Table of Contents
Table of Contents
Originally posted 2018 / Updated March 2024
For most women, menopause is marked by the end of monthly menstruation when there are no longer active follicles housing eggs in the ovaries. During this time, levels of estrogen and progesterone fluctuate and then decrease.
This natural process usually occurs when a woman reaches around fifty but may occur as early as 40 and as late as 55.
With menopause comes the end of menstruation and a set of common symptoms:
Fortunately, there are natural approaches to lessen the severity of these symptoms, which will be discussed in this article.
The key dietary recommendation to relieve menopausal symptoms is to increase the number of plant foods, especially those high in phytoestrogens while reducing the amount of high-fat animal foods and sugar in the diet.[1]
Phytoestrogens are plant compounds capable of binding to estrogen receptors and can replace some of the effects of estrogen that are no longer being made. Phytoestrogens are much weaker in action compared to estrogen. That is also why diets rich in phytoestrogens are associated with a lower risk for breast cancer, which is often fueled by estrogen. A high intake of phytoestrogens is thought to explain why hot flashes and other menopausal symptoms rarely occur in cultures in which people consume a predominantly plant-based diet.[2]
Foods high in phytoestrogens:
Increasing the intake of dietary or supplemental phytoestrogens helps decrease hot flashes, promotes cardiovascular health, and supports bone health.[2-5] Ground flaxseed consumption is particularly helpful. Women who consumed 2 tablespoons of ground flaxseeds twice daily cut the number and severity of their hot flashes by over 50% within 6 weeks.[6] Ground flaxseeds also help improve cardiovascular health by helping control cholesterol and blood pressure levels.[7]
Low dietary magnesium intake is common in developed countries. When dietary magnesium levels are low, it may contribute to the development of hot flashes by making blood vessels more sensitive to the hormonal changes that occur during menopause.
Researchers at Virginia Commonwealth University found that by supplementing magnesium to restore proper tissue levels, blood vessels become more stable and thereby less reactive to hormonal changes, and hot flashes are reduced in menopausal women.[8] For best results, use the citrate or bis-glycinate form; 150 to 250 mg three times daily is generally recommended.
Pine bark and grape seed extracts are sources of PCOs (Procyanidolic oligomers), a type of flavonoid. Clinical studies with these extracts have shown significant benefits to the health of blood vessels.
As it relates to menopausal symptoms, studies with PCO extracts have shown impressive results when given at a dosage of 100 mg twice daily in lowering hot flashes, night sweats, and mood swings, as well as improving cholesterol and blood pressure levels in women just beginning menopause. For example, in one double-blind, placebo-controlled study, 96 women with at least one menopausal symptom were given either grape seed extract at a low dose (100 mg/day) or high dose (200 mg/day) or placebo for 8 weeks.[9] Results showed significant decreases in hot flashes, insomnia, and blood pressure were seen in the groups taking the grape seed extract with the 200 mg per day dosage producing the best results. Muscle mass also increased with grape seed extract, presumably due to its antioxidant effects preventing aging-related muscle loss.
Estro-G 100 is a well-researched herbal supplement for menopausal symptoms composed of standardized extracts of three plants (Cynanchum wilfordii, Phlomis umbrosa, and Angelica gigas) used in traditional Korean medicine.
Significant research, including numerous preclinical studies and four double-blind, placebo-controlled human clinical trials, has been conducted on Estro-G 100. In the four clinical trials, EstroG-100® was shown to produce significant improvement in reducing all menopausal symptoms, including hot flashes, sleep disturbances, nervousness, melancholia, dizziness, fatigue, paresthesia, joint discomfort, and vaginal dryness. No adverse effects have been reported with Estro-G 100 use.[12-15]
Black cohosh extract is one of the most well-researched natural approaches to menopausal symptoms. Most, but not all, studies show very positive results.[16] In the largest study of 629 women with menopausal complaints, as early as 4 weeks after starting supplementation with black cohosh extract, a clear improvement in menopausal complaints was seen in approximately 80% of these women.[17] After 6 weeks of supplementation, more than 50% of the women experienced complete relief from all menopausal complaints.
In one of the most positive double-blind studies, when 80 patients were given either black cohosh extract (two tablets twice daily, providing 4 mg 27-deoxyacteine daily) conjugated estrogens (0.625 mg daily) or placebo for 12 weeks, the black cohosh extract produced the best results.[18] The number of hot flashes experienced each day dropped from an average of 5 to less than 1 in the black cohosh group. In comparison, the estrogen group dropped from only 5 to 3.5. Even more impressive was the effect of black cohosh on building up the vaginal lining.
Most people are likely familiar with the clinical research on St. John’s Wort extract in boosting mood, but it has also shown considerable benefits in improving menopausal symptoms, including hot flashes. The results generally are seen in the second month of supplementation. In one double-blind study of women going through menopause, St. John’s wort extract (900 mg three times daily) significantly reduced the frequency and severity of hot flashes after three months of supplementation. They also reported significant improvements in quality-of-life scores and sleep quality.[19]
The maca plant has a turnip-shaped root that is still consumed as food in its native area of the northern Puna region of Peru and Bolivia, where it grows just above the tree line but below the permanent snow cap. Maca is the highest-elevation food crop in the world. Maca has been treasured for thousands of years for its ability to increase energy, stamina, and fertility.
Preclinical research indicates the plant’s beneficial effects may include supporting the function of the control centers of the endocrine system (the hypothalamus and pituitary) as well as acting directly on the endocrine glands (e.g., the ovaries, adrenals, and thyroid). In two double-blind, placebo-controlled studies in women going through menopause maca supplementation is of benefit in reducing hot flashes and improving sleep quality, mood, and energy levels.[20,21]
Menopause is a transformative phase that affects women differently. From barely noticeable to debilitating, the severity of complaints varies. But fret not. There are recommendations to help!
Remember, your journey is unique! Take care of yourself during this transformative phase.
References:
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