As an Audiologist, I hear a familiar story from many women in their mid-40s to early 60s. They often laugh and blame “menopause brain” for the moments when they feel forgetful, foggy, or not as sharp as usual. Because I’m now 54 myself, I usually smile, nod, and say “I know what you mean!” But lately, I’ve noticed another theme emerging in those conversations: more and more women in my age group are also talking about ringing in their ears. And, I have noticed this myself.

When I first had my Ear360 four years ago, I was surprised to learn that I had what could be described as a ‘hidden hearing loss’ at pitches not usually measured in a routine hearing assessment. Then, about 2 years ago, I began noticing a high-pitched ringing in my left ear, especially first thing in the morning when everything around me was quiet. Over time, that sound became harder to ignore, and now I notice it in both ears.

How hormonal changes affect hearing health

That is what led me to look more closely at whether there might be a connection between my peri-menopausal symptoms and what was happening with my ears. Emerging research suggests that changing and declining oestrogen levels may influence the inner ear and the way sound is processed. That does not mean menopause is the cause of hearing changes or tinnitus, but it may be an important part of the picture.

What makes this even more complex is the way these symptoms can interact. Stress and anxiety often increase during menopause, and poor sleep can make everything feel more difficult. We also know that sleep disruption and stress can make tinnitus feel more intrusive, while hearing difficulties and tinnitus can, in turn, heighten anxiety and affect overall wellbeing. It can become a difficult cycle to break.

I have certainly felt that cycle in my own life. Hormonal changes have unfolded alongside changes in my sleep, my hearing, and the ringing in my ears. I am not suggesting that menopause has directly caused all of it, but in my experience, these factors are clearly interconnected. And when they build on one another, the impact on quality of life can be significant.

So what am I doing about it?

First, I am trying to step back and look at my health more holistically. For me, that began with a comprehensive Ear360, which looked at my memory, balance, sleep, and tinnitus, as well as my ear hygiene and hearing.

Second, I am exploring therapies and treatment options that may support my hormone health and help reduce the broader impact these changes are having on my body and wellbeing.

I am also making room for the foundations that matter: regular exercise, healthy eating, better rest where I can get it, and a conscious decision to enjoy this decade of my life rather than simply push my way through it.