What is a psychiatrist's opinion on women's cycles?

Yes, these are complex systems in constant dynamic interaction regulated by the hypothalamic-pituitary axis, which manages a large portion of hormones.

Without mentioning pathological issues such as thyroid problems, early menopause, or depressive syndrome, one can only observe the mood variations of women of childbearing age. A woman's mood and emotional sensitivity change 3 or 4 times a month.

Often, women do not spontaneously make the connection between their emotional variations and the menstrual cycle. I have always been astonished by the lack of spontaneous correlation between the emotional fragility of my patients and the phase of their cycle.

Therefore, anything that can help women become aware of their spontaneous and normal cyclical variations can help them manage their daily life and that of those around them.

Insofar as women's moods change, we could note that they are more sensitive, more emotional, more nervous... especially in the 4th week of the cycle.

Being aware of this period of sensitivity allows them not to be at the mercy of their own vulnerabilities. Furthermore, some women can use this period to mentalize or even verbalize the most prominent elements differently.

Another phenomenon is more specific to women between 40 and 50 years old.

Observation shows that many women reach a turning point during these years, notably by noticing the natural evolution of their bodies. Consequently, this phenomenon triggers a kind of emotional jolt, accompanied by doubts regarding their future as women. This doubt creates fragilities that may cause them to adopt new attitudes in terms of sports, clothing, and aesthetics. They also begin to focus more on the evolution of their figure, their face, and their femininity in general.

There are particular moments that are often neglected and which have more unspoken consequences that we encounter during therapy.
For example, abortions performed especially after age 25 can leave a scar that is often neglected; there are also postpartum psychiatric syndromes that justify adapted and continued medical treatment. I would, however, mention passages that do not fall under pathology, such as potential drops in libido following a third birth, particularly when that last pregnancy was not equally desired by both partners. These are issues that I have often encountered in my professional practice.

More generally, the transition of the forties, and all the more so menopause, can resonate, very often unconsciously, with unverbalized, poorly mentalized events of prior sexual life or even maternal references.

These periods can sometimes constitute stumbling blocks where all the traces of previous scars linked to abortion, postpartum syndromes, etc., are expressed consciously or unconsciously.

The end of fertility is most often experienced solitarily, discreetly, and as a loss in the analytical sense of the term.

In the life of a family, maternal menopause often coincides with the children's path to independence. The children's departure comes to occupy the problematic family space and allows the woman to keep her inner discomfort silent.

However, it is important to verbalize discomfort in order to live well and accept one's menopause, and to enjoy this moment of life as a new opportunity for rebounding and creativity, because it is also a moment that coincides with more freedom of speech and action for women!

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