Symptom & Goal

Yoga for Mood Swings in Perimenopause: Finding Emotional Balance

Find out how yoga can help stabilise mood swings during perimenopause through breathwork, nervous system support, and consistent practice.

6 min readFebruary 28, 2026

What Causes Mood Swings in Perimenopause

Mood swings during perimenopause are driven primarily by oestrogen volatility. Oestrogen has a direct relationship with serotonin and dopamine, the neurotransmitters that regulate emotional steadiness. As oestrogen levels fluctuate rather than decline in a linear way, serotonin availability shifts unpredictably, producing rapid transitions between irritability, sadness, anxiety, and calm. Progesterone, which has a naturally calming effect on the nervous system, also becomes erratic and then falls, removing another buffer against emotional reactivity. The result can feel like your emotional thermostat is broken. Many women describe feeling fine one hour and overwhelmed the next, with no obvious external trigger. Sleep disruption from night sweats compounds this, since poor sleep makes the emotional brain more reactive and the prefrontal cortex less able to moderate responses.

How Yoga Supports Emotional Regulation

Yoga works on mood through the nervous system rather than directly on hormones. The slow, controlled breathing that characterises most yoga styles activates the vagus nerve, which signals the parasympathetic nervous system to shift the body out of fight-or-flight mode. This lowers cortisol, reduces heart rate variability in the right direction, and creates a physiological state that is less vulnerable to emotional spikes. Regular yoga practice also increases GABA (gamma-aminobutyric acid) levels in the brain. GABA is the primary inhibitory neurotransmitter: higher levels correspond to calmer, more stable emotional states. A consistent yoga habit essentially trains the nervous system to recover faster from reactive states, which means mood swings become shorter in duration and lower in intensity over time.

Poses and Practices That Help Most

For mood stability, a combination of grounding and releasing practices tends to work best. Standing poses like Warrior I and Tree Pose require focused attention, which naturally quiets the ruminating mind and brings awareness back to the body. Forward folds are particularly useful for irritability: the position signals safety to the nervous system and encourages a long exhalation. Hip openers such as Pigeon Pose or Reclined Butterfly address the physical tension that accumulates in the pelvis and hips during emotional stress. For breathwork specifically, alternate nostril breathing (Nadi Shodhana) has the strongest evidence base for balancing the nervous system and is gentle enough to use daily. Even five minutes of Nadi Shodhana before a stressful event can measurably reduce cortisol and emotional reactivity.

What Research Supports This Approach

Research into yoga and mood during perimenopause has grown substantially over the past decade. A 2020 randomised controlled trial published in Climacteric found that 12 weeks of yoga practice significantly reduced mood instability scores in perimenopausal women compared to a control group. MRI research has shown that regular meditation and yoga practice increases grey matter density in the prefrontal cortex and the insula, both areas involved in emotional regulation and interoception. A study in the Journal of Alternative and Complementary Medicine found that yoga practitioners had significantly higher GABA levels than matched non-practitioners, directly linking the practice to the neurochemistry of emotional stability. The effect is cumulative: more consistent practice produces more durable change.

Starting a Practice When Moods Are Unpredictable

The challenge with mood swings is that motivation itself fluctuates. On high-mood days you may feel you don't need yoga; on low-mood days the effort of rolling out a mat can feel insurmountable. Building the habit on neutral days, when you are neither particularly high nor low, is the most effective strategy. Aim for three sessions per week of 20 to 30 minutes. If a full session feels like too much, start with just the breathwork component: five minutes of Nadi Shodhana is a complete intervention in itself. Online classes specifically designed for perimenopause and hormonal balance are widely available and allow you to practice at home, which removes the social pressure that can make mood-sensitive women avoid group classes. Consistency matters more than duration.

Tracking Mood Patterns Alongside Your Practice

Mood swings can feel chaotic, but they usually have patterns. They are often worse in the luteal phase of whatever cycle you still have, after consecutive poor sleep nights, or during high-stress work periods. Keeping a log of your mood, sleep quality, and exercise creates a picture that makes these patterns visible. PeriPlan lets you log symptoms and track patterns over time, which is particularly useful for understanding your mood triggers. When you can see that your worst mood days cluster predictably around certain conditions, you can take proactive steps: planning more yoga sessions in those windows, protecting sleep, or adjusting your schedule to reduce demands when you know emotional reserves will be lower. That kind of informed self-management is meaningfully different from simply reacting to each swing as it comes.

Related reading

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Medical disclaimerThis content is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. PeriPlan is not a substitute for professional medical advice. If you are experiencing severe or concerning symptoms, please contact your doctor or emergency services immediately.

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