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Lots of things can be the cause of dizziness and lightheadedness – low oestrogen, changes to the nervous system or cardiovascular system, increased anxiety or swings in blood sugar. Always talk to a doctor about it.
Dizziness is a symptom that can mean different things to different people. Many women use it to describe feeling lightheaded as if they’ve stood up too quickly. To others, it means the world feels like it’s spinning around them (also known as vertigo).
If you experience lightheadedness or the feeling that you will faint, it could be due to the impact of the oestrogen changes in your body, on your nervous system or cardiovascular system.
Some of the main things that can cause dizziness are:
Aside from symptoms caused by the menopause, dehydration, migraine, sinus infections, medication, and low blood pressure can also cause dizziness or loss of balance.
Menopause-related dizziness is common and is reported by up to a quarter of women as they transition through the menopause.
Depending on the cause, dizziness can start at any time in the menopause transition. Like most symptoms, it should settle in time and will usually decrease after you have gone through the menopause.
The first step is to discuss your dizziness with your GP to see if further investigation is needed.
It is particularly important to see your GP if:
Strategies to help your dizziness include:
If the dizziness is related to the menopause alone and you have other symptoms of the menopause, you may want to try Hormone Replacement Therapy (HRT), after weighing up the benefits and small risks with your GP. You can find out more about HRT here.
If you’re experiencing dizziness, lightheadedness, blurred vision, shortness of breath or chest pain, you should see your GP. If other causes of your symptoms have been excluded and you would like to discuss your symptoms in the context of the menopause, book an appointment with our menopause clinic.
If these symptoms are new and severe, you may need to access emergency medical care by calling 999.
Dr Clare Spencer
Registered menopause specialist, GP and co-founder
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Source: Menopause in Australia and Japan: effects of country of residence on menopausal status and menopausal symptoms.Anderson D, Yoshizawa T, Gollschewski S, Atogami F, Courtney M Climacteric. 2004 Jun; 7(2):165-74.