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Depression may also be more likely in the years immediately before menopause, but it is unclear whether depression is linked to low oestrogen levels or to stressful lifestyle changes many women face during their 40s and 50s (such as career or marriage pressures, children leaving the home or ageing parents).

What to do
If you feel that you are not coping well, discuss your concerns with your doctor and ask for a referral to a psychologist if necessary. If your doctor feels that you need psychiatric medication, he or shemay prescribe this for you or refer you to a psychiatrist. If your emotional problems are due to perimenopausal symptoms such insomnia as a result of night sweats, HRT may be recommended.

Support groups
The Depression and Anxiety Support Group of South Africa has branches throughout the country and also offers a telephonic counselling service. Tel: (011) 783-1474/6.

The Mental Health Information Centre offers telephonic information on depression, anxiety and other mental health problems. Their number is (021) 938 9229.

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