Menopause and alcohol

Do you look forward to a glass or wine at the end of a busy day, or celebrate a Friday with a couple of gin and tonics?

Coping with symptoms of the menopause can be tricky. From hot flushes and mood swings to sleep disturbance and joint pain, the symptoms and severity vary from woman to woman.

A glass or two can feel like an easy way to help yourself feel better, give yourself a treat, or help to forget about the stresses of the day, but it may increase the severity of common symptoms of menopause.

Is your drinking affecting your well-being?

Although alcohol can seem like an easy easy way to cope with symptoms of the menopause, it could be exacerbating symptoms such as:

  • Mood, anxiety and feelings of overwhelm

  • Energy levels

  • Sleep

  • Brain fog

  • Weight gain

  • Hot flushes and nights sweats

  • Cognitive function - memory and concentration

Alcohol is also linked to higher risk of conditions and diseases including:

  • breast cancer

  • colorectal cancer

  • osteoporosis and bone fracture

  • heart disease and stroke

  • damage to the liver and nervous system.

How much is too much?

The NHS recommends that we drink no more than 14 units of alcohol per week, spread out over three or more days.

  • This is equivalent to about six medium glasses of wine or six pints of 4% beer

  • It is recommended that we have no more than 14 units week

  • Spread over 3 days or more

  • Have several alcohol-free days a week

How much are you drinking?

There are lots of easy to use online calculators to check your intake.

Test yourself here.

Empty calories and weight gain

The calories in alcoholic drinks come from alcohol and sugar.

1 gram of pure alcohol contains kcals, so higher alcohol drinks are higher calorie.

Once you add mixers, the calories soon stack up.

These empty calories can, of course, contribute to weight gain - often one of the unwanted side effects of menopause!

  • 175ml glass of 12% ABV white wine = 142 kcal

  • 1 pint (568ml) of 5.2% ABV beer, lager = 220 kcal

  • 50ml measure of 40% ABV spirit (neat) =110 kcal

  • 150ml regular tonic water = 32 kcal

  • 150ml orange juice = 70 kcal

Simple ways to cut back

First up, it can be useful to work out how much alcohol you are drinking to start with. Use a calculator like the one shown below.

  • Set clear goals. Decide what will work for you. Are you going to cut alcohol completely for a period or time, or do you prefer to cut your weekly intake?

  • Make a plan. Have a few alcohol-free days a week and decide when you are going to have a drink. On these days, plan ahead and decide how much and what you will drink and set yourself a limit.

  • If you are having an alcoholic drink, it is a good idea to alternate it with something non-alcoholic, or some sparkling water. This will help you cut back and keep well hydrated.

  • Enjoy alternatives. Try some low or no alcohol alternatives and keep a supply of these in the house so they become your go-to drink instead of an alcoholic drink. Here are some ideas:

Some useful resources

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