How does perimenopause affect women’s mental health?

Perimenopause causes major hormonal fluctuations that can impact brain chemicals like serotonin and dopamine, leading to anxiety, depression, irritability, brain fog, sleep issues, and loss of confidence. Dr. Uthra S explains that these changes are often misdiagnosed as stress or depression alone, and treatment may include HRT, SSRIs, lifestyle changes, and proper medical evaluation.