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Besides these direct hormonal triggers, menopausal anxiety can spring up as you deal with midlife symptoms that affect mood, including: Hot flashes: Thanks to declining estrogen levels, about 75% of menopausal women experience hot flashes, a thermostat-gone-wonky symptom characterized by an uncomfortable sensation of heat spreading through the head, neck, and body, sometimes accompanied by a racing heart, dizziness, andyou guessed itanxiety