Latest / Joyful Menopause / Episode 31: Is Cortisol Wrecking Your Hormones? The Stress-Menopause Connection Nobody Talks About

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Episode 31: Is Cortisol Wrecking Your Hormones? The Stress-Menopause Connection Nobody Talks About · Joyful Menopause

• 0:00
  Let me first ask you a question, and I want you to be honest with yourself, not just give the right answer.
• 0:05
  How many of you have looked in the mirror in the last year or two and thought, what is happening to my body?
• 0:11
  Maybe it's a weight showing up around your middle that wasn't there before.
• 0:14
  Maybe you're waking up at 3:00 AM for no explainable reason.
• 0:18
  Maybe you feel anxious or irritable in a way that doesn't feel like you, or maybe you're exhausted, but you can't actually get your body to relax.
• 0:27
  If any of that sounds familiar, I want you to hear this clearly: your body is not broken.
• 0:33
  If you've been listening to me before, you've heard me say that your body is not broken, you're not lazy, you're not weak.
• 0:39
  You're not just getting older in some hopeless way that you have to white knuckle through.
• 0:44
  What's happening is actually something much more specific and much more solvable than that.
• 0:51
  Today we are talking about stress, and I'm starting here in this conversation around some of this, these imbalances that happen, and I talk about it in a lot of different ways, but I am talking today about stress because if we don't understand what stress is doing inside our body, nothing else that we do really works that well, honestly.
• 1:15
  I'm a dietician.
• 1:16
  Diet and exercise are really important, but stress is often a missing piece for so many women.
• 1:24
  So what I've learned about it, I'm going to share with you today.
• 1:27
  And what I know is that your body is not working against you, it's responding to signals.
• 1:32
  And when you understand those signals, you can change them.
• 1:35
  So let's get started.
• 1:36
  Menopause doesn't have to feel like you are living in someone else's body.
• 1:40
  Your host, Lynda Enright, has spent the last 25 years helping women to thrive in midlife.
• 1:45
  Here you'll find science-based practical advice that you can start using today to get real results for your health.
• 1:51
  Welcome to Joyful Menopause.
• 1:58
  Here's the first thing I want you to understand: midlife is a biological transition.
• 2:02
  It's not a personal failure.
• 2:04
  When we hit our forties, and certainly by perimenopause and menopause, our bodies undergo a significant hormonal shift.
• 2:11
  Estrogen and progesterone start to fluctuate.
• 2:14
  And those two hormones don't just affect your menstrual cycle: they affect your brain, your sleep, your mood, your metabolism, your gut, your bones, essentially every system in your body.
• 2:25
  So when those hormones start to change, the effects can show up everywhere.
• 2:30
  But here's what a lot of women don't realize, is that the body's tolerance for stress also changes in midlife.
• 2:38
  So when you were in your twenties or thirties, you could probably run hard, skip sleep, eat on the go, push through, and probably bounce back okay- maybe not perfectly, but you'd recover.
• 2:50
  But in midlife, that buffer shrinks.
• 2:53
  The same amount of stress that you used to absorb and recover from, from your body now kind of registers it differently.
• 3:01
  It hits harder, it lingers longer.
• 3:04
  And this isn't about weakness.
• 3:06
  This is just physiology.
• 3:08
  So think of it, I think a good analogy is sort of like a bank account.
• 3:12
  When you were younger, you know, there was a big cushion in your account.
• 3:16
  You could make some withdrawals, you would not overdraw your account, you'd recover.
• 3:20
  But in midlife, the account's a little more sensitive.
• 3:23
  There's not as much of a cushion there.
• 3:25
  So the same withdrawals have a bigger impact, costs you more, and your body can start sending you overdraft notices.
• 3:32
  And what does that mean?
• 3:33
  It means symptoms.
• 3:35
  So every woman over 40 needs to understand the shift that's happening because it changes how we need to take care of ourselves, not less, but not less, not more even necessarily, but differently.
• 3:48
  Probably a little more, but definitely differently.
• 3:51
  And that's what we're talking about today.
• 3:53
  So if the stress response is changing in midlife, what is that stress response doing inside your body?
• 4:02
  So that's where we're going next.
• 4:04
  I'm going to keep this simple.
• 4:06
  We're not going to medical school here, but you need to know a little bit about your nervous system because it is the control center for everything we're going to talk about.
• 4:13
  So your nervous system has two main modes.
• 4:16
  Think of them as sort of settings on a dial.
• 4:17
  Setting one is fight or flight.
• 4:19
  This is your stress response.
