrases, it should not come as a shock if you happen to get a case of the wobbles right here and there as your hormones shift.

Need to know precisely why menopause could cause dizziness? Learn on to be taught extra concerning the connection, plus find out how to restore your steadiness so you’re feeling a bit of extra even-keeled.

Associated Tales

How dizziness and menopause are related

This connection all begins with the powerhouse that’s your endocrine system—the physique system that helps produce and distribute your hormones. Throughout menopause, reproductive hormones like estrogen, testosterone, and progesterone will fluctuate wildly with dips and spikes. This hormonal imbalance can throw a complete host of physique methods out of whack—which might result in dizziness. Here’s a breakdown of a number of the the reason why:

1. Blood vessel adjustments

Your hormones assist management the way in which that your blood vessels narrow and widen. Extra particularly, when your estrogen ranges dip, your vasomotor system (a community of nerves that management blood movement) responds, which might set off emotions of vertigo or dizziness. This identical system can be partly responsible for hot flashes, which might happen as blood rushes via dilated vessels.

“There are over 100 completely different signs related to menopause or estrogen loss, and each palpitations and dizziness are nearing the highest of the record,” explains Bruce Dorr, MD, FACOG, an OB/GYN and authorized practitioner with the Menopause Society. “Each are doubtlessly an indication of vascular or blood vessel dysfunction which might result in unsteady emotions.”

2. Poor sleep

There are just a few completely different the reason why you are likely to have poorer sleep quality all through menopause. This will embrace anxiousness and stress preserving you awake at night time or restless legs syndrome—a situation that is common during menopause and causes ache and heaviness within the legs. Irrespective of the trigger, this lack of shut-eye can result in a feeling of imbalance or unsteadiness the following day.

“Sleep disruption whether or not as a result of night sweats, urge to urinate, or simply the busy thoughts and racing thoughts usually skilled throughout perimenopause, can contribute to psychological fogginess, dizziness, and clumsiness,” says Alyssa Dweck, MD, FACOG, a board-certified OB/GYN primarily based in New York and chief medical officer of Bonafide Health.

3. Fluctuating glucose ranges

Hormones may assist regulate your body’s insulin response, i.e., the way it processes sugar. However when they’re in flux throughout menopause, your glucose ranges may quickly go up or down, resulting in hyper- or hypoglycemia (aka excessive or low blood sugar). And a number of the fundamental unwanted side effects of hypoglycemia? Shakiness, weak spot, and feeling lightheaded.

4. Low iron

Whereas a few of us would possibly expertise fewer durations throughout perimenopause, others discover their durations arrive closer together, last more, or include a heavier movement of blood. Should you’re dropping extra blood, your iron ranges might drop and result in iron deficiency anemia, which might ship you straight into the dizzy zone. Other symptoms of iron deficiency anemia can embrace fatigue, weak spot, and pale pores and skin.

5. Swelling and stiff joints

Lastly, bloating (out of your physique holding onto water) is a generally reported menopause symptom. That, coupled with joint pain, can convey on an absence of coordination and make you’re feeling off-balance. “Water retention is a typical grievance throughout perimenopause,” says Dr. Dweck. “Swelling within the arms from water retention and normal joint stiffness, one other frequent symptom of perimenopause can result in clumsiness.”

Are there any long-term issues of dizziness throughout menopause?

Whereas annoying, the excellent news is that menopausal dizziness often clears as soon as an individual stops menstruating (aka stops getting a interval) and people hormone swings decelerate. “On the whole, signs of menopause subside over time, so it’s a matter of reassurance and time,” says Dr. Dorr. Ultimately, issues will begin to stage out.

One factor to notice, nevertheless: Menopausal clumsiness could make you extra liable to misstepping or bumping into issues. And since declining estrogen causes thinner skin during menopause, you would possibly find yourself bruising extra simply. (I’ve picked up greater than my justifiable share of bruises, and I usually cannot even bear in mind how I bought them within the first place.)

The right way to cut back menopause-related dizziness

With all this in thoughts, is it doable to regain steadiness and really feel steadier throughout menopause? Seems, some easy steps can go a great distance towards preserving menopause-related dizzy spells to a minimal. This is what you are able to do:

Do not skip meals or snacks

Attempt to attain for loads of high-quality nutritious meals and snacks all through your day, which is able to assist hold dizzy spells at bay. What you place into your “tank” will make sure you’re not working on fumes or feeling weak. Goal to include extra entire grains, lean protein, wholesome fat, and produce into your each day meals.

Keep hydrated

Should you’re coping with sizzling flashes and night sweats, likelihood is you are dropping a little bit of water every day, which might lead to dehydration. This lack of fluid can wreak havoc in your steadiness. “Dehydration leads to lower blood pressure which might trigger dizziness, particularly upon standing,” says Dr. Dweck. Be sure to’re replenishing by getting 11.5 to 15.5 cups per day, via ingesting and consuming water-rich meals.

Get loads of sleep

In the case of decreasing dizzy spells (and different menopause signs), getting sufficient sleep is essential. This implies you may need to up your sleep hygiene, or each day habits that assist facilitate a very good night time’s relaxation. This would possibly appear to be setting the thermostat in your bed room a few degrees cooler, much less scrolling in your cellphone and exposure to screens at night, and skipping that post-dinner glass of wine or cocktail that can assist you keep asleep longer. All this will result in feeling much less lopsided the following morning.

