The exact cause of dizziness during menopause is not yet fully understood. However, researchers believe that fluctuations in oestrogen and progesterone levels may trigger dizziness and, at times, nausea.
Oestrogen and progesterone influence key bodily functions, including the cardiovascular system. Hormonal changes can lead to variations in blood pressure and may also affect blood flow to the inner ear, causing dizziness and a light-headed sensation.
The way dizziness manifests varies from one individual to another. Some women describe it as feeling like they are on a spinning carousel, while others report wobbly legs. Some experience nausea or a “foggy head,” and a few may even have (temporary) vision disturbances.
Dizziness symptoms are often most pronounced during perimenopause, as this is when hormonal fluctuations are at their peak. In postmenopause, when hormone levels stabilise at lower levels, dizziness and nausea often diminish.