embracing nutrition and functional medicine

Natural Help and Support for Menopausal Symptoms with Functional Medicine

Looking for some support with your menopausal symptoms? Read below how Functional Medicine may be able to help you.

Menopausal Symptoms

The menopause is when a woman stops having menstrual cycles. It typically occurs between the ages of 45 and 55. It’s common for a woman’s periods to become irregular for a few months to a year before they stop entirely.

The menopause is a natural part of ageing and occurs when a woman’s supply of eggs is used up. When there are no eggs remaining the ovaries no longer produce the female sex hormones oestrogen and progesterone at the same level or in the same cycle. It’s the drop in the levels of these hormones, combined with other hormonal changes as the body adjusts that are responsible for menopausal symptoms. Menopause can also be induced by medical treatments such as a hysterectomy (where a woman’s ovaries and womb are removed) or by medications that block female hormones, for example, tamoxifen.

Most women will experience some menopausal symptoms, but for a small number, these symptoms can be severe and have a major impact on the quality of life.

Common menopausal symptoms include:

  • Hot flushes
  • Night Sweats
  • Vaginal dryness
  • Sleep problems
  • Mood changes
  • Reduced sex drive
  • Weight gain (especially around the middle)
  • Thinning hair
  • Dry skin
  • Shrinkage of breast tissue
  • Headaches
  • Palpitations
  • Joint pains
  • Recurrent urinary tract infections (UTIs)

 

The menopause is usually diagnosed based on a woman’s symptoms but blood tests to measure hormone levels may be carried out if you’re under 45.

Conventional treatment centres around hormone replacement therapy (HRT). This includes tablets, skin patches, gels and implants that relieve menopausal symptoms by replacing oestrogen. Whilst these treatments can help reduce symptoms they also have some downsides. Side effects include bloating, breast tenderness, nausea, headaches, indigestion and vaginal bleeding. HRT has also been associated with some more serious risks, such as an increased risk of blood clots and female cancers and may be unsuitable for women with certain health risks. 1

The functional medicine approach to the menopause focuses on dietary changes, therapeutic foods, herbs and supplements to balance hormone levels instead of HRT. 2 3 4 5

Functional medicine also recognises that menopausal symptoms aren’t just all about oestrogen. High levels of stress hormones and drop in blood sugar can also trigger symptoms such as hot flushes, night sweats and mood changes. Working to support the adrenal glands, reduce stress and restore blood sugar balance through a healthy diet can go a long way to supporting those with menopausal symptoms. 6 7

It’s also vital to ensure the body has all the vitamins, minerals and other nutrients it needs to deal with the challenges of the hormonal shift. In order to make and correctly process hormones, we need a range of nutrients from magnesium to B vitamins, antioxidants and groups. Many women will find that simply improving their diets can make them feel better! 8 9 10

References

  1. Marjoribanks J, Farquhar C, Roberts H, Lethaby A, Lee J. Long-term hormone therapy for perimenopausal and postmenopausal women. Cochrane Database Syst Rev. 2017 Jan 17;1(1):CD004143. doi: 10.1002/14651858.CD004143.pub5. PMID: 28093732; PMCID: PMC6465148.
  2. Vetrani C, Barrea L, Rispoli R, Verde L, De Alteriis G, Docimo A, Auriemma RS, Colao A, Savastano S, Muscogiuri G. Mediterranean Diet: What Are the Consequences for Menopause? Front Endocrinol (Lausanne). 2022 Apr 25;13:886824. doi: 10.3389/fendo.2022.886824. PMID: 35546996; PMCID: PMC9084275.
  3. Abdi F, Alimoradi Z, Haqi P, Mahdizad F. Effects of phytoestrogens on bone mineral density during the menopause transition: a systematic review of randomized, controlled trials. Climacteric. 2016 Dec;19(6):535-545. doi: 10.1080/13697137.2016.1238451. Epub 2016 Oct 6. PMID: 27710141.
  4. Ariyo AA, Villablanca AC. Estrogens and lipids. Can HRT designer estrogens, and phytoestrogens reduce cardiovascular risk markers after menopause? Postgrad Med. 2002 Jan;111(1):23-30; quiz 3. doi: 10.3810/pgm.2002.01.1085. PMID: 11810749.
  5. Learn CD, Higgins PG. Harmonizing herbs. Managing menopause with help from Mother Earth. AWHONN Lifelines. 1999 Oct-Nov;3(5):39-43. doi: 10.1111/j.1552-6356.1999.tb01130.x. PMID: 10827582.
  6. Gordon JL, Eisenlohr-Moul TA, Rubinow DR, Schrubbe L, Girdler SS. Naturally Occurring Changes in Estradiol Concentrations in the Menopause Transition Predict Morning Cortisol and Negative Mood in Perimenopausal Depression. Clin Psychol Sci. 2016 Sep;4(5):919-935. doi: 10.1177/2167702616647924. PMID: 27867758; PMCID: PMC5113718.
  7. Bermingham KM, Linenberg I, Hall WL, Kadé K, Franks PW, Davies R, Wolf J, Hadjigeorgiou G, Asnicar F, Segata N, Manson JE, Newson LR, Delahanty LM, Ordovas JM, Chan AT, Spector TD, Valdes AM, Berry SE. Menopause is associated with postprandial metabolism, metabolic health and lifestyle: The ZOE PREDICT study. EBioMedicine. 2022 Nov;85:104303. doi: 10.1016/j.ebiom.2022.104303. Epub 2022 Oct 18. PMID: 36270905; PMCID: PMC9669773.
  8. Ko SH, Kim HS. Menopause-Associated Lipid Metabolic Disorders and Foods Beneficial for Postmenopausal Women. Nutrients. 2020 Jan 13;12(1):202. doi: 10.3390/nu12010202. PMID: 31941004; PMCID: PMC7019719.
  9. Pérez-López FR, Chedraui P, Pilz S. Vitamin D supplementation after the menopause. Ther Adv Endocrinol Metab. 2020 Jun 5;11:2042018820931291. doi: 10.1177/2042018820931291. PMID: 32551035; PMCID: PMC7278294.
  10. Miquel J, Ramírez-Boscá A, Ramírez-Bosca JV, Alperi JD. Menopause: a review on the role of oxygen stress and favorable effects of dietary antioxidants. Arch Gerontol Geriatr. 2006 May-Jun;42(3):289-306. doi: 10.1016/j.archger.2005.08.005. Epub 2006 Jan 26. PMID: 16442644.

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