Grieving the Woman You Used to Be
The younger self, the fertile years, the face in old photographs, the certainty about who you were. Menopause asks you to let some of that go — and the sadness you feel isn't weakness or vanity. It's grief, and it's allowed.
By Dr. Prerna Kohli — PhD & M.Phil, Clinical Psychology (Aligarh Muslim University)Clinical Psychologist · 30+ years · 7 min read · Written 8 July 2026 · Reviewed by Dr. Prerna Kohli · 8 July 2026
The sadness many women feel in menopause is real grief — for youth, fertility, an earlier body and an earlier self — and it deserves to be mourned, not dismissed as vanity or "just hormones." Grief that's named and moved through eases; grief that's suppressed tends to settle into low mood. Allowing yourself to mourn what's changing is what eventually makes room for acceptance, and often for a freer, truer version of yourself.
Written and reviewed by Dr. Prerna Kohli, clinical psychologist (PhD & M.Phil, Clinical Psychology, Aligarh Muslim University), 30+ years in practice, named one of the "100 Women Achievers of India" by the President of India. She works with women across India and the diaspora, in English and Hindi.
A woman told me she'd caught sight of an old photograph and had to sit down, because the grief that rose up surprised her with its force. "I don't even know what I'm crying for," she said. "It's not as if I want to go back to being twenty-five." But she wasn't crying for twenty-five. She was grieving something harder to name — the passing of a whole era of herself, and the quiet arrival of a stage she hadn't chosen and wasn't ready for. That grief is real, and it has a right to exist.
Yes, this is grief — and it's legitimate
What many women experience in menopause is genuine mourning, even though nobody has died, and recognising it as grief rather than as moodiness or self-indulgence changes everything about how you carry it. You may be grieving your fertility and the closing of a chapter your body decided rather than you; the youthfulness that our culture prizes so heavily in women; a face and body that are changing; and, underneath it all, a version of yourself you'd grown used to being. These are real losses. Grief is the correct response to real loss, not an overreaction to it.
In a culture that expects women to age quietly and without complaint, this grief is rarely given any room — which is exactly why it so often goes underground and turns into something heavier. Naming it out loud is not weakness. It is the beginning of moving through it.
Sources: StatPearls, U.S. National Library of Medicine · University College London, 2024 · Indian Menopause Society.
Grief moved through eases; grief suppressed hardens
The reason it matters to treat this as grief is that grief behaves like grief: felt and moved through, it softens over time; pushed down and denied, it doesn't disappear but settles into a low, persistent heaviness. Many women who arrive with what looks like depression are in fact carrying unmourned loss that was never given permission to be felt. When the grief is finally allowed, the heaviness often lifts.
You're not being vain or ungrateful. You're grieving — and grief is the honest response to a real goodbye.
This is distinct from — though it often travels alongside — the disorienting sense of not feeling like yourself. That page is about the confusion of change; this one is about mourning it. And if the heaviness is constant and colours everything, it's worth looking honestly at whether depression has taken hold, because that is eminently treatable.
Moving through it toward what's next
Grief doesn't get solved; it gets moved through — and on the far side of it, for most women, is not emptiness but a new and often freer sense of self.
Let yourself feel it. Give the loss its due rather than rushing to be grateful or positive. Named grief moves; denied grief stays.
Say it to someone. This grief thrives in silence and isolation. Speaking it — to a friend, or in therapy — begins to loosen its grip.
Separate loss from depression. Mourning that eases is grief; heaviness that only deepens may be depression. Knowing which you're facing matters.
Make room for who's next. Grief clears space. Many women find the post-menopausal self freer, less driven by others' approval, and more her own. There is something to move toward, not only away from.
A note on the medical side: where low mood, sleeplessness and hormonal change are compounding the sadness, a gynaecologist or doctor can advise on the physical side, and hormone treatment steadies mood for some women. That can make the grief easier to carry — but it doesn't replace the mourning itself, which is emotional work. The two support each other.
Your grief is real — you don't have to carry it alone
A confidential conversation can give this loss the space it deserves and help you move through it toward what's next. Online across India and worldwide, or in-clinic in Gurugram, English or Hindi.
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Frequently asked questions
Is it normal to grieve during menopause?
Yes — and it's more common than anyone admits. Many women grieve their fertility, their youth, a changing body and a familiar earlier self. These are real losses, and grief is the honest response to real loss, not vanity or self-indulgence. Because our culture expects women to age without complaint, this grief is rarely given room, which is exactly why naming it matters so much. Feeling it is normal and healthy.
Why am I mourning when nobody has died?
Because grief isn't only for people — it's the natural response to any significant loss, including the loss of a life stage, a role, a body, or a version of yourself. Menopause closes a chapter your body decided rather than you, and mourning that is legitimate. Recognising it as grief rather than as moodiness changes how you carry it, and lets you move through it instead of pushing it down where it hardens.
What's the difference between menopause grief and depression?
Grief that's felt and moved through tends to soften over time and comes in waves alongside moments of normality. Depression is more constant — a persistent heaviness that colours everything and doesn't lift, often with loss of interest, hopelessness and disturbed sleep or appetite. They can overlap, and unmourned grief can deepen into depression. If the heaviness only worsens and never eases, it's worth exploring depression specifically, as it's very treatable.
How do I grieve the woman I used to be?
Let yourself feel the loss rather than rushing to be grateful or positive; named grief moves, denied grief stays. Speak it to someone — a friend or a therapist — because this grief thrives in silence. Separate genuine mourning from depression so you get the right support. And, in time, make room for who you're becoming, since grief clears space for a new and often freer self. You don't have to do this alone.
Will this sadness ever lift?
For most women, yes. Grief that's given room to be felt softens over time, and on the far side of it many women discover not emptiness but a freer, truer sense of self — less driven by others' approval, more their own. The sadness lifts fastest when it's allowed rather than suppressed. If it doesn't ease at all and only deepens, that points toward depression, which responds well to treatment.
Can therapy help with menopause grief?
Yes, meaningfully. Therapy gives this loss the space our culture rarely does — a place to name and feel it without being told to cheer up or be grateful. It helps you tell grief from depression so you get the right support, and it accompanies you through the mourning toward acceptance and reinvention. Many women find that being allowed to grieve openly is precisely what finally lets the heaviness lift.
About Dr. Prerna Kohli
Dr. Prerna Kohli is a clinical psychologist with a PhD and M.Phil in Clinical Psychology from Aligarh Muslim University and more than 30 years of practice. Recognised as one of the "100 Women Achievers of India" by the President of India and a TEDx speaker, she works with women across India and the diaspora, in English and Hindi, on grief, identity, depression and midlife mental health.
This page offers general psychological information about the emotional side of menopause. It is not medical advice and does not diagnose or treat any condition. For physical symptoms or hormone therapy, please consult a gynaecologist or your doctor. If your sadness feels persistent or overwhelming, please reach out to a mental health professional or someone you trust.