How can hormones in your cycle impact anxiety?

My Hormonology

How can hormones in your cycle impact anxiety?

Ever experience nervousness, panic or dread that’s out of proportion for the situation or that hits you out of the blue for no reason–and you don’t know why?

The problem may be at least partly due to where you are in your monthly cycle.

Research shows that hormones can impact areas of the brain associated with anxiety, making you more likely to experiencing excessive worry on certain days of your cycle.

To find out how your hormones could be impacting your anxiety levels, here’s a quick Hormonology Guide to show you why you may be anxious on some days and calmer on others.

While you’ll see that anxiety is possible in all weeks of your cycle due to hormones, you may notice you only experience it during a certain week or two, possible because you’re more sensitive to specific hormonal fluctuations happening on those days. (To track your anxiety episodes and pinpoint your hormonal trigger, try writing them in a daily calendar or using the note-taking feature on my free Hormone Horoscope menstrual cycle tracker app available at the App Store and Google Play.)

Once you find out how hormones may be impacting your anxiety, scroll down for simple, study-proven ways to usher in calm….

Week 1
Day 1 (first day of period) to Day 7
Estrogen rises
Your estrogen starts out at rock-bottom at the start of Week 1–which is the first day of your period–and its level rises throughout these seven days of your cycle. The higher this hormone climbs, the more it boosts your physical and mental energy. While that’s usually good news, if you’re sensitive to rising estrogen, you could experience a temporary bout of anxiety, nervous energy or the jitters–especially if you drink caffeine, which exacerbates these effects–as your body gets used to this upward hormonal climb.

Week 2
Day 8 to Day 14 (or your ovulation day)
Estrogen and testosterone rise till they peak
There’s a lot to love about your Week 2 (which starts 8 days after your period): You’ve got more physical and mental energy, your brain skills can’t be beat, you’re eloquent and confident and your mood is soaring. However, there’s one potential downside: High estrogen is known to trigger anxiety in women. That’s because this hormone intensifies and prolongs your stress response to issues big and small. Plus, it prompts more brain “arousal”, making you more easily pushed into antsiness territory. This means you could experience symptoms of anxiety–such as worry, restlessness, feeling on-edge, irritability or tension–when faced with a stressful situation, say, an upcoming job interview or dinner with your new sweetheart’s parents. Or you may get a bout of anxiety out of the blue that has no obvious cause.

Week 3
Begins day after ovulation and lasts 8 days (Day 15 to Day 22 in a 28-day cycle)
Progesterone rises; estrogen and testosterone drop for half the week, then estrogen rises again
This is a mixed-bag kind of a week. If you’re sensitive to plunging estrogen, you may notice anxiety symptoms kick in during the first few days of your Week 3 as estrogen descends, bringing down mood-stabilizing serotonin in the brain. However, chances are, this anxiety response may be blunted by rising progesterone, which is a hormone that has a sedating effect.

There’s good news to report for the second half of your Week 3: During these days, you’ll likely be experiencing a lot more soothing calm than in other days of your cycle. That’s because estrogen levels go back up, boosting serotonin back up with it–and it’s paired with calming progesterone, making you mellow.

There is an exception to this Week 3 mellowness, however: If you go without food for too long. Many women become more sensitive to drops in blood sugar during the second half of their cycle, which occurs when you haven’t eaten for awhile. This is a side effect of higher levels of progesterone. If you notice you become intensely anxious, stressed, nervous or angry due to a small, inconsequential reason or completely out of the blue, try eating food. If the mood issue is blood sugar-related, you should be feeling calmer within a few minutes as your blood sugar stabilizes.

Week 4
Final 6 days of your cycle
Estrogen and progesterone plunge
During your premenstrual Week 4, you may spend more time fretting about upcoming events, like a big bill that’s due, a dental appointment or a business trip. Blame for the extra anxiety goes to plunging estrogen, which brings down mood stabilizing serotonin as it descends. Another Week 4 anxiety-trigger: Insomnia. Research out of the University of California, Berkeley, shows that getting too little shut-eye (even for a single night) creates changes in the emotional centers of the brain that ratchets up “anticipatory anxiety” characterized by excessive worry.

If you’re having trouble sleeping in Week 4, try sipping chamomile tea three or four hours prior to bedtime, which has a mildly sedating effect and helps lull you to sleep. Then, make sure your bedroom is free of odors, noise and light, which can rouse you more easily during this week of your cycle. Studies also show a sound machine helps problem sleepers drift off faster. If you don’t have one, you can log onto, which offers free nature-themed, ambient and white noise sounds, plus an alarm clock to wake you up.

So, what can you do about reducing your anxiety?

There are many proven, natural techniques for calming anxiety when it arises and easing its grip on you. Some you can try:

  • Take slow—but not deep—breaths: Heard slow, deep breathing can calm you fast? According to research out of Southern Methodist University, slow, shallow breaths may soothe you more effectively. As the researchers explain it, deep breathing causes you to exhale an abnormally high amount of carbon dioxide, which in turn, triggers dizziness and a suffocating sensation, leading to more panic. By taking shallow breaths, you limit the carbon dioxide you expel, which calms you and lessens that throat-constricting feeling.
  • Go for a bike ride: Numerous studies show that moderate exercise (such as brisk walking, jogging, skating and bike riding) reduces anxiety and stress for up to an hour by triggering the release of calming brain chemicals. Do you get anxiety about having anxiety, for instance, do you worry about experiencing the symptoms of a panic attack? Then you may have “high anxiety sensitivity”. To combat it, do longer or more intense exercise. Research from Southern Methodist University and University of Vermont shows that high levels of exercise blunt your response to panic-triggering situations.
  • Sip chamomile tea: Scientists have found that this herbal brew contains compounds that have a calming anti-anxiety effect.
  • Try pine bark extract: In a study out of Italy’s Pescara University, folks who took 100 mg. of the pine bark extract Pycnogenol daily for eight weeks saw their anxiety levels drop by 17%. Pycnogenol is rich in antioxidants that boost blood flow to the brain, feeding it with nutrients that make it less sensitive to tense situations, so you stay calm. (Available at health food and vitamin stores.)
  • Sniff jasmine: The scent of jasmine has the ability to trigger calm by enhancing the effect of a certain brain chemical–GABA, reports the Journal of Biological Chemistry.
  • Practice mindfulness meditation: This easy meditation technique—which involves sitting with your back straight and focusing solely on your breath—has been shown in study after study to dramatically reduce anxiety symptoms. Find out more about how to do it here. Or consider joining a meditation group that meets regularly.

Note: Before taking any new supplement, herb or medication, talk with your doctor and look up interactions and side effects on, or