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What can a herbalist do to ease your menopause symptoms?

Every woman goes through it, yet it’s still talked about in hushed tones. How herbal medicine can ease menopause symptoms.

Jean Dow

Medical Herbalist & Functional Medicine Practitioner

All women go through the menopause, but it’s usually talked about in hushed tones, and you may feel too embarrassed to raise it with friends. The average age is 51 in the UK, though it can start anywhere between 45 and 55.

Your friends may be going through it at the same time, yet menopause can feel strangely lonely. Hot flushes, low mood, insomnia, mood swings and poor concentration can leave you feeling vulnerable, as if your body is out to get you.

So what can you do? As tempting as it might be to hibernate for a few years, you have family and friends who count on you, a career, charity work, or a dog that needs walking. You don’t want to give up on what could be your most rewarding years. This is where a herbalist can help.

01

What happens during menopause?

Menopause begins when your ovaries wind down. Since your first period, they’ve released an egg each month and produced most of your oestrogen, which regulates your cycle.

Oestrogen does far more than support reproduction. It also regulates fat storage, insulin sensitivity, liver function, brain health, bone strength, heart health and healthy skin.

Common symptoms

  • Irregular or stopped periods, which may become lighter or heavier
  • Hot flushes and night sweats
  • Fatigue or brain fog
  • Vaginal dryness
  • Mood swings or low mood
  • Headaches or more migraines
  • Tender breasts and stiff joints
  • Lower sex drive
  • Insomnia
  • Weight changes

Menopause is not an illness, just a new stage in your life.

Some symptoms can be troubling, but there are ways to manage perimenopause and menopause and see it as a transition. Not all the changes in your body are bad.

02

What are the disadvantages of HRT?

If you’re struggling, you may be considering hormone replacement therapy (HRT). HRT replaces some lost oestrogen, usually alongside progesterone to reduce the risk of womb cancer. It can relieve symptoms, but in my experience as a herbalist it also has drawbacks:

  1. HRT is typically intended as a short-term treatment of around five years, to minimise symptoms. It’s not a permanent solution.
  2. It can cause symptoms similar to menopause itself, including headaches, breast tenderness and mood changes.
  3. Stopping after five years or more can bring symptoms back. I regularly see women in their seventies struggling with late menopausal symptoms after long-term HRT.
  4. There are well-documented risks of certain reproductive cancers, including breast and ovarian cancer.
  5. While HRT replaces the oestrogen from your ovaries, it can hinder the natural transition of your adrenal glands becoming your main source of oestrogen.
  6. Even coming off synthetic hormones slowly can cause oestrogen levels to plummet, bringing low energy and other symptoms.

There are alternatives, and natural, personalised ways to manage coming off HRT without feeling like your life has ended.

03

How can a herbalist help me through menopause?

A herbalist can help you support the menopause and the changes it brings. Opposing those changes, or masking symptoms with medication, often isn’t the answer. A good herbalist gives you tools to support this natural process, while also supporting your liver and adrenal glands.

Every treatment plan is different; the herbs that suit you may not suit someone else. They aren’t meant to be taken forever, just to support your body through this stage. Menopause also isn’t constant. It can fluctuate month to month, and a medical herbalist can adapt your prescription as your body changes.

Herbs have eased menopausal symptoms for thousands of years. Research is limited, because most funding goes to pharmaceuticals, but herbalists have extensive clinical experience of how well they work. We blend 6 to 8 herbs in one medicine to treat the whole person, not just individual symptoms.

If you have a history of hormonal cancer, never take herbs for menopause symptoms without consulting a herbalist first. I don’t recommend self-medicating with herbs that promote hormone production, as it may cause further problems.

Two common patterns

In practice, I broadly see two types of menopausal patient:

  • Women with severe hot flushes but few mood swings
  • Women with severe mood swings, even rage, but fewer hot flushes

For hot flushes, herbs such as Humulus lupulus (hops), Cimicifuga racemosa (black cohosh) and Salvia officinalis (sage), at the right dose for you, can reduce their impact. Achillea millefolium (yarrow) can help limit night sweats, and Asparagus racemosus (shatavari) can help with hot flushes, night sweats, brain fog and even vaginal dryness.

For mood changes, Melissa officinalis (lemon balm), Avena sativa (oats), Scutellaria lateriflora (skullcap) and Hypericum perforatum (St John’s wort) can be effective. Please note you can’t take Hypericum alongside prescribed medication.

An NIMH-accredited herbalist can also prescribe and supply certain restricted herbs. Atropa belladonna is notorious as a poison, but in tiny amounts it can be used therapeutically to reduce night sweats and hot flushes, and many of my patients love the effect.

04

You don't have to struggle

It’s possible to go through menopause without HRT, and without feeling you’re losing your grip on life. Symptoms can be managed naturally, to the point where you can celebrate this new stage. With the help of an experienced herbalist, safe remedies used for thousands of years can make a real difference.

Want personalised advice?

Book a free 15-minute call to talk about your health and whether Jean can help.

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