Quitting Alcohol in Perimenopause

The number one thing that surprised me the most when making changes to alleviate my peri symptoms was quitting alcohol. It had a lot of other significant side effects that I really wasn't expecting like helping me recall a lot of trauma that I had been pushing down for years. Even though it was tough to have these feelings and memories bubble up to the surface again, it was an incredible feeling to finally deal with them in a way where they are now fully resolved.

Perimenopause can feel like riding a rollercoaster, with all the ups and downs that come with hormonal changes. One topic that often comes up is alcohol consumption. The relationship between alcohol, hormones, and the symptoms of perimenopause is quite complex - here’s how your drinking habits might affect you during this time and what you can do about it. Maybe you don't want to quit completely like I did, but prefer to reduce your intake.

During perimenopause, our bodies go through significant hormonal shifts, especially with estrogen and other hormones. These changes can impact everything from mood to sleep. Interestingly, alcohol consumption can also influence hormone levels, leading to increased amounts of estradiol, estrone, and testosterone. While a drink now and then might feel fine, these elevated hormone levels could raise the risk of health issues, including breast cancer (which is another thing I never really considered when I was drinking).

When you're younger, drinking alcohol can increase reproductive hormone levels, particularly at certain times in the menstrual cycle. But as you move into perimenopause, these effects can become more pronounced. Fluctuating hormones might make anxiety and stress worse, prompting some of us to reach for alcohol as a way to cope - I know I certainly did this. Unfortunately, this can create a cycle where drinking more leads to worsening symptoms, making it even harder to manage.

For many women of the women I know, alcohol serves as a quick escape from the pressures of life and the challenges of perimenopause. While it might offer temporary relief, relying on alcohol can ultimately worsen feelings of anxiety and depression. This can trap you in a cycle where you feel like you need a drink to cope, which isn’t a healthy place to be.

The connection between alcohol and sexual function is also a bit tricky. Some studies suggest that moderate drinking can enhance sexual experiences due to increased oestrogen or changes in behaviour. However, overdoing it can lead to sexual dysfunction, which can be particularly frustrating during a time when many of us are already facing changes in libido.

One thing I never considered, and one of the most concerning aspects of drinking during perimenopause is its potential link to breast cancer. The rise in oestrogen levels associated with alcohol can contribute to this increased risk, making it vital to be mindful of how much you’re drinking as your body goes through these changes.

Alcohol can also make common perimenopausal symptoms like hot flushes and mood swings more intense. It’s really important to understand this connection so you can manage your symptoms better. If you’re chatting with your healthcare provider, make sure to bring up your alcohol consumption as part of the conversation.

The relationship between alcohol, hormones, and perimenopausal symptoms highlights the importance of being aware of your drinking habits. While enjoying a glass of wine or a beer occasionally is fine, heavy drinking can pose significant health risks.

• Set Personal Limits: Think about setting some boundaries for your drinking to help keep it in check.

• Explore Alternatives: Try out non-alcoholic drinks or low-alcohol options that allow you to enjoy social gatherings without the effects of alcohol. I am now obsessed with tasting all the non-alcoholic beer and wine that's available!

• Seek Support: If you find cutting back difficult, don’t hesitate to reach out for help. Professional guidance or support groups can make a world of difference.

Perimenopause is a time of transition, and the connection between alcohol and hormonal changes can add to the complexity. By understanding these relationships, you can make more informed choices about your drinking habits, leading to a healthier, happier you during this stage of life. Remember, you’re not alone in this journey—there are plenty of resources and support available to help you manage your alcohol use and the symptoms of perimenopause. Cheers to taking care of yourself!

My cookbook transforms your peri symptoms into opportunities for refreshment with signature mocktails designed for hormonal harmony. The cooling Cucumber Lime Mojito Spritz tackles hot flashes, while my Spiced Winter Warmer soothes evening temperature fluctuations. When brain fog threatens, reach for the Caramel Cold Brew Cloud's sustained focus without the anxiety spike. My antioxidant-rich Berry Hibiscus Refresher and electrolyte-balanced Tropical Coconut Lime Cooler support skin health and hydration during hormonal shifts. From the inflammation-fighting Crimson Citrus & Herb Cooler to the mood-lifting Citrus Thyme Sunshine, each sophisticated recipe delivers complex flavors while addressing specific perimenopause symptoms - proving wellness can be both effective and delicious!

