Celebrating 22 Years in Practice

The Role of the Adrenals in Perimenopause

The Importance of Healthy Adrenal Glands During Menopause

As women approach menopause, the body undergoes profound hormonal shifts that can affect everything from mood to energy levels. One of the lesser-known but critical aspects of this transition is the role of the adrenal glands. Maintaining healthy adrenal function during menopause is essential for a smoother transition and overall well-being. In this blog post, we’ll explore the importance of adrenal health, how the adrenals take on hormone production after menopause, the concept of the Pregnenolone Steal, and the role of healthy fats in supporting hormone balance.

The Role of Adrenal Glands in Hormone Production

The adrenal glands, located above your kidneys, are responsible for producing several key hormones, including cortisol (the stress hormone), adrenaline (which regulates the fight-or-flight response), and aldosterone (which helps control blood pressure). But these glands also play a crucial role in producing sex hormones, particularly after menopause.

Before menopause, the ovaries are the primary producers of estrogen and progesterone. However, after the transition, when ovarian function diminishes, the adrenal glands step in to help maintain some level of hormone production, especially estrogen and testosterone. While this output is much smaller than what the ovaries once provided, it can still help ease symptoms like hot flashes, low libido, and mood swings. If your adrenal glands are stressed or underperforming, this backup hormone production can be compromised, potentially leading to a more difficult menopause experience.

 

The Pregnenolone Steal: A Hormonal Imbalance Trap

One of the key challenges to adrenal health during menopause is a phenomenon known as the Pregnenolone Steal.  Pregnenolone is a precursor hormone that can be converted into either cortisol or sex hormones (estrogen, progesterone, and testosterone). When you’re under stress, your body prioritizes the production of cortisol, which means less pregnenolone is available for producing sex hormones.

This “steal” effect can worsen the hormonal imbalances that many women experience during menopause, leading to symptoms like:

  • Fatigue
  • Weight gain (especially around the middle)
  • Mood swings or irritability
  • Brain fog
  • Difficulty sleeping

Chronic stress and unhealthy adrenal glands can therefore deplete the body’s ability to produce vital hormones during menopause, exacerbating symptoms and contributing to the feeling of burnout.

   

Supporting Adrenal Health with Healthy Fats

Healthy fats are critical for adrenal function and overall hormone production, particularly as the body transitions into menopause. Cholesterol, often unfairly maligned, is actually a fundamental building block for hormone synthesis. Without enough dietary fats, your body struggles to make pregnenolone and other steroid hormones like estrogen, progesterone, and cortisol.

Fats like omega-3s, monounsaturated fats, and medium-chain triglycerides (MCTs) provide essential support for the adrenal glands and help stabilize hormone levels. Incorporating sources of healthy fats into your diet—such as avocados, nuts, seeds, olive oil, and fatty fish—can help nourish your adrenal glands and ensure they are functioning optimally as they take on the role of hormone production post-menopause.

Key Strategies to Support Adrenal Health During Menopause

  • Manage Stress: Chronic stress is a major factor in adrenal fatigue. Practices like deep breathing, meditation, yoga, and regular exercise can lower cortisol levels and help prevent the Pregnenolone Steal.
  • Eat a Balanced Diet: A diet rich in nutrient-dense whole foods, particularly healthy fats and high-quality proteins, will provide the building blocks for hormone production. Avoiding processed foods and excessive sugar can also help regulate adrenal function.
  • Get Adequate Sleep: Poor sleep can further tax the adrenal glands. Prioritize 7-9 hours of quality sleep each night to give your body the rest it needs to repair and regenerate.
  • Consider Adaptogenic Herbs: Herbs like ashwagandha, rhodiola, and holy basil are known to support adrenal health and balance cortisol levels, helping the body adapt to stress more effectively.

Going into menopause with healthy adrenal glands can make a world of difference in how smoothly you transition through this phase of life.  The adrenal glands not only produce stress hormones but also help take over some of the sex hormone production once the ovaries slow down.  By understanding the impact of the Pregnenolone Steal and nourishing your body with healthy fats and stress management techniques, you can support your adrenal glands and ease into menopause with more balance and vitality.

If you’re struggling with adrenal fatigue or hormonal imbalances, consider working with a healthcare practitioner who specializes in functional medicine to create a personalized plan for your needs.

You might also be interested in...

Why Sodium is Important on a Low-Carb or Ketogenic Diet

While the “news” may suggest limiting salt, this advice is usually based on high-carb, processed-food diets. On a low-carb or ketogenic diet, your body requires more sodium to stay balanced and healthy. Adding a moderate amount of sodium can help stabilize your blood pressure and prevent other symptoms like fatigue or dizziness.

Read More »
Scroll to Top

Have a Question?

We're Here To Help

Send Us Your Question…

Enter your name, email and question and we’ll get back to you as soon as possible.