Complete Symptom Guide to Menopause Low Confidence - Stella

Menopause and low confidence


It’s really important that you value yourself and your achievements. Before you were old enough to realise the outside world has opinions it’s likely that you did, but self-doubt then kicked in. During menopause these feelings of doubt can intensify and it’s natural for many women to feel like strangers in their own bodies or to find themselves questioning their identity, decisions and competence.


Low self-esteem or low confidence is when you lack confidence in yourself – who you are and what you can do. You often have a negative perception of your self-worth and perceived value. It can affect your mood, relationships, home life and work.

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Low confidence can impact anyone at any age but can be particularly pervasive in menopause. It’s difficult to put an exact figure on it, but:

Read more about the stages of menopause.


Use self-deprecating humour, focus on negatives or blame yourself when things go wrong

Feel undeserving, difficulty accepting compliments, sensitive to criticism, negative comparison of self against others

Stay in comfort zone and fear failure

Lack confidence or difficulty in making decisions


Unlike some physical symptoms of menopause, low confidence and self-esteem cannot be so easily fixed with creams or medicines. It takes time and energy but can be a unique opportunity to make positive changes. No one chooses to go through menopause, and while you might not always feel ready to embrace change, it can be a great opportunity to rethink your life and direction.

Build a new narrative of yourself

Cognitive behavioral therapy (CBT) is a helpful method of identifying thought patterns and how they impact your emotions and behaviors. Another way of shifting negative self-talk is to remind yourself of the things that you like and value by asking yourself:

  • What is something that you love about yourself?
  • What is something that you appreciate about yourself?
  • What is something that others recognize you for?
  • What are some of your other outstanding qualities?

Test your perception

Perception is powerful and can play a big role in self-esteem. When you next go out, imagine that the first three people you interact with think you are absolutely amazing. What does this do to your posture and how you hold your body? How do you feel about yourself? Then imagine that the next three people you interact with think you are incapable or inadequate. What does this do to your mood? How secure do you feel? This exercise helps to highlight how powerful your sense of perception is and how it can affect your mood.

Promote more positive thoughts

When you look in the mirror, you may see yourself through the eyes of other people. Next time you look in the mirror, give yourself a big smile. Compliment yourself and flirt with yourself. This might feel silly at first but it is a simple way of challenging narratives and promoting positive and conscious thoughts. Most people initially go to their flaws rather than strengths and that is okay. Acknowledge any negative thoughts and push them away.

Prioritise self-care

Self-care is important for a healthy relationship with yourself. Take this as your cue to slow down and remind yourself of what is important…YOU. Between work, family and other obligations, you can often forget the importance of taking time to check in with how you are feeling. Set aside 15-30 minutes to remind yourself that you are capable and worthy.

Say no to the things that don’t serve you

Doing more activities that you love and resonate with your values can help bolster your self-esteem. When you spend all of your energy trying to make others happy, you send yourself a message that you’re less important.

Consider taking a social media break

Social media can prompt further comparisons between yourself and others – heightening feelings of inadequacy. Try taking a break from social media, even for just a day and notice how you feel. 

Ditch the perfectionist mindset

We all make mistakes from time to time – we’re human. Often when you have low self-esteem, you don’t give yourself permission to make mistakes. Mistakes are normal – try viewing them as an opportunity for growth instead of a justification for a lack of self-love.

Balance your lifestyle

Don’t underestimate the power of exercising regularly, eating well, and getting plenty of sleep – it can do wonders for your self-esteem.

Would hormone replacement therapy (HRT) help?

It might. HRT is proven to help with hot flushes, night sweats and mood changes, sleep, among others.

However, it is not suitable for everyone. Speak to your doctor if you would like to find out more about the best treatment for you. 

Read more about HRT risks and benefits


As with most menopause symptoms, loss of confidence may result from reduced levels of oestrogen and possibly testosterone. Life events, family changes, relationships and work issues can also have an impact, along with the physical changes of ageing. These factors may be either directly or indirectly related to the menopause.

Loss of confidence and self-esteem can happen at any stage during your menopause journey.

Suffering from low self-esteem can be a source of shame for many women, but remind yourself that this is not unusual, nor do you need to suffer in silence. Don’t be afraid to reach out for help, talk to your doctor,  a psychologist or even just a family member or friend.


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How to boost your confidence at work. Read more

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Menopause and sexual self-esteem. Read more

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