Once treated by mainstream medicine as a disease, menopause is a normal transition in a woman’s life from an age of fertility to one of wisdom. Like anything important in a woman’s life, this transition can sometimes be a challenge. With the recent revelation that standard hormone replacement therapy (HRT) for the relief of hot flashes caused a significant increase in the risk of cancer, a course of action for menopausal support can be confusing. But there are effective and safe alternatives to HRT.
Understanding Menopause
Clinically, menopause is complete when one year has passed since the cessation of menstruation. The perimenopausal period can last for several years. During this time, women experience gradual cycle changes like more or less bleeding and variations in cycle length. Anemia can occur due to heavy menstrual bleeding. Another way to experience menopause is through the removal of the ovaries. Hormonal shifts during perimenopause or after ovary removal cause hot flashes, night sweats, vaginal dryness, low libido, urinary incontinence, dizziness, heart palpitations, headaches and mood swings. Factors that aggravate symptoms are poor diet, stress, alcohol, caffeine, tobacco and spices.
Around menopause, hormone release occurs sporadically and produces symptoms such as hot flashes, night sweats, vaginal dryness, low libido, urinary incontinence, dizziness, heart palpitations, headaches, irregular cycles, irregular bleeding and mood swings. Estrogen receptors are located on non-reproductive cells, too. Therefore, menopause affects the aging of a woman’s whole body. Skin cells need estrogen to stay smooth and moist. The thyroid gland uses estrogen to maintain body temperature. Proper bone formation requires estrogen. The arteries and heart require estrogen for maintaining their functioning.
Progesterone and testosterone levels also decline in menopause. Progesterone has a calming effect on the brain and nervous system, and menopausal women may suffer from anxiety, depression or other emotional concerns. Testosterone regulates the libido and contributes to a decrease in sex drive, often reported by menopausal women.
Menopausal Symptoms
Synthetic hormone replacement therapy can relieve common perimenopausal aymptoms. It may also support heart and bone health. Some studies suggest hormone therapy may carry health risks, regardless of the source. Talk to a health professional about the benefits and drawbacks of hormone replacement.
The relief of these symptoms and natural support for the increased risk of other health concerns aggravated by menopause should include some or all of the following: balancing of hormones (sex hormones as well as adrenal and thyroid hormones), reducing symptoms like hot flashes and mood swings, supporting bone health, and supporting heart health. Natural support of the menopausal woman involves supporting the whole body because at menopause, women lose the protective effect of estrogen on the body. The skeletal and cardiovascular systems are especially susceptible to degeneration due to low estrogen levels.
Understanding Women's Hormones During Menopause
Hormones are very powerful substances that regulate bodily functions and cause dramatic changes in our health. Estrogen levels fluctuate and decline during perimenopause and menopause. These changes can trigger menopausal symptoms. Some herbs contain plant compounds that may support hormonal balance. They may offer a natural alternative to conventional hormone therapy. Some of these herbs include: Vitex, dong quai, black cohosh, damiana, soy extracts, licorice and others. Use standardized extract versions of these plants as they are stronger than the raw versions and contain a consistent amount of active ingredient. Progesterone levels can also be optimized with the essential fat supplements primrose oil or borage oil. Both of these contain the essential fat GLA, which your body needs to produce progesterone. Both of these work well combined with vitamin E. An imbalance between estrogen and progesterone is largely the reason why women experience hot flashes and an increased risk of heart disease and osteoporosis.
Other hormones, such as thyroid and adrenal gland hormones, can also fluctuate during menopause & perimenopause, causing symptoms such as fatigue, anxiety, stress, and insomnia.
Menopausal Symptom Support
Supporting thyroid health may help reduce symptoms. Kelp, tyrosine, and iodine can support thyroid function. Stress can also affect the adrenal glands during this transition. The adrenal glands manufacture hormones that help our bodies deal with stress effectively. When you are under long term stress, they can become exhausted and fatigue and a feeling of uncontrollable stress results. Support your adrenal glands with vitamins C and B (in particular B5).
Also use an herbal adrenal support formula with some or all of the following herbs: licorice, Siberian ginseng, ashwagandha, and astragalus.