• 4:21
  It's your body's built in survival system.
• 4:23
  So when your brain perceives a threat, whether, you know, it used to be, you know, historically perhaps that threat for a, an animal would be running from a wild animal.
• 4:34
  But today we're not running from a lot of wild, a lot of wild animals.
• 4:38
  It might be your car is, you know, car broke down, you get an email that was super stressful, you're worrying about your kids, or you had a hard workout.
• 4:47
  Either way, your body is activating this stress system, so your stress hormones get released, your heart rate goes up, your digestion slows down, your muscles tense.
• 4:57
  Your body is mobilizing all of its resources to deal with that threat.
• 5:02
  Even though you know today that threat is maybe not necessary to stop digesting for, but that's what your body thinks.
• 5:10
  So this stress response, you know, it's a brilliant system.
• 5:14
  It's kept us alive for thousands of years.
• 5:17
  Setting two, on the other hand, is the rest and digest, rest and repair.
• 5:21
  So this is where digestion ha- happens.
• 5:23
  This is where our hormones get balanced.
• 5:25
  This is where your immune system does its work, where you actually recover from your day.
• 5:30
  Um, it's where sleep can become more restorative.
• 5:34
  This is the setting that we really should be spending the significant portion of our day in.
• 5:39
  The problem is we're spending so much of it in setting one in that stress response.
• 5:44
  Most of the women I work with, and honestly, most of the women, most people in our culture are living almost entirely in that setting one: they're in fight or flight all day long, rushing in the morning, pushing through a long workday, managing everyone else's needs.
• 5:59
  Maybe, maybe taking care of ailing parents as well as children, a career, you know, then going to the gym to sort of burn off the stress with some intense class.
• 6:09
  Coming home, maybe scrolling on your phone until you crash in bed at night and your body, it, it never really gets to shift into that rest and digest mode.
• 6:20
  So here's what I want you to really hear: that your body stores stress physically of the tension in your shoulders, the tightness in your jaw.
• 6:29
  You know, maybe you didn't even realize you were clenching it.
• 6:32
  That shallow breathing you've been doing all day without noticing.
• 6:36
  The way your stomach sort of feels knotted when you're anxious.
• 6:40
  That is not in your head.
• 6:41
  That is your nervous system in your body.
• 6:44
  And over time, that sort of chronic low grade activation of our nervous system takes a toll, and especially again in midlife when that buffer is already a little bit thinner.
• 6:57
  So what exactly does that stress activation do when it's running in the background all the time.
• 7:04
  So let's talk about that because some of what I want to share with you, I find for a lot of women, it's something they haven't really heard before.
• 7:11
  I, I, I have heard that many times.
• 7:13
  Like, no one ever told me this, so I hope this is something that's helpful to you.
• 7:19
  This is, this is kind of the aha moment for a lot of women that I work with, because often they've been blaming themselves for the symptoms they're having, and they never really realize that there's actually a physiological reason behind what they're experiencing.
• 7:33
  So I want to walk you through the five most common ways that chronic stress is showing up in a midlife woman's body.
• 7:42
  So number one: belly weight gain.
• 7:44
  If you've noticed weight accumulating around your middle, even though you're eating and exercising the same as you have, stress might be a major driver.
• 7:53
  So the primary stress hormone, or cortisol, signals your body to store fat, particularly abdominal fat.
• 8:01
  It's around the organs, around your waist.
• 8:03
  It's a survival mechanism.
• 8:04
  It's protective.
• 8:05
  So your body is keeping fuel close to your core in case it needs to run from danger, except, you know, the danger, again, it's not a wild animal; it's your inbox.
• 8:14
  And then that stored fat tends to stay.
• 8:17
  Number two: poor sleep.
• 8:20
  Cortisol and melatonin, your sleep hormone, works on opposite schedules, so cortisol is supposed to go up in the morning.
• 8:28
  It's what wakes you up, and then it's supposed to drop down at- at night so you can go to sleep.
• 8:32
  When you're chronically stressed, cortisol doesn't, it doesn't go down the way it should in the evening, so you might lie in bed with your mind racing, or you wake up in the middle of the night and you can't get back to sleep.
• 8:43
  This is not necessarily a problem of sleep, though sleep hygiene is important, too.
• 8:47
  This might actually be a stress problem that's showing up in your sleep.
• 8:52
  Number three: anxiety, irritability.
• 8:55
  When your nervous system is in that constant fight or flight, your threshold for feeling overwhelmed drops.
