Question #26147
12 hours ago
53
How to manage perimenopause symptoms? - #26147
Sen
Hi! I am 43 years old and have started experiencing perimenopause symptoms.I have gained weight and getting My period once every 4-5 months. I lead a moderate lifestyle with yoga 5 days a week, home cooked meals, and some alcohol once in awhile! My blood test has confirmed early onset of menopause. Please help me manage!
Age: 43
Perimenopause
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Doctors’ responses
You can take cap. Evanova 1-0-1 after food with water
Brahmi vati 1-0-1 after food with water
Since metabolism also gets changed, becomes slower at this stage, easy weight gain occurs
You will have to follow low calorie diet.
Brisk walking atleast 30 mins daily.
Do pranayam lom -vilom bhastrika bhamri kapalbhati daily 5-10 minutes twice.
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Hello,
It is good to know that you are already doing yoga quite regularly. Please add pranayama and meditation on daily basis(not 5 days a week)
Hydrate yourself well and maintain a good sleep routine.
