Doctor Amir Khan, a well-known medical expert from ITV appearances, has brought attention to a lesser-discussed symptom that can affect women during perimenopause or menopause: increased anxiety while driving or as a passenger in a car. In a recent video shared on his Instagram page, Dr Khan explained that this symptom is "really common" but often goes unmentioned in conversations about menopause.
Understanding the Symptom
Dr Khan recounted a personal anecdote involving his sister, who suddenly began experiencing significant anxiety in cars, whether she was driving or being driven by her husband or children. He noted that this was unusual for her, as she had previously been a confident driver, even describing her as a "girl racer" in her youth in Bradford. This change, he emphasised, is a typical manifestation linked to hormonal shifts during menopause.
Why Does Driving Anxiety Occur?
The doctor detailed the biological mechanisms behind this symptom. During perimenopause and menopause, levels of oestrogen and progesterone drop significantly. These hormones are closely linked to brain chemicals like serotonin, which regulates mood, and GABA, which has a calming effect. As these levels decrease, serotonin and GABA production is reduced, leading to heightened anxiety and a tendency for the brain to enter a fight-or-flight mode in situations that previously felt safe, such as driving.
Dr Khan stressed that this response is "completely normal" and affects "lots of women," yet many are unaware of the connection to menopause, leaving them confused about their sudden anxiety.
Management and Support Options
To help manage driving anxiety and other menopause-related symptoms, Dr Khan suggested several approaches. Simply understanding that the symptom is common and linked to hormonal changes can provide relief by normalising the experience. Additionally, hormone replacement therapy (HRT) may help balance hormone levels. Cognitive behavioural therapy (CBT) can address anxiety patterns, while breathing exercises and grounding techniques offer practical tools for coping in the moment.
Other Common Menopause Symptoms
Beyond driving anxiety, the NHS lists a range of symptoms associated with perimenopause and menopause, which can last for months or years. These include:
- Mood changes, such as low mood, anxiety, mood swings, and reduced self-esteem
- Memory problems or concentration issues, often referred to as brain fog
- Hot flushes and night sweats, which can cause dizziness and sleep disturbances
- Heart palpitations, headaches, and migraines
- Muscle aches, joint pains, and changes in body shape or weight
- Skin issues like dryness and itchiness
- Reduced sex drive and vaginal discomfort
- Recurrent urinary tract infections and oral health problems
The NHS advises consulting a GP or nurse if you experience these symptoms to discuss diagnosis and treatment options.
Dr Khan's insights aim to foster more open discussions about menopause, helping women recognise and address symptoms like driving anxiety with greater awareness and support.