• 9:03
  So things that used to roll off your back, you felt like you could manage it all fine, those are feeling heavier.
• 9:09
  You might feel snappy, more reactive or anxious in a way that just doesn't feel normal to you.
• 9:16
  And in midlife, an interesting change is this declining progesterone, which is naturally calming.
• 9:23
  So now this, this irritability becomes more pronounced because we, we lost some of that calming hormone.
• 9:30
  Number four: sugar cravings.
• 9:33
  When cortisol is elevated, it raises your blood sugar because your body thinks it needs fuel to run from the wild animals.
• 9:41
  So you're needing, it's telling you to get more sugar and it raises that blood sugar.
• 9:45
  So if you're not actually moving to burn off the sugar, insulin then comes in to clear it out.
• 9:52
  So now we get blood sugar spikes, we get this rush of insulin to come in, and then we get a crash.
• 9:57
  And then when blood sugar crashes, your body is screaming again for quick fuel.
• 10:01
  So now we're craving a snack at three o'clock in the afternoon, a late night snack.
• 10:07
  This is not, again, this is, this is biochemistry.
• 10:10
  It is not a lack, lack of willpower.
• 10:12
  It's not just being stronger.
• 10:13
  It's actually understanding what's going on in your body.
• 10:17
  Number five: hormone disruption.
• 10:20
  And this is where it all comes together because stress doesn't just cause symptoms that are uncomfortable.
• 10:26
  They actually interfere with your hormonal balance at that biochemical level.
• 10:33
  So stress again, say that again, stress interferes with your hormonal balance at a biochemical level.
• 10:41
  So that brings me to something I think every woman needs to understand, and this next piece might change how you think about hormones.
• 10:50
  So I want to introduce you a little bit something called the cortisol progesterone connection.
• 10:55
  So you've probably heard about progesterone.
• 10:56
  That's one of the hormones that- that drops when we get into perimenopause.
• 11:01
  So to explain it, I need to tell you about pregnenolone.
• 11:05
  So pregnenolone is a master hormone.
• 11:07
  This is a precursor that your body uses to make other hormones, including both cortisol and progesterone.
• 11:15
  So here's the problem that when your body is under chronic stress, it prioritizes making cortisol.
• 11:23
  So survival comes first, and when all that pregnenolone is used up to make cortisol, there's less available to make progesterone.
• 11:32
  What did I say about progesterone?
• 11:33
  It's your calming hormone.
• 11:35
  This is, this is sometimes called the cortisol steal.
• 11:37
  So stress literally steals the raw materials that your body needs to use to make progesterone.
• 11:44
  So why does that matter?
• 11:46
  Again, because progesterone is calming, it's sleep supporting, it's anxiety reducing.
• 11:51
  It's also the hormone that tends to decline first in perimenopause.
• 11:56
  So when you're under chronic stress and going through hormonal shifts in midlife, you're getting hit from both directions.
• 12:03
  Cortisol also affects estrogen.
• 12:06
  Chronically high levels of cortisol under stress can contribute actually to estrogen dominance, where estrogen is high relative to progesterone.
• 12:16
  So when we're talking about our hormones, um, we, they need to have a relationship that's healthy as well.
• 12:21
  So when estrogen can be too high relative to the progesterone, so now we have this, this, what can happen then is mood swings, heavy periods if you're still getting a period, bloating, which is such a common symptom for women.
• 12:34
  And other stuff can- can be going on, too.
• 12:36
  Those are the biggies that so many people experience.
• 12:38
  And then there's insulin.
• 12:40
  Cortisol raises blood sugar, which raises insulin, and now elevated insulin makes the body more likely to store fat.
• 12:47
  Now we have more energy swings, more likely to develop insulin resistance over time, which makes weight management significantly harder.
• 12:54
  So it's this cycle that can be happening.
• 12:57
  So understanding that stress isn't just making you feel tense and- and uncomfortable, it's biochemically interfering with your hormones, your weight, your mood, your sleep.
• 13:08
  This is why starting with stress is really important because you can do a lot of things right: you can eat well, you can exercise, you can take supplements and all the things, and you can still feel terrible because your nervous system is chronically activated.
• 13:22
  So how do you know?
• 13:23
  How do you know if your nervous system needs support?
• 13:26
  So let's talk about some of the signs that might feel familiar.
• 13:31
  So I'm going to read you a short list, and I want you to notice internally how many of these feel true for you right now.
• 13:37
  This isn't a diagnosis by any means, but it's some information to start seeing.
• 13:41
  Does this make sense?