Calm anxiousness and stress responses

Analysis has proven that lightheadedness can be associated with anxiety and stress, so calming your nerves could assist you really feel extra regular. You are able to do this with mindfulness actions like guided meditations, gentle yoga, or breathwork. Or, you’ll be able to attempt clinically studied dietary supplements that can assist you chill out—like ashwagandha and Relizen (constituted of Swedish flower pollen and thought to alleviate issues like sizzling flashes).

In fact, all the time speak to your healthcare supplier earlier than attempting out any new dietary supplements.

Contemplate hormone remedy

Taking supplemental estrogen—usually known as hormone therapy—could be a useful method to cut back menopause signs like sizzling flashes and joint ache, thereby probably decreasing dizziness. Living proof: A 2017 examine discovered individuals who took estrogen for menopause signs reported a considerably lower incidence of dizziness when in comparison with those that had not.

“Protected and efficient hormone remedy will be useful and in the long run, not solely enhance high quality of life signs, however general well being and wellness,” Dr. Dorr says.

When to see a healthcare supplier

Whereas it’s comforting to know many individuals in menopause expertise dizziness, it could possibly nonetheless be a scary expertise when it strikes. If it’s beginning to hit you on a each day, you’ll wish to seek the advice of together with your care staff.

“It’s all the time necessary to hunt medical recommendation when your life is affected and regular routines are restricted as a result of signs,” Dr. Dorr says. “Dizziness will be attributed to all kinds of diagnoses,” so it is necessary to see your healthcare supplier to get to the foundation trigger.

From there, your supplier can decide which therapies can be best for you. This might embrace life-style adjustments that make a giant distinction in each your steadiness and your general well-being as you’re employed via menopause.


Effectively+Good articles reference scientific, dependable, latest, sturdy research to again up the data we share. You possibly can belief us alongside your wellness journey.


  1. Anderson, D., Yoshizawa, T., Gollschewski, S., Atogami, F., & Courtney, M. (2004). Menopause in Australia and Japan: results of nation of residence on menopausal standing and menopausal signs. Climacteric, 7(2), 165–174. https://doi.org/10.1080/13697130410001713760

  2. Raj, Aditya et al. “The Influence of Menopause on Cardiovascular Getting old: A Complete Assessment of Androgen Influences.” Cureus vol. 15,8 e43569. 16 Aug. 2023, doi:10.7759/cureus.43569

  3. Seeman, Mary V. “Why Are Ladies Liable to Stressed Legs Syndrome?.” Worldwide journal of environmental analysis and public well being vol. 17,1 368. 6 Jan. 2020, doi:10.3390/ijerph17010368

  4. Kim, Sung Kyun, et al. “Relationship between sleep high quality and dizziness.” PLOS ONE, vol. 13, no. 3, 7 Mar. 2018, https://doi.org/10.1371/journal.pone.0192705.

  5. De Paoli, Monica, et al. “The function of estrogen in insulin resistance.” The American Journal of Pathology, vol. 191, no. 9, Sept. 2021, pp. 1490–1498, https://doi.org/10.1016/j.ajpath.2021.05.011.

  6. Magliano M. Menopausal arthralgia: Reality or fiction. Maturitas. 2010 Sep;67(1):29-33. doi: 10.1016/j.maturitas.2010.04.009. PMID: 20537472.

  7. Stachenfeld, Nina S. “Hormonal adjustments throughout menopause and the impression on fluid regulation.” Reproductive sciences (Thousand Oaks, Calif.) vol. 21,5 (2014): 555-61. doi:10.1177/1933719113518992

  8. Thornton, M Julie. “Estrogens and getting old pores and skin.” Dermato-endocrinology vol. 5,2 (2013): 264-70. doi:10.4161/derm.23872

  9. Hale, Lauren et al. “Youth Display Media Habits and Sleep: Sleep-Pleasant Display Habits Suggestions for Clinicians, Educators, and Mother and father.” Baby and adolescent psychiatric clinics of North America vol. 27,2 (2018): 229-245. doi:10.1016/j.chc.2017.11.014

  10. Terauchi, Masakazu et al. “Dizziness in peri- and postmenopausal girls is related to anxiousness: a cross-sectional examine.” BioPsychoSocial drugs vol. 12 21. 12 Dec. 2018, doi:10.1186/s13030-018-0140-1

  11. Gopal S, Ajgaonkar A, Kanchi P, Kaundinya A, Thakare V, Chauhan S, Langade D. Impact of an ashwagandha (Withania Somnifera) root extract on climacteric signs in girls throughout perimenopause: A randomized, double-blind, placebo-controlled examine. J Obstet Gynaecol Res. 2021 Dec;47(12):4414-4425. doi: 10.1111/jog.15030. Epub 2021 Sep 22. PMID: 34553463.

  12. Simon, James A., and René Druckman. “Non-hormonal therapy of perimenopausal and menopausal climacteric signs [1a].” Obstetrics & Gynecology, vol. 127, no. Complement 1, Could 2016, https://doi.org/10.1097/aog.0000000000001373.

  13. Liu, Ding-Hao, et al. “Age-related will increase in benign paroxysmal positional vertigo are reversed in girls taking Estrogen Alternative remedy: A population-based examine in Taiwan.” Frontiers in Getting old Neuroscience, vol. 9, 12 Dec. 2017, https://doi.org/10.3389/fnagi.2017.00404.




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