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References:

Fucho, G., Delgado, L., González-Rodríguez, A., Guàrdia, A., Álvarez, A., Crivillés, S., Barbero, J., Monreal, J., Labad, J., & Vidal, P. (2022). The impact of sexual hormones on depressive symptoms and alcohol use in a woman with delusional disorder at the perimenopausal stage: case report and review of recent works. European Psychiatry, 65, S863 - S863. https://doi.org/10.1192/j.eurpsy.2022.2238.

Reichman, M., Judd, J., Longcope, C., Schatzkin, A., Clevidence, B., Nair, P., Campbell, W., & Taylor, P. (1993). Effects of alcohol consumption on plasma and urinary hormone concentrations in premenopausal women.. Journal of the National Cancer Institute, 85 9, 722-7 . https://doi.org/10.1093/JNCI/85.9.722.

Tin, T., Key, T., & Reeves, G. (2021). Alcohol Intake and Endogenous Hormones in Pre- and Postmenopausal Women: Findings from the UK Biobank. Cancer Epidemiology, Biomarkers & Prevention, 30, 2294 - 2301. https://doi.org/10.1158/1055-9965.EPI-21-0789.

Tin, T., Smith-Byrne, K., Ferrari, P., Rinaldi, S., McCullough, M., Teras, L., Manjer, J., Giles, G., Marchand, L., Haiman, C., Wilkens, L., Chen, Y., Hankinson, S., Tworoger, S., Eliassen, A., Willett, W., Ziegler, R., Fuhrman, B., Sieri, S., Agnoli, C., Cauley, J., Menon, U., Fourkala, E., Rohan, T., Kaaks, R., Reeves, G., & Key, T. (2024). Alcohol intake and endogenous sex hormones in women: Meta-analysis of cohort studies and Mendelian randomization.. Cancer. https://doi.org/10.1002/cncr.35391.

Sarkola, T., Makisalo, H., Fukunaga, T., & Eriksson, C. (1999). Acute effect of alcohol on estradiol, estrone, progesterone, prolactin, cortisol, and luteinizing hormone in premenopausal women.. Alcoholism, clinical and experimental research, 23 6, 976-82 . https://doi.org/10.1111/J.1530-0277.1999.TB04215.X.

Schliep, K., Zarek, S., Schisterman, E., Wactawski‐Wende, J., Trevisan, M., Sjaarda, L., Perkins, N., & Mumford, S. (2015). Alcohol intake, reproductive hormones, and menstrual cycle function: a prospective cohort study.. The American journal of clinical nutrition, 102 4, 933-42 . https://doi.org/10.3945/ajcn.114.102160.

Islam, N., Shihab, S., Kanani, D., & Vegunta, S. (2024). (066) EXPLORING THE IMPACT OF ALCOHOL ON SEXUAL FUNCTION IN PERIMENOPAUSAL WOMEN. The Journal of Sexual Medicine. https://doi.org/10.1093/jsxmed/qdae054.061.

Reisel, D., Kamal, A., Glynne, S., & Newson, L. (2024). Menopause and Risk-Taking Behaviours: A Cross-Sectional, Online Survey. BJPsych Open. https://doi.org/10.1192/bjo.2024.232.

Barone, J., Ross, J., Nagpal, A., Guzman, G., Berenz, E., Pang, R., & Eisenlohr-Moul, T. (2023). Alcohol use and motives for drinking across the menstrual cycle in a psychiatric outpatient sample.. Alcoholism, clinical and experimental research. https://doi.org/10.1111/acer.14971.

Disclaimer: This information is for general educational purposes only, not medical advice. Always consult a qualified medical provider before changing any health regimen. Medical practices vary globally. Information presented here should not replace professional medical consultation or treatment. Any reliance on this content is at your own risk.

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