Some of us are luckier in that (so far) reaching /in menopause has been smoother and less horomonal disruptive reactions.

Unless I'm in considerable pain (which has been very rare so far), I don't allow my partner to suggest if I am feeling off/low in self-esteem, that it's hormonal. Usually I know the real reasons,...much of it rooted in fears of certain major decisions to be made, what may happen in future or how others are behaving towards to me.

Part of what seems to work for me, is not consciously think about self-esteem, but more of how I can do well about something.

Some breaking of barriers for myself to healthy self-esteem, is developing a healthy sense of justice for others and for community. When you know of something deeply wrong happening to other(s) who you know, it gives you powerful incentive to speak out /act.