Irregular periods
In this article:
- Mood swings
- Hot flushes
- Sleep issues
- Vaginal dryness
What makes this experience emotionally and physically challenging is the clash of two intense phases, pregnancy and menopause, both of which demand care, patience, and support.
Make a Postnatal Plan Early
Postpartum recovery is hard, and when you add menopausal symptoms into the mix, it can feel overwhelming. You may find yourself struggling with:- Exhaustion
- Palpitations
- Brain fog
- Anxiety or emotional sensitivity
- Vaginal soreness, dryness, or infections
To prepare
- Talk to your healthcare provider about creating a plan to manage any symptoms you may experience after giving birth.
- If you were on Hormone Replacement Therapy (HRT) before getting pregnant, discuss when and how to resume it.
- Don’t wait until things worsen. Being proactive can protect both your mental and physical well-being.
HRT and Breastfeeding
Many are unsure if it’s safe to take HRT while breastfeeding. While research is still limited, some types of oestrogen-based contraceptives have been studied more than HRT in this context.Here's what you can do:
- Speak to your GP or request a referral to a menopause specialist.
- Remember, your health and comfort matter just as much as breastfeeding goals.
- If symptoms are affecting your ability to care for your baby or enjoy motherhood, it’s okay to prioritise your wellbeing.
Understanding the Overlap in Symptoms
It can be hard to tell the difference between postpartum changes and menopause symptoms, especially when you’re in survival mode with a newborn. Some overlapping signs include:- Mood swings
- Hot flushes
- Night sweats
- Vaginal discomfort
- Fatigue
A good way to untangle this?
- Track your symptoms: Use a diary or an app.
- Note your period changes: Keep tabs on flow, length, and regularity.
- Monitor vaginal health: Especially if you're healing post-birth.
Don’t Ignore Pelvic Floor and Vaginal Health
Both pregnancy and menopause can weaken your pelvic floor muscles and change your vaginal tissue. You might experience:- Leaking urine (especially while sneezing or laughing)
- Vaginal dryness or itching
- Heaviness in the pelvic area
Helpful steps include:
- Asking your midwife to refer you to a women’s health physiotherapist
- Practising pelvic floor exercises (Kegels)
- Using vaginal moisturisers or lubricants (non-hormonal options available)
Build Your Support Network
Caring for a newborn is demanding under any circumstances. When combined with menopausal symptoms, it can become both physically and emotionally challenging. Establishing a reliable support network is crucial to help manage these dual responsibilities and reduce feelings of isolation. That’s why creating a strong support network is essential.Make sure you have:
- Trusted family or friends who can help with housework or meals
- Hired help if needed (domestic assistance, postpartum doulas, etc.)
- Regular appointments with your health visitor and GP
Be Honest with Healthcare Providers
You might find it awkward or confusing to bring up menopause while caring for a baby but it’s more common than most realise.- If your GP doesn’t seem confident in managing menopausal symptoms, ask for a referral to a menopause specialist.
- Don't wait until your 6–8-week check-up; start conversations early.
- Speak openly with your health visitor; they can link you with breastfeeding counsellors, physiotherapists, or mental health support.
Caring for a newborn while facing the emotional and physical challenges of menopause or perimenopause is not easy, and it’s okay to say that out loud. You're dealing with two life-altering experiences at the same time, both of which demand rest, support, and understanding. If you’re feeling exhausted, uncertain, or isolated right now, know that your feelings are valid. You’re not alone.
Seeking help is not a sign of weakness; it’s a way to care for your wellbeing, which ultimately supports your baby’s health and development as well.
Whether it's tracking your symptoms, planning your postnatal care, talking to a menopause specialist, or leaning on a support network, every small step matters.
FAQs on Navigating Pregnancy While Facing Menopausal Symptoms
- Can I get pregnant during perimenopause?
Yes. While fertility decreases, your body may still release eggs. Until you've not had a period for 12 months, pregnancy is still possible. - How do I know if my symptoms are from menopause or postpartum recovery?
Keep track of your symptoms in a diary. If issues like hot flushes, dryness, or mood swings persist beyond the first few months, they may be hormonal. Speak to your GP. - Can I take HRT while breastfeeding?
It depends on the type of hormone replacement therapy and your individual health circumstances. It depends. Talk to your doctor or a specialist to find what’s right for you and your baby. - Are menopause symptoms treatable after childbirth?
Yes. From HRT to physiotherapy and counselling, many supportive options exist. - What if I had POI before getting pregnant?
Have a plan ready before birth with your healthcare provider. You may need to resume or adjust treatment soon after delivery.
