Think It’s Just Hormones
Understanding Tearfulness In Menopause

For many women, one of the quieter yet most unsettling parts of menopause is the sudden wave of tearfulness. Not just the odd film-induced cry, but moments that seem to arrive without warning – in the car, at work, or even while picking out dinner in the supermarket. The keyword here is common: tearfulness during menopause is something countless women experience, yet it is rarely talked about with the same openness as hot flushes or night sweats.

Normalising the Experience

• Tearfulness is a recognised symptom of perimenopause and menopause, often linked to hormonal changes and emotional strain.

• It is not a sign of weakness, instability, or personal failing.

• Many women describe it as a kind of emotional “spillage” – a release valve that feels beyond conscious control.

• Shared stories highlight that tearfulness can be both confusing and strangely cathartic.

Tears in this stage of life are not just about sadness; they can signal stress, overwhelm, or even a shift in how the brain processes emotion. Knowing it is common can offer immediate reassurance.

If you have ever found yourself blinking back tears in a checkout queue while staring at a dented tin of tomatoes, you are not alone. And understanding why it happens is the first step to managing it.

When tearfulness shows up more often than usual, it is not simply a matter of being "too sensitive." The shifts of perimenopause and menopause have a biological basis, particularly within the delicate interplay of hormones and brain chemistry. Understanding the science can feel like someone finally switching the light on in a dim room.

Hormonal Shifts and Brain Chemistry Explained

• Oestrogen, which naturally declines in perimenopause, is closely linked to serotonin – the brain chemical often nicknamed the "feel-good" messenger. As oestrogen levels dip, serotonin production and activity also fluctuate, making mood changes more likely.

• Progesterone, another hormone in transition, can heighten feelings of anxiety or restlessness when levels fall unevenly.

• This chemical backdrop means tears can surface without an apparent trigger, much like a sudden rain shower on an otherwise sunny day.

Distinguishing Tearfulness from Depression

• Tearfulness alone does not always mean depression. Many women describe it as a passing surge, rather than a persistent low mood.

• Signs that warrant further attention include prolonged sadness, loss of interest in daily activities, or changes in sleep and appetite lasting more than two weeks.

• GPs and menopause specialists often recommend simple screening tools to help differentiate natural hormonal mood changes from clinical depression.

• If in doubt, speaking to a health professional can bring both clarity and support – you do not need to navigate this distinction on your own.

In short, menopause-related tearfulness is not imagined, nor is it a failing. It is rooted in fundamental, measurable changes within the body.

Hormones may set the stage, but daily life often determines how tearfulness plays out. Many women in their 40s and 50s describe this period as an emotional juggling act – careers at a peak, children growing more independent (or more demanding), and parents beginning to need care. It is little wonder that tears arrive more readily when the load is heavy.

Stress Load and Life Transitions

• Menopause often coincides with midlife changes: career pressures, relationship shifts, or caring for both teenagers and ageing parents.

• These overlapping responsibilities amplify emotional sensitivity, leaving less capacity to “hold it together.”

• The result can be tears triggered not by one event, but by the cumulative weight of many.

Sleep Disruption and Emotional Volatility

• Hot flushes, night sweats, and insomnia are well-known menopause symptoms that erode sleep quality.

• Poor sleep increases cortisol, the stress hormone, and reduces resilience the next day.

• Even minor setbacks – like spilling coffee on a white blouse just before work – can feel disproportionately overwhelming when the body is running on empty.

Cultural Silence and Loneliness

• While conversations about menopause are improving, many women still feel they cannot voice their emotional struggles without judgment.

• In workplaces or family settings, tearfulness may be misread as weakness rather than a natural part of transition.

• This silence can leave women feeling isolated, as though no one else is experiencing the same intensity of emotions.

Taken together, these social and lifestyle triggers can act like fuel on an already sensitive system, intensifying the experience of tearfulness.

While knowing the science and triggers brings clarity, most women want to know one thing: what can I actually do when the tears won’t stop? The good news is that there are practical, evidence-based strategies that can make tearfulness feel less overwhelming and more manageable.

Self-Soothing in the Moment

• Simple breathing techniques, such as slow exhalations, can calm the nervous system and steady racing thoughts.

• Writing down what you are feeling, even in quick bullet points on your phone, helps create distance between you and the emotion.

• Grounding exercises – like naming five things you can see or hear – pull your mind back from spirals of overwhelm.

• Even stepping outside for two minutes of fresh air can act as a reset when tears threaten to spill over.