• 13:42
  Does this seem like maybe my nervous system might be playing a role?
• 13:46
  Um, number one: wired but tired.
• 13:48
  You're exhausted.
• 13:49
  You can't settle down.
• 13:51
  You know, you, you feel like you could collapse, but your mind just keeps going.
• 13:55
  Your mind won't stop.
• 13:56
  Chronic overwhelm: your to-do list feels crushing even if it's, you know, objectively manageable or it would've been manageable some years ago.
• 14:05
  Just, you know, the small things feel so much bigger.
• 14:09
  The third one is energy crashes.
• 14:11
  So maybe you feel pretty good in the morning, but by mid-afternoon you're just running on fumes.
• 14:17
  Or you wake up in the morning and you already feel exhausted, like you just never felt like you even got a decent night's sleep.
• 14:24
  Uh, trouble re- relaxing.
• 14:26
  So you might sit down to rest, you feel guilty, you always feel like I've got something I should be doing.
• 14:33
  You can't sit still.
• 14:35
  Irritability, emotional reactivity.
• 14:38
  You snap more quickly, you feel close to tears.
• 14:41
  Your emotional fuse is shorter than it used to be.
• 14:44
  Cravings and blood sugar swings.
• 14:47
  You're reaching for sugar or carbs more than you'd like, especially in that mid-afternoon or evening time.
• 14:53
  You're dis- the sleep is disrupted.
• 14:55
  Maybe that means you can't fall asleep.
• 14:57
  You wake up in the night or you wake up really early and you just can't go back to sleep.
• 15:02
  If you, if you checked off three or more of those, you, you know, you're not alone.
• 15:07
  These are very common for women in midlife, and the good news is that they're responsive to change.
• 15:13
  So your nervous system is actually adaptable and it can learn to shift.
• 15:18
  So what can we do about it?
• 15:19
  Let's get practical here.
• 15:21
  This isn't a list of things that sound good, but you're not going to do.
• 15:24
  These are some simple, accessible things, um, and things that I use with my clients every day because they speak directly to your nervous system.
• 15:33
  So the first one is just breathing.
• 15:34
  This is a hugely powerful regulation tool.
• 15:38
  But we, and you're breathing all day long, of course, but most people never use it intentionally.
• 15:43
  So a slow exhale- longer than the inhale- actually activates that rest and digest, that parasympathetic nervous system.
• 15:52
  It literally flips the switch from fight or flight toward rest and digest.
• 15:57
  Even four or five, just slow breaths can actually shift your physiology.
• 16:02
  So something called box breathing, or 4, 7, 8, breathing.
• 16:07
  You inhale for the count of four.
• 16:10
  Hold it for the count of seven.
• 16:11
  Exhale for the count of eight.
• 16:13
  Just breathing slowly, again, the idea is that exhale is a little bit slower than the inhale.
• 16:18
  It doesn't have to be exactly those numbers, but just, you know, counting and thinking through your breathing.
• 16:24
  It can be it- it feels like a small thing, but it's not.
• 16:27
  It actually can have a big input and it have a big impact and can really be a direct input into your nervous system for sure.
• 16:35
  And think about every opportunity you have to just intentionally breathe maybe before you sit down to meals, maybe when you, you know, get off the phone or shut your computer or whatever it might be, to just, again, take those intentional deep breaths and that will shift you out of your sympathetic into your parasympathetic nervous system.
• 16:56
  Walking, not intense cardio, but just walking a 10 to 20 minute walk, even better outside, helps to break down cortisol.
• 17:07
  It helps to lower your blood pressure and it can shift your nervous system, again, rest and digest.
• 17:14
  So it doesn't have to be this intense workout all the time to be really regulating.
• 17:19
  It can just be going for a walk.
• 17:21
  And then sunlight, so again, that walking outside gives you a double benefit.
• 17:25
  Sunlight is the other thing.
• 17:26
  Getting outside in natural light in the morning helps to anchor your circadian rhythm, which affects cortisol and melatonin and your entire hormonal day.
• 17:37
  Even 10 minutes outside in the morning can make a really big difference.
• 17:42
  Saying no- this one is hard for so many women that I see.
• 17:48
  Chronic overcommitment is a big source of nervous system dysregulation.
• 17:53
  So every yes that stretches you beyond what you feel capable of is withdrawal from that stress bank account.
• 18:02
  We talked about learning to protect your energy is not selfish.
• 18:07
  It is absolutely supporting you and it is medicine.
• 18:10
  So I know it's a hard one, but think next time you say yes to something.
