Depression
Depression during perimenopause and menopause can manifest as persistent low mood, loss of interest in activities, or feelings of hopelessness, often linked to hormonal fluctuations, sleep disruption, and life stressors during midlife.
How to track
- Log daily or weekly mood ratings (0-10 scale, where 0 is very depressed).
- Note episodes of crying, hopelessness, or loss of interest in usual activities.
- Track energy levels and motivation throughout the day.
- Record correlation with menstrual cycle timing, sleep quality, or stressful events.
- Note whether low mood interferes with work, relationships, or self-care.
- Track any thoughts of self-harm or suicide (seek immediate help if present).
Common context
Depression risk increases during perimenopause, particularly in those with a history of mood disorders or significant life stress. Tracking helps distinguish hormonal mood changes from clinical depression requiring additional support.
What to bring to a clinician
- How often do you experience low mood each week?
- Does mood correlate with menstrual cycle timing or sleep quality?
- Have you lost interest in activities you previously enjoyed?
- Does depression interfere with daily functioning, relationships, or work?
- Have you had thoughts of self-harm or suicide?