Have you been feeling more anxious, overwhelmed or emotionally unsettled than usual?
During perimenopause, changing levels of oestrogen and progesterone can affect mood, sleep and how the body responds to stress. For some women, anxiety may appear for the first time or existing symptoms may become more noticeable.
Understanding what is happening—and seeking the right support—can make a meaningful difference
Perimenopause affects every woman differently. Symptoms can overlap with thyroid conditions, nutritional deficiencies, metabolic changes, sleep problems and mental health conditions, so it is important not to assume that anxiety is caused by hormones alone.
At Raffles Medical, our physicians take a personalised approach to women’s health, looking beyond individual symptoms to understand your overall health, lifestyle and wellbeing. Speak with our doctors to learn more about perimenopause, hormonal health and personalised women’s health assessments.
Track your symptoms
Keep a simple record of anxiety, mood changes, sleep, hot flushes, menstrual changes and other symptoms. Recognising patterns can help you and your doctor better understand what may be contributing to how you feel.
Discuss whether further health assessment is appropriate
Perimenopause is usually assessed based on age, symptoms and menstrual history rather than hormone tests alone, as hormone levels can fluctuate considerably during this stage. Depending on your symptoms and medical history, your doctor may recommend additional investigations, such as thyroid or other blood tests, to rule out contributing conditions.
Support stable energy and blood sugar
Regular, balanced meals containing protein, fibre, healthy fats and complex carbohydrates can support overall metabolic health and help avoid large fluctuations in energy that may leave you feeling more irritable or unsettled.
Prioritise quality sleep
Hormonal changes can contribute to night sweats, disrupted sleep and frequent waking—and poor sleep can make anxiety feel worse. Maintaining a regular sleep routine, keeping the bedroom cool and dark, and limiting caffeine and alcohol, particularly later in the day, may help.
Talk to your doctor
You don’t have to tolerate symptoms that are simply affecting your quality of life. Lifestyle measures may help, but some women may benefit from additional treatment. Depending on your individual symptoms, medical history and risk factors, options may include psychological therapies, medications and/or menopausal hormone therapy (MHT/HRT). Hormone therapy may not be suitable for everyone and should always be individually assessed and medically supervised.
Our Specialists
Dr. Jadranka Mihajlovic
Dr. Nguyen Thi Hong Anh
Dr. Chieko Matsumoto
Raffles Medical – Personalised Care for Every Stage of Women’s Health.
To book an appointment or learn more about our services, please contact:
Raffles Medical Ho Chi Minh City
frontdesk_hcmc@rafflesmedical.com
frontdesk_hcmc@rafflesmedical.com
hcmc_japan@rafflesmedical.com
SCOTTS MEDICAL SERVICES CO., LTD.
Enterprise Registration Certificate No. 0318056639, first issued on September 21, 2023
by the Department of Planning and Investment of Ho Chi Minh City.
Raffles Medical Hanoi
frontdesk_hanoi@rafflesmedical.com
frontdesk_hanoi@rafflesmedical.com
hanoi_japanese@rafflesmedical.com
LIFETIME HEALTH – HANOI BRANCH
Enterprise Registration Certificate No. 3502306822-002, first issued on June 1, 2016 by the Department of Planning and Investment of Hanoi City.
EXPATRIATE CARE with RAFFLES SPECIALISTS
at Level 3, American International Hospital (AIH):
EXPATRIATE CARE with RAFFLES SPECIALISTS
tại Lầu 3, BỆNH VIỆN QUỐC TẾ MỸ (AIH):
ラッフルズスペシャリストによる海外駐在員ケア
at Level 3, American International Hospital (AIH):
(This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.)
