Cravings in Perimenopause: What Your Body Is Really Asking For
Cravings aren’t you overeating, being undisciplined, or out of control. They are your body’s way of communicating an imbalance.
I always tell my clients that your body’s number one job is to seek balance within its entire ecosystem. That system can feel upended during the natural hormone transition of perimenopause, when fluctuating estrogen and progesterone create a ripple effect throughout the body.
While more research is needed before we can conclusively say that the menopause transition directly causes food cravings, we do know cravings are common. In a large study of 238,000 women aged 18–55, 85% reported experiencing cravings during their menstrual cycle (Hantsoo, 2022).
Cravings and disordered eating are not the same. However, perimenopause can be a time when some women feel more vulnerable to binge eating. Binge eating is defined as consuming a large amount of food in a short period while feeling a loss of control (Anaya, 2022).
Perimenopause is often a season when the body quietly asks for:
More comfort
More fuel
More pleasure
In busy lives, those signals can get translated into reaching for sweets, salty snacks, or episodes of overeating in an attempt to meet those needs.
Why Cravings Intensify in Perimenopause
Cravings often intensify during perimenopause due to hormonal shifts and stress physiology.
Hormonal shifts:
Declining estrogen affects how the brain recognizes fullness. Fluctuating hormones can interfere with satiety signals, leading to increased hunger and more frequent cravings.
Cortisol overload:
Stress and poor sleep raise cortisol levels. Elevated cortisol directly increases cravings for sugary, starchy, and fatty comfort foods.
Energy dips:
As metabolism shifts and sleep quality declines, the body looks for quick energy sources. Sugar becomes the fastest solution when blood sugar levels drop.
Dopamine seeking:
The brain seeks dopamine, the “feel-good” neurotransmitter. Certain foods provide a fast pleasure response, temporarily soothing stress or emotional discomfort.
Much of this is not about willpower or even hunger itself. It is about how your body is changing and how your hormonal environment influences your appetite, energy, and emotional regulation.
Sugar vs. Sweetness: They Are Not the Same
Understanding the difference between sugar and sweetness can be powerful.
Sugar is often a physiological need. Your body may be asking for quick glucose after a blood sugar crash.
Sweetness is usually an emotional need. It can represent comfort, pleasure, or a moment of care.
When we confuse the two, we reach for sugar when what we may truly need is nourishment, rest, connection, or reassurance. Learning the difference allows you to respond with compassion instead of correction.
Fat + Fiber (and Protein) to the Rescue
One of the simplest ways to calm cravings is by stabilizing blood sugar.
When you eat carbohydrates alongside fiber and healthy fats, sugar is absorbed more slowly. This helps prevent sharp blood sugar spikes and crashes that trigger urgent hunger. Fat and fiber also increase satiety, helping you feel satisfied longer.
That is why I coach my clients to focus on the “magic trio” at meals:
Protein
Fat
Fiber
This combination supports steady energy, balanced blood sugar, and hormone health. When your body feels nourished and safe, it is less likely to search for a quick fix.
Rituals, Not Rules
Strict food rules rarely work long term. They often create pressure and rebellion, especially during this phase of life.
Rituals create ease and trust.
A ritual invites you to pause, notice what you actually need, and respond with care. That might look like building meals around protein, fat, and fiber. It might mean enjoying sweetness in its natural form, such as fruit or warming spices, paired with protein or healthy fat to keep blood sugar steady.
Rituals do not demand perfection. They offer a rhythm your body can relax into, making nourishment feel supportive instead of stressful.
So instead of fighting your cravings, start listening to them. They may be less about discipline and more about balance.
And if you are going to enjoy something sweet, try a version that supports your blood sugar instead of sending it on a roller coaster. A little loving note of sweetness can go a long way when it is built on nourishment.
RECIPE: CHOCOLATE TAHINI LOVE SPOONS
Why it works
- Magnesium-rich cacao
- Healthy fats stabilize blood sugar
- Deep satisfaction with a few bites
Ingredients
- 2 tbsp tahini
- 1 tbsp cacao powder
- ½ tsp cinnamon
- Splash vanilla
- Pinch sea salt
Instructions:
- Mix.
- Eat slowly with a spoon.
- Stop when it tastes done.