Building Emotional Resilience Day-to-Day

• Regular physical activity, particularly brisk walking or yoga, has been shown to improve mood regulation.

• Diets rich in omega-3 fatty acids, leafy greens, and B vitamins support brain health and emotional stability.

• Social connection is protective: whether it’s coffee with a friend or joining a group, shared conversation lightens the load.

• Small daily rituals – from morning stretches to evening journaling – create pockets of stability amid hormonal fluctuations.

Professional Support Options

• Cognitive Behavioural Therapy (CBT) has strong evidence for reducing menopausal distress, helping women reframe negative thought patterns.

• Counselling provides a confidential space to process emotions without fear of judgment.

• Workplace wellbeing programmes and menopause support groups are increasingly available in the UK, offering both practical advice and peer reassurance.

• For persistent or debilitating symptoms, seeking advice from a GP or menopause specialist ensures tailored treatment.

Managing tearfulness is rarely about one single fix – instead, it’s a toolkit of small but powerful practices that, layered together, make a difference.

For some women, lifestyle changes provide enough relief. But for others, tearfulness continues to interfere with daily life despite best efforts. At this point, medical treatments can be an essential option – not as a last resort, but as part of a balanced approach to emotional well-being during menopause.

HRT and Mood Regulation

• Hormone Replacement Therapy (HRT) works by replenishing oestrogen levels, helping to stabilise mood fluctuations linked to hormonal decline.

• Many women report improvements not only in tearfulness but also in sleep, energy, and overall emotional stability.

• HRT is not suitable for everyone – factors such as medical history and individual risk need to be carefully considered with a GP or menopause specialist.

• The decision is rarely straightforward, but balanced discussions about benefits and risks allow women to make informed choices.

Non-Hormonal Medications Worth Considering

• For those who cannot or choose not to take HRT, certain antidepressants (such as SSRIs and SNRIs) can help regulate mood and reduce tearfulness.

• These are not prescribed for everyone, but may be considered if emotional symptoms are severe or persistent.

• Other non-hormonal options include clonidine or gabapentin, sometimes used for hot flushes but with mood-stabilising effects in certain women.

• Decisions around medication should always involve a tailored medical assessment rather than a one-size-fits-all approach.

For many, simply knowing there are medical options available can be reassuring whether hormonal or non-hormonal, treatments can restore a sense of steadiness when everyday tears become too heavy a burden.

Tearfulness during menopause can feel like it takes centre stage – but it does not have to define the whole performance. For many women, shifting perspective from “something to be fixed” to “something to be understood” makes the experience more manageable, even meaningful.

Reframing Tearfulness as Part of Transition

• Tears are not always signs of sadness – they can act as a natural release valve, helping the body regulate stress.

• Reframing tearfulness as part of an emotional transition, rather than a weakness, allows women to approach it with more self-compassion.

• Some women describe crying as strangely cleansing, a way of processing change that words alone cannot hold.

• Embracing vulnerability can strengthen rather than weaken relationships, inviting empathy from those around us.

Sharing Stories and Finding Community

• Talking openly about menopause emotions breaks cultural silence and reduces feelings of isolation.

• Peer groups, whether local menopause cafés or online communities, provide a space where shared experiences spark recognition and relief.

• Many women find that hearing “me too” carries more weight than any clinical fact sheet.

• Workplaces are slowly adopting menopause awareness programmes, helping to normalise conversations and support employees.

Living fully through menopause means allowing space for both the challenges and the growth that can emerge. Tears may be part of the story, but they are not the ending.

Tearfulness in menopause can feel unsettling, especially when it arrives unannounced in the middle of everyday life. Yet what this article has shown is that those emotions are rooted in both biology and circumstance – a mix of hormonal shifts, sleep disruption, and the sheer weight of midlife responsibilities. Understanding that context is the first step in softening the self-criticism that so often follows the tears.

What matters most is knowing you have options. From simple grounding techniques and lifestyle adjustments, through to professional therapies and medical treatments like HRT, there are practical ways to regain steadiness. Just as importantly, reframing tearfulness as part of a natural transition – not a personal failing – opens the door to greater compassion for yourself and connection with others going through the same experience.

If you recognise yourself in these pages, consider taking one gentle step today. That might be exploring our self-check resources, joining a menopause support community, or speaking with a qualified specialist about treatment options. The path forward does not have to be heavy with isolation – with the proper support, it can be one of clarity, resilience, and renewed confidence.