Alcohol Use Disorder in Menopausal / perimenopausal women
| Key things to know | What the evidence shows |
|---|---|
| How common is it? | Not established menopause-specific |
| Is it more common among menopausal / perimenopausal women? | Midlife drinking/AUD increasingly important; physiological vulnerability changes with age |
| Are menopausal / perimenopausal women at higher risk? | Yes / clinically meaningful midlife context |
| How much higher is the risk? | Not established AUD-specific |
| How often can it be missed? | High |
| Does it show up differently among menopausal / perimenopausal women? | Yes |
| How might it look different? | Drinking for sleep, mood or vasomotor symptoms can become reinforcing; physiological alcohol tolerance changes with ageing |
| What commonly occurs alongside it? | Depression; anxiety; sleep problems |
| What can it be confused with? | Sleep/mood symptoms of menopause vs alcohol-related symptoms |
| Common screening tool | AUDIT |
| Separate screening tool for menopausal / perimenopausal women | None established |
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