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Jessica's avatar

Yes panic-rushes are connected to hormones (not necessarily to hot flashes, although they can happen at the same time). Both have to do with a big swing in hormones. This is hard to explain without going into detail about endocrinology, but it has to do with estrogen and serotonin and progesterone receptors in the brain. The short version is, because your ovaries are getting sluggish, they act like an engine that takes a minute to respond to pushing the gas pedal, so you push, nothing happens, and then the engine revs. Your brain says "more estrogen", your ovary chugs and chugs and then revs, and you get a surge of estrogen. These surges can cause a feeling of windedness or panic (has to do with the chemical effect of estrogen and how it functions in the brain). On the flip side, you can get these rushes when your estrogen drops. Estrogen and serotonin are symbiotic, so many of the symptoms you get as your estrogen drops (both abruptly in daily fluctuations, or over months/years of peri menopause) are similar to what you find in descriptions of "serotonin withdrawal" (aka antidepressant withdrawal). I agree there is a lot of ignorance and a dearth of research (I dont expect that to change any time soon), but a A LOT of information exists (that doctors just dont study because, well, so many reasons). One of these days maybe I'll write about it

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Elisa's avatar

Oh, Lawsie Mercy, the panic attacks. Mine come in conjunction with hot flashes. The hot flashes are a walk in the park compared to the waves of anxiety and panic. I found no literature on it; it was only when I compared notes with a peer that we both discovered it was something we shared. It's a huge, huge quality of life issue - I'm a train wreck. How do women who are world leaders cope?

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