More than ever before women are educating themselves asking their doctors questions, and discovering the variety of natural options to heal menopausal symptoms. Diet changes, exercise, essential vitamins and nutrients, and herbal medicine can have a profound impact on menopausal symptoms and the way a woman moves through this life transition.

No two women experience menopausal symptoms the same. Physical, mental and emotional symptoms can begin long before a woman reaches official “menopause”–the term used when a woman goes one full year without having a menstrual cycle. Typically symptoms begin between age 40 and 51, a time period called peri-menopause. Signs and symptoms include: Menstrual irregularities. Hot flashes. Night sweats. Vaginal dryness. Skin changes. Fatigue. Low libido. Mood swings. Weight gain. Joint pain. Insomnia. Headaches. Urinary tract infections. Incontinence. Anxiety. Depression. Osteoporosis. Heart disease

Menopause and Natural Medicine

The naturopathic approach to care of menopausal symptoms is different from conventional medical care. Naturopathic doctors view menopause as a normal transition in life, rather than a disease process. Naturopathic doctors strive to educate women about the changes happening in their body during this life transition. Naturopathic recommendations focus on the whole woman–her diet, her lifestyle, her exercise, and her mental, emotional and spiritual outlook.

Therapeutic options include: vitamin and nutrient supplementation, herbal or botanical medicine, homeopathic medicine.


Increasing a woman’s dietary intake of phytoestrogens or foods containing plant-based estrogen can improve many symptoms of menopause. Adding 100 grams of tofu and 2 TB of ground flaxseeds each day to a woman’s diet can reduce hot flashes and decrease vaginal dryness. Other recommended foods include natural sources of soy in miso, (not the refined soy in soy milk or soy cheese), tofu, flaxseeds, pumpkin seeds, nuts, whole grains, apples, fennel, celery, parsley, and alfalfa. Foods and herbs that contain phytoestrogens offer a significant advantage over the use of hormonal estrogen because phytoestrogens have not been associated with the side effects of hormonal estrogen–increased cancer rates, gallbladder disease and blood clots.


Moderate to high intensity weight bearing aerobic exercise, high intensity progressive resistance training, and high-impact loading such as jumping, all can increase bone density by 1-4 percent in pre and post-menopausal women. Weight bearing exercise like walking, jogging, stair climbing, dancing, weight training, and cross-country skiing can reduce risk of fracture and improve bone mass.

Herbal Medicine

Black cohosh is a suitable natural alternative to hormone replacement therapy for menopausal symptoms especially when hormone replacement therapy is contraindicated (conditions with possible contraindications include history of cancer, liver and gallbladder disease, pancreatitis, uterine fibroids, fibrocystic breast disease). Dong quai, licorice, and chaste tree berry are herbs with mild estrogenic effects and used to treat menopausal symptoms to help with fatigue during menopause, Siberian ginseng combined with a vitamin B complex is often effective. Herbs like Damiana, Ashwaghanda and ginseng herbs can improve libido and can be used when fatigue is the source of low desire. For difficulty falling asleep, herbs like Valerian, Passionflower, California Poppy and Jujube can be beneficial. For problems waking in the middle of the night, consider Ashwaghanda or St. John’s Wort if waking is associated with anxiety or depression. Jujube, Hops, Skullcap, Passionflower, Oats and Chamomile are used for night sweats and insomnia caused by flushing.

Trickey, R. 2003. Women, Hormones and the Menstrual Cycle. Allen & Unwin, Australia. Pp. 153-201.
Murray, M., Pizzorno, J. 1998. Encyclopedia of Natural Medicine. Three Rivers Press, New York. Pp. 628-644.
Hudson, T. 2008. Women’s Encyclopedia of Natural Medicine. McGraw-Hill, New York. Pp. 175-224.

Naturopathic medicine provides natural and holistic care solutions for most acute and chronic conditions. The goal of care is different from conventional medicine because the focus is addressing the underlying cause of illness not just the symptoms.

When you address the underlying dysfunction in the body and restore the biochemical balance to all organ systems, symptoms resolve on their own.