• 18:15
  Is that beyond what fits into your life where you can still take your best care of yourself?
• 18:21
  And then recovery time: your body literally needs time to do nothing.
• 18:25
  Not productively, nothing like, you know, walking and catching up with a friend, but literally just resting, rest, quiet, stillness.
• 18:34
  This is when this repair happens.
• 18:37
  You know, building even small window- windows of real downtime into your day.
• 18:42
  It's not a luxury.
• 18:43
  It is a physiologic need.
• 18:46
  And then the last one is something called emotional brain training.
• 18:50
  It's something that I've been working with my clients on and it is a practice of stress resilience, and it's something that I am teaching my all my clients about because I think it is just a deal breaker in really helping this stress resilience response.
• 19:06
  So that's something that I, I'm really thinking, I'm, I'm going to be talking a lot more about, I think has a big impact.
• 19:13
  So the last thing I want to do is just leave you with a few things that you can actually start doing right away this week.
• 19:18
  So these aren't huge overhauls, they're just some small pivots that can make a real difference over time.
• 19:23
  So a five minute morning reset.
• 19:25
  So before you reach for your phone, before you start moving through your to-do list, spend five minutes breathing.
• 19:32
  That's it.
• 19:33
  Just slow, deliberate breathing.
• 19:37
  And that may feel like such a long time for you, but it, it really the difference that can make in your day.
• 19:44
  If you just take those five minutes, you are setting your nervous systems tone for the entire day.
• 19:51
  Number two is an afternoon pause.
• 19:53
  So when you hit that wall, two o'clock, three o'clock, instead of reaching for caffeine or sugar, just stop, pause, maybe step outside for 10 minutes.
• 20:05
  Breathe, walk around the block, give your cortisol a chance to metabolize.
• 20:11
  If you can't get outside, you know, if it's cold out or it's pouring rain or whatever, then you know, can you walk around where you are?
• 20:19
  Can you take the stairs a little bit?
• 20:20
  Can you do something physical to help your body to break down that cortisol?
• 20:26
  Next one is say no once a day, just once.
• 20:30
  Look at your week: find one thing you're doing out of obligation that's draining you, and let it go or push back on it.
• 20:38
  Take a break from it.
• 20:40
  Start small.
• 20:42
  So many women need to just practice using this muscle, the muscle of saying no.
• 20:48
  So that's, that's an important one.
• 20:49
  And then protect your evenings is, is the last one.
• 20:53
  Start by dimming lights, lowering the stimulation, maybe an hour before bed.
• 20:58
  Put your phone down.
• 21:00
  It's not, this isn't like, you have to be super strict about this, but we want to start sending the message to our body that it is time to calm down.
• 21:08
  It is time to be getting ready for sleep.
• 21:11
  Um, particularly when it, when it's to the point where it's light really late in the evening.
• 21:15
  Even like closing the, the blinds a little bit, you know, again, dimming the lights, just making the environment so again, that, that cortisol can start coming down and the melatonin can start going up so your body's recognizing that it's getting to be time for sleep.
• 21:29
  And remember, above all else, this is about consistency.
• 21:33
  We're not aiming for perfection.
• 21:35
  You don't need to do this perfectly.
• 21:37
  We don't want to add stress in any of this.
• 21:39
  You just need to do it often enough that your nervous system starts to learn a new baseline.
• 21:46
  So I want to close with something I tell women I work with all the time.
• 21:50
  Women are often really shocked by how much better they feel when they start with this stress resilience.
• 21:56
  Not with a new diet, with a supplement, with a harder workout, but with just understanding and supporting their nervous system.
• 22:05
  It is often a huge missing piece.
• 22:08
  So, you know, you can eat well and still feel exhausted.
• 22:12
  You can exercise and still not lose weight.
• 22:14
  You can do everything, quote unquote right, and still feel like something just is not right with you.
• 22:19
  And it might be that your nervous system is running in overdrive and your hormones are paying the price.
• 22:27
  When we address this, what I find is sleep gets better.
• 22:31
  Cravings improve.
• 22:32
  Mood stabilizes.
• 22:34
  You get more energy.
• 22:35
  Weight becomes more manageable.
• 22:38
  And women start to feel like themselves again.
• 22:40
  So that is what is possible.
• 22:42
  If any of this resonated with you today, I would love to continue and have a conversation.
• 22:47
  I do offer a complimentary discovery call.
• 22:50
  You can click on the link to schedule.
• 22:53
  So thanks for being here today.
• 22:54
  I hope you got some good takeaways and I will see you next time.