Mood Swings in Women 60+ years

Perimenopausal mood swings involve rapid emotional changes - from calm to angry or sad within minutes. Unlike PMS, these are more frequent and unpredictable. Cause: fluctuating estrogen disrupts serotonin and dopamine, the two key mood-regulation neurotransmitters. At 60+, most vasomotor symptoms ease although some women still experience them. Long-term risks are the priority: osteoporosis, breast cancer, heart, dementia. genitourinary syndrome of menopause needs active treatment as it tends to worsen. Starting systemic hormone therapy after 60 is usually more cautious; local vaginal estrogen may still be discussed with a clinician. Mood swings at 60+ are not usually from menopause alone - need screening for clinical depression, anxiety disorder, or medication effects. Consultation with psychiatrist or geriatrician is worthwhile.