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Why We Need to Pay More Attention to our Adrenal Glands During Perimenopause

Updated: Aug 15, 2023

Perimenopause is the transitional phase leading up to menopause, during which a woman's body undergoes significant hormonal changes. These changes primarily involve fluctuations in estrogen and progesterone levels, which can have various effects on different parts of the body, including the adrenal glands.

The adrenal glands are small, triangle-shaped glands located on top of each kidney. They play a crucial role in regulating the body's stress response, metabolism, immune system, and hormone production.


During perimenopause, there are several reasons why focusing on adrenal health becomes important:


Hormonal Balance: The adrenal glands are involved in producing a variety of hormones, including cortisol, DHEA (dehydroepiandrosterone), and adrenaline. These hormones work in harmony with sex hormones like estrogen and progesterone. Fluctuations in sex hormone levels during perimenopause can impact the adrenal glands' ability to maintain hormonal balance. Adrenal health is crucial for ensuring that the body's hormone production remains coordinated and in sync.


Stress Response: Perimenopause can be a stressful time for many women due to the physical and emotional changes they experience. The adrenal glands release cortisol, often referred to as the "stress hormone," in response to stressors. Chronic stress can lead to an overactive stress response system, which can, in turn, affect hormonal balance, sleep patterns, metabolism, and overall well-being.

Energy and Fatigue: Hormonal shifts during perimenopause can sometimes lead to fatigue, a common symptom. The adrenal glands are responsible for producing DHEA, a precursor to both sex hormones and other hormones that help regulate energy levels. Ensuring healthy adrenal function can contribute to maintaining optimal energy levels during this transition.



Immune System Support: Adrenal health is linked to the immune system's functioning. Imbalances in cortisol levels, whether too high or too low, can weaken the immune response, making women more susceptible to infections and illnesses during perimenopause.


Metabolism and Weight Management: Hormonal changes during perimenopause can affect metabolism and potentially lead to weight gain. The adrenal glands are involved in regulating metabolism, and imbalances in their functioning can contribute to changes in body composition. Supporting adrenal health can help manage weight and maintain a healthy metabolic rate.


Emotional Well-being: Fluctuations in hormone levels during perimenopause can impact mood and emotions. Chronic stress and hormonal imbalances can exacerbate mood swings, anxiety, and even depression. Healthy adrenal function can contribute to better emotional well-being during this phase.


To support adrenal health during perimenopause, it's important to adopt a holistic approach:

Manage Stress: Practicing stress-reduction techniques such as meditation, yoga, deep breathing, and mindfulness can help regulate cortisol levels and support overall adrenal health.


Balanced Nutrition: A nutrient-rich diet with adequate vitamins and minerals, particularly those important for adrenal function (such as vitamin C, B vitamins, and magnesium), can be beneficial.


Regular Exercise: Engaging in regular physical activity can help manage stress, improve mood, and support metabolic health.


Sleep Hygiene: Prioritize good sleep habits to allow the body to recover and regulate hormonal balance.


Herbal Support: Some adaptogenic herbs, such as ashwagandha and rhodiola, are believed to support adrenal function and help the body adapt to stress.


For specific recommendations, check out my adrenal support protocol on FullScript: Adrenal Support


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