I was having a conversation with one of my sons the other day about parenting now versus what I received. He thought it wasn’t much different accept for the presence of technology and having to navigate the impact of that on children. I said it was different because our parents often had their parents nearby and we were also a part of a community who looked after each other. Today we live in such an individualistic way and whilst in our area we have a strong community, the fact remains that people are really busy and trying to get by the best they know how and having to do it largely on their own.
Then I thought to myself, so many of the women I work with arrive at perimenopause in survival mode. Completely exhausted from all their years of mothering. For many, the years of mothering where we have sleep deprivation, a heavy emotional labour that we carry and years of trying to juggle work and home, the endless giving of energy mean that they live in a constant state of adrenaline and cortisol, just to get through the day. The lack of the ‘village’, of communal nervous system regulation means women are doing it alone all the time.
The workplaces we are in are designed for male bodies that have a linear hormonal cycle, predictable energy no ebb or flow. Not a 28 day cycle that has big fluctuations. Women’s bodies are cyclical, not linear. Energy, focus, and capacity shift across the menstrual cycle, and later in life, across hormonal seasons. But the expectation is “always on,” with no space for luteal slowdown, rest, or recalibration.
As technology innovation, particularly with AI and productivity culture has become the norm we see 24/7 emails and messaging which results in blurred boundaries. The demand is: faster, always available, produce more. Women’s bodies , designed for rhythmic cycles of activity and rest, are being pushed into an unnatural pace. This results in dysregulation, burnout, sleep disruption, and a sense of disconnection from their body wisdom.
As we normalise this we tell ourselves, this is what mothering means today, this is what being an adult woman means today. But the cost is high because our nervous system becomes very frayed and depleted. So by the time perimenopause arrives and estrogen and progesterone are both low, we experience; disturbed sleep, small stressors can trigger big reactions, our emotional regulation is harder, and or body doesn’t bounce back the same way it used to.
Most of us haven’t learned much about the impact of our hormones on our nervous system at all.
So yes, there is a question we have to explore about learning about our hormones and their impact on our nervous system and our behaviour. But for me, the bigger question is; How do we design lives, workplaces, and communities that honour the body, especially the cyclical, relational, deeply intuitive female body? And if you are thinking male bodies aren’t impacted by all of this, think again. Until we address all of this, our health, healing our nervous system, learning to find some regulation, it will all feel like we are swimming upstream.
Perimenopause as Turning point.
The reality is perimenopause often reveals to us the impact of decades living in survival mode. As estrogen and progesterone decline, their buffering affects on the nervous system start to fade. Estrogen is supportive of bonding, it is the soothing and accommodation hormone, it supports oxytocin and the bonding and pleasure from connection that that brings. Progesterone brings us calm. Also these two hormones don’t decline in an orderly fashion during our perimenopause transition. Progesterone declines first and estrogen has lots of ups and downs that makes us feel internally chaotic, as it moves towards its lower levels once we reach menopause. What they do both reveal is nervous system exhaustion and without their support we can no longer mask the cost of being in survival mode.
Art - Visions in Blue
Oxytocin, pleasure and women’s nervous systems
Oxytocin is a key neuromodulator of the female nervous system. For male bodies Dopamine does this. Pleasure, touch, connection and community increase oxytocin, which builds resilience and vagal tone. Reduced estrogen can reduce oxytocin but pleasure can replenish it. Pleasure isn’t an indulgence, it is biology. Every moment of genuine pleasure — a hug, gentle self-touch, laughter with a friend, being moved by music, lying in the sun, safe intimacy, sexual and sensual pleasure — stimulates oxytocin, the neuromodulator that calms the female nervous system. Oxytocin counters cortisol and adrenaline, it strengthens vagal tone (our capacity to return to calm) and it builds a felt sense of safety and belonging. When you look at from this perspective, pleasure becomes medicine for midlife. It replenishes what decades of survival mode drained away.
Vagal Tone and Menopause
Vagal tone measures the activity of the vagus nerve, which regulates the body's "rest and digest" functions, and it's often assessed through heart rate variability (HRV). So Vagal tone is the body’s ability to regulate stress and return to calm. A lower vagal tone = more reactivity, poor recovery from stress, disrupted sleep. Estrogen decline may reduce vagal tone, making regulation harder. There are practices that help: yoga nidra, breathwork, gentle movement, singing/humming, somatic experiencing, safe touch. Yoga Nidra has been a game changer for me and I have found when I do it consistently, I sleep well. My brain also feels more relaxed. Somatic experiencing has many ways it helps but in this context it helps people build their interoception which is their ability to be with their internal experience - feelings, sensations, emotions. So when we become dysregulated it can be so helpful because we have a connection with all our feelings and emotions and have strategies to be with them and let them move through us. Rather than resisting them. All of this isn’t just “self-care”, it’s rewiring the nervous system for the next stage of life.
The bigger question: Lifestyle and systemic change
The real problem isn’t our biology - it is the culture we live in. Lack of community, unsupportive workplaces, and unrealistic expectations push women into survival mode. Women’s cyclical bodies need rhythms of rest and renewal, but society doesn’t recognise or honour them. We are made to feel like something is wrong with us. We are made to feel we are not resilient enough. Menopause is clever in many ways, It is a truth teller that often opens our eyes to dysfunction in our facets of our life. Culturally it reveals this mismatch. It’s not a personal failing; it’s a cultural design flaw. I wonder what would happen if work hours were designed around the rhythms of a female body?
Post Menopause brings Sovereignty
Menopause is not just loss, it’s an initiation into a new stage of power. With nervous system healing, women can access deeper calm, intuition, and authority. Post-menopause can be a time of reclaiming sovereignty, no longer running on survival mode but living in alignment with what nourishes us. Menopause is the autumn season of our life and often involves lots of reflection and review where we are called to let go of what we don’t need anymore. Many women often find their physical and mental health creates a strong impetus for all these changes to happen. It is hard to ignore what no longer works for us.
Menopause is not a medical “problem”it is a cultural opportunity: a chance to change how we live. Every time a woman honours her cycle, chooses rest, or reclaims pleasure, she disrupts the old patriarchal model and helps build a new one. So here we arrive with an invitation. What would it look like if we built a culture that truly supported women’s bodies — not just to survive, but to thrive?
For me the bigger question here is It’s not women’s bodies that are broken. It’s the systems we’re forced to live in that ignore how women’s bodies actually work.