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What Causes Extreme Mood Shifts in Women?

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Extreme mood shifts are a common experience among women, and while mild fluctuations in mood are normal, extreme swings can disrupt daily life and well-being. Hormones, mental health factors, and lifestyle all contribute to these shifts, and understanding the root causes can help women manage them better.

Common Causes of Extreme Mood Shifts in Women

1. Hormonal Changes

Hormonal fluctuations, particularly related to the menstrual cycle, pregnancy, and menopause, are significant contributors to mood swings in women. The following hormonal changes can impact emotions:

  • Menstrual Cycle: During the menstrual cycle, estrogen and progesterone levels fluctuate, affecting mood. For some women, this can lead to premenstrual syndrome (PMS) or even premenstrual dysphoric disorder (PMDD), which is more severe and involves intense mood swings, irritability, and depression.
  • Pregnancy: Hormones surge during pregnancy, affecting mood stability. Pregnancy can also bring about physical discomfort and changes in lifestyle, which may contribute to mood swings.
  • Menopause: Menopause, marked by the decline of estrogen, often brings mood swings, anxiety, and depression. Perimenopause, the period leading up to menopause, also involves hormonal changes that can impact mood.

2. Mental Health Disorders

Conditions like anxiety, depression, and bipolar disorder often manifest with extreme mood shifts. Depression can bring on episodes of sadness, irritability, and even hopelessness, while anxiety may lead to mood swings due to constant worry or panic. Women with bipolar disorder experience high and low mood states, sometimes shifting dramatically.

3. Lifestyle and Environmental Factors

Lifestyle elements like poor sleep, high stress levels, and a lack of physical activity can worsen mood swings. Nutritional deficiencies or a diet high in sugar and processed foods can also affect mood regulation.

4. Chronic Health Conditions

Some health conditions, such as thyroid disorders, can contribute to mood swings. Hypothyroidism (low thyroid hormone levels) is often linked to feelings of depression, while hyperthyroidism (high thyroid hormone levels) may lead to anxiety and restlessness.

5. Medications

Certain medications, such as birth control pills and antidepressants, can have side effects that affect mood. In some cases, the way these medications interact with hormones or neurotransmitters can lead to mood swings.

Managing Mood Swings

Although mood swings are challenging, there are ways to manage them effectively:

  • Regular Exercise: Physical activity helps stabilize mood by releasing endorphins.
  • Healthy Diet: Consuming a balanced diet rich in nutrients can help stabilize energy levels and support overall mental health.
  • Stress Management: Practices like meditation, deep breathing, and journaling can be helpful in reducing stress and preventing mood shifts.
  • Adequate Sleep: Ensuring quality sleep supports mood regulation and reduces irritability.

When to See a Doctor

If mood swings become severe, impact daily life, or are accompanied by other concerning symptoms, it may be time to consult a medical professional. A gynecologist in Karnal can assess whether hormonal imbalances are contributing to mood shifts. They may also provide guidance on managing PMS or menopausal symptoms.

Signs that Warrant Medical Attention:

  • Persistent sadness, anxiety, or irritability
  • Sudden and intense mood changes that disrupt daily life
  • Physical symptoms like fatigue, headaches, or unexplained weight changes
  • Symptoms of depression or bipolar disorder
  • Disruptive symptoms related to the menstrual cycle

Speaking to a gynecologist can provide clarity on the underlying causes and possible treatments.

Picture of Dr. Gitanjali Thakur

Dr. Gitanjali Thakur

Dr. Gitanjali Thakur, a postgraduate in Obstetrics & Gynecology from St. Stephens Hospital, Delhi, has had a distinguished career. She began her journey at Kasturba Hospital, subsequently serving as a Consultant at Government Hospital, Karnal. In 2019, she broke new ground by pioneering Non-Invasive Cosmetic Gynecology at Thakur Hospital.

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