If you or your practitioner suspect estrogen dominance, follow the above recommendations for increasing progesterone production, in addition to taking supplements to balance excess levels of estrogens, especially estrogen analogs in the form of toxins from the environment. Use the supplements D-glucarate, I3C (indole – 3- carbinol), and milk thistle to help your liver break down xeno-estrogens.
Menopausal Hot Flashes, Insomnia & Anxiety Support
Many women find relief from hot flashes, insomnia, depression, and vaginal dryness. For sleep support, consider valerian, calcium, magnesium, or melatonin. For depression and mood swings, St. John’s wort is effective in relieving mild to moderate depression and anxiety. Vitamin E and aloe can be applied topically to help relieve vaginal dryness.
Menopausal Bone Health Support
Osteoporosis is a major concern for many menopausal women. Calcium and magnesium form the foundation of a bone-support supplement program. Experts often recommend 1,500mg of elemental calcium and 750mg of magnesium daily. However, calcium absorption varies by form. Calcium carbonate, commonly found in drugstores, is less bioavailable than chelated or citrate calcium. These forms improve absorption and support bone health more effectively. Calcium microcrystalline hydroxyapatite (CMHA) is another therapeutic form. CMHA contains the same mineral structure found in bone. Clinical studies show it can increase bone mass and reduce bone loss. Healthcare professionals typcially recommend CMHA for people with diagnosed osteoporosis.
Synergistic nutrients can improve calcium absorption and support bone health. Calcium can be difficult for the body to absorb efficiently. Magnesium, zinc, silica, manganese, copper, boron, and potassium help increase calcium bioavailability. Magnesium and zinc support calcium absorption in the gut. Boron and silica help the bones incorporate calcium into new bone tissue. Maintaining an alkaline pH also supports bone health dueing menopause. Excess acidity can cause the body to draw minerals from the bones. Over time, this process may contribute to bone loss. Green food supplements and potassium-rich foods can help maintain alkalinity. Regular pH monitoring can help guide dietary and supplement adjustments.
Heart Health & Menopause
An increased risk of heart disease and stroke is also a concern for menopausal women. While heading towards age sixty usually carries with it an increased risk of heart attack and stroke for most people, declining levels of healthy estrogens accelerate this risk for menopausal women. Several supplements can help you to optimize your heart health during menopause. One of the best supplements proven to help maintain heart health is Coenzyme Q10. COQ10 helps the heart use oxygen and energy effectively, and its highest concentration in the body is found in the heart. Use 60-120mg daily of COQ10. Hawthorn berry contains bioflavanoids that have proven blood pressure reducing properties and that also act as a heart tonic.
It is important that you stay active during perimenopause and menopause. Exercise has many benefits for menopausal women, including reducing the risk of osteoporosis, heart attacks and strokes. Stress can also be managed with exercise and enjoyable activities.
Dietary Support During Menopause
Dietary support during perimenopause consists of a diet high in whole grains, nuts, seeds, cold-pressed nut and seed oils, vegetables, fruits, eggs, yogurt and nutritional yeast. These foods provide vitamin E, vitamin C, bioflavonoids, essential fatty acids and B vitamins. These nutrients enhance estrogen production and regulate estrogen levels in the body. Soy products should be consumed because they contain plant estrogens. Eat foods that are high in calcium, such as green leafy vegetables, eggs, shellfish and fermented dairy products. Drink 2L of filtered water daily to hydrate the skin ands mucus membranes. Avoid coffee and alcohol because they increase calcium excretion and exacerbate symptoms. Avoid animal products because they contribute to hot flashes and increase calcium loss.
One and a half to two litres of filtered water or herbal tea should be consumed daily to prevent dehydration. Avoid caffeine and alcohol, which increase fluid loss. There are three aspects to a bone building diet. Bone-forming minerals, including calcium, must be taken in. Accessory nutrients that help calcium utilization must also be available. Finally, the body must become alkaline because an acidic environment causes calcium to be drawn from the bones in order to buffer the acidity. Dietary changes for heart health include maintaining adequate fibre intake and lowering the fat and cholesterol content of your foods.