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Journalism of Courage
Gwyneth Paltrow recently opened up about using alcohol as a coping mechanism during the devastating Los Angeles wildfires. Speaking on The Goop Podcast with Dr Mary Claire Haver, an OB-GYN and menopause expert, Paltrow admitted that her menopausal symptoms became significantly worse when she was drinking alcohol nightly.
“I think I drank every night,” the Oscar-winning actress revealed. “My symptoms were completely out of control. It was the first time I really noticed causation in that way,” she confessed.
Dr Haver agreed, noting that many of her patients experience similar issues. “They’ve really just spontaneously realised that they’ve cut back on alcohol or just quit altogether because it just hasn’t been worth it,” she said.
But is there a link?
According to Dr Ritambhara Bhalla, Associate Director of the Department of Obstetrics and Gynaecology at Cloudnine Group of Hospitals, Chandigarh, this link between alcohol and menopause symptoms is well-documented in medical research. “Alcohol exacerbates several menopausal symptoms, from hot flashes and sleep disturbances to mood swings and metabolic changes,” she explains.
The drop in estrogen levels during menopause affects the body’s ability to regulate temperature. Alcohol, especially wine and spirits, dilates blood vessels, leading to increased body heat and more frequent hot flashes.
While alcohol may initially induce drowsiness, it ultimately disrupts sleep by interfering with REM cycles. “Many women already struggle with sleep during menopause, and alcohol only worsens this by causing fragmented rest,” says Dr Bhalla.
Estrogen plays a key role in stabilizing mood by regulating serotonin and dopamine. Alcohol disrupts these neurotransmitters, potentially worsening anxiety, mood swings, and even depression.
Menopause naturally slows metabolism, and alcohol—being high in empty calories—can contribute to increased weight gain, particularly around the abdomen. It also affects insulin sensitivity, heightening the risk of metabolic syndrome and type 2 diabetes.
With declining estrogen levels, postmenopausal women are already at risk for osteoporosis. Alcohol can further accelerate bone loss and increase fracture risk.
Estrogen offers protective benefits to the heart, but its decline makes women more susceptible to cardiovascular disease. Alcohol raises blood pressure and cholesterol levels, increasing the chances of heart-related complications.
While complete abstinence is not necessary for all women, moderation is key. “One drink per week is unlikely to cause major harm, but excessive or frequent consumption can intensify menopause symptoms and pose long-term health risks,” advises Dr Bhalla.
For those experiencing severe symptoms, it may be beneficial to reduce alcohol intake further or eliminate it altogether. Prioritising hydration, a balanced diet, and medical guidance can significantly improve well-being during menopause.
DISCLAIMER: This article is based on information from the public domain and/or the experts we spoke to. Always consult your health practitioner before starting any routine.
