What causes extreme mood swings during perimenopause?

Extreme mood swings during perimenopause are primarily caused by hormonal fluctuations, including changes in estrogen and progesterone levels, which impact neurotransmitters and mood regulation in the brain. Other factors such as sleep disturbances, stress, personal factors, and lifestyle choices can also contribute to mood swings. Managing perimenopausal mood swings may involve hormone replacement therapy, lifestyle adjustments, or counseling, and it’s essential to seek medical advice for a tailored approach based on individual needs.