For many women, stress has become so routine that it barely registers as a health concern. It is woven into packed schedules, caregiving responsibilities, workplace demands, financial pressures and the invisible mental load that often comes with managing everyday life.
A recent survey by Traya Health, which analysed responses from over 5.3 lakh women across 15 Indian states, found that nearly one in two women experiences chronic stress daily. The findings also revealed that almost two in five women are not getting adequate sleep, while more than half report ongoing gut health concerns.
Experts say these issues are far more connected than they may appear.
At the centre of the conversation is cortisol, a hormone produced by the adrenal glands that helps regulate metabolism, blood pressure, immunity and the body's response to stress. While cortisol plays an essential role in keeping us alert and functioning, problems arise when stress becomes constant rather than temporary.
When cortisol remains elevated for long periods, it can disrupt the body's natural hormonal balance. Experts note that prolonged stress may contribute to irregular menstrual cycles, worsening PMS symptoms, fatigue, acne, hair fall, weight gain, anxiety and sleep disturbances. For women managing conditions such as PCOS or endometriosis, chronic stress may further aggravate symptoms.
Sleep is often one of the first casualties. Under normal circumstances, cortisol levels rise in the morning and gradually decline at night. However, chronic stress can interfere with this rhythm, making it harder to fall asleep, stay asleep and achieve restorative rest.
The long-term consequences can extend beyond fatigue. Persistently elevated stress levels have been associated with increased risks of high blood pressure, metabolic disorders, anxiety, depression and reduced overall well-being.
The encouraging news is that small, consistent lifestyle changes can make a difference. Regular movement, balanced meals, adequate hydration, mindfulness practices, reduced screen time before bed and prioritising seven to eight hours of sleep can all help support healthier cortisol regulation.
The survey highlights an important reality: stress is not simply an emotional experience. It is increasingly becoming a women's health issue that deserves greater attention, understanding and support.
Source: Traya Health Survey (2026) and expert insights from healthcare professionals, including Dr Archana Pate