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Menopause and loss of confidence and self-esteem

There are lots of triggers for loss of self-esteem. Some are physical (like hot flushes) and others are mental (like stress). It's a very common symptom so remember that you aren't alone.


Image of the body with a brain highlighted

What is menopause-related loss of confidence and self-esteem?

We talk to many women who feel their self-confidence has faded away, and this can have a real impact on their overall quality of life.

Image of a brain representing depressionLoss of confidence is common during the menopause transition and is connected with several other symptoms of the menopause. Many of these symptoms can contribute to the loss of confidence and self-esteem in ways you may not expect:

  • Anxiety, low mood and depression, brain fog and memory issues can all make you question your performance
  • Changes to your physical appearance and the effects of ageing can be important for many women
  • Hot flushes and sweats– not being able to predict when you might next be drenched in sweat – can also have an impact on how you’re feeling
  • You may stop taking part in activities that were important to your sense of self. For example, if you get joint pains or bladder issues, these may stop you from exercising
  • Anxiety or fatigue can stop you from socialising or seeing friends, while night sweats can keep you awake and leave you tired during the day

All of these things can make you withdraw from life and feel more isolated.

What causes loss of confidence and self-esteem?

As with most symptoms of the menopause, loss of confidence may result from the reduction in oestrogen and possibly testosterone.

Life events, family changes, relationships and work issues can also have an impact, along with the physical changes of ageing. These factors may be either directly or indirectly related to the menopause.

How many women typically experience loss of confidence and self-esteem?

Loss of confidence and self-esteem in the menopause is very common.

It’s difficult to put an exact figure on it, but a survey by the British Menopause Society has revealed that over 20% of the working women surveyed reported that the menopause had affected their confidence at work[1].

Menopause loss of confidence statistic

Is loss of confidence and self-esteem linked to any particular stage of the menopause?

Loss of confidence and self-esteem can happen at any stage of the menopause.

How can loss of confidence and self-esteem be treated?

There are some questions you can ask yourself to help you better understand what might be behind your loss of confidence or self-esteem:

  • Is it just loss of confidence or do you have other symptoms as well?
  • What is your mood like?
  • Are you sleeping?
  • Is there stress in your life?
  • How are the physical symptoms of the menopause for you, such as hot flushes, bladder symptoms and vaginal dryness? How do they make you feel?

Please don’t hesitate to talk to a doctor about how you’re feeling, as there are so many different options available that can help you feel better. Many women find that getting on top of other symptoms helps them to get their confidence back.

Hormone replacement therapy (HRT)HRT composite

This can be an excellent way of getting on top of your menopause symptoms. You may feel anxious about taking HRT because of everything you’ve read in the media, which tends to highlight the risks and give less coverage to the benefits.

However, many menopausal women find that dealing with the symptoms can boost their day-to-day confidence, self-esteem and motivation while reducing mood swings. You can find out more about HRT here.

Cognitive Behavioural Therapy (CBT)CBT counselling and coaching

If you’re struggling to pinpoint why you’re feeling the way you are, talking therapies can help. Working with someone to look at the positive areas of your life, or to help rethink and reset unhelpful negative thinking, can help you start to get your confidence back. Find out more about our CBT partners Sue Makin and Claire Lloyd.

Dealing with work issuesWomen working

If it’s work that’s getting on top of you, there are a few things you can do that could help you get your confidence back:

  • Could you speak to someone at work about how you’re feeling – a colleague, your line manager or someone in the HR department? Many companies now have policies in place for the menopause. The Faculty of Occupational Health has good guidance that you could share, as does the Chartered Institute for Personnel and Development
  • Are there changes to your work environment that could make you feel more comfortable – like having water to hand, access to cooling fans or windows?
  • Extra training or upskilling, coaching or counselling can be massively helpful to empower you to find the best way to thrive

Our partner, Cognomie, offers online mental fitness coaching to improve health, wellbeing and performance. Find out more here.

Sex therapy

Sex therapy is a brilliant way to help you feel more positive about your changing body and can help you find a positive way forward in how you feel about yourself and/or your relationship. You can find out more about Sue Makin, our sex therapy partner here.


This is really important. Find a way to de-stress and get some headspace through yoga, meditation or just going for a long walk – whatever it is that you can find to help you switch off for a while.

ExerciseExercise and fitness

Exercise can be a brilliant way of improving your body image, increasing wellbeing, reducing weight gain and boosting your self-esteem and energy. Our friends at Her Spirit can help you find an activity that works for you and provide the motivation to do it.

These tips are not exhaustive and there will be ways of boosting your confidence and motivation that are more specific to you as an individual.

It’s not always easy to tackle this by yourself. Rest assured, we’re here to help – with medical advice, coaching, support in getting more active, or with therapy.

What next?Book a menopause consultation

If you’re experiencing a loss of confidence and self-esteem, see your GP or book an appointment with our menopause clinic to talk about your symptoms in relation to the menopause.

If you think you may be experiencing symptoms of the menopause transition, you can learn more from our symptom checker or by taking our Menopause Questionnaire.

You can also find more information about the menopause transition at the British Menopause Society and the National Institute for Health and Care Excellence.

Authored by:

Dr Clare Spencer
Registered menopause specialist, GP and co-founder; see Dr Clare in person at The Spire Hospital, Leeds or online

Last updated:


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  1. Source: Currie H, Moger SJ. Menopause – Understanding the impact on women and their partners. Post Reproductive Health. 2019;25(4):183-190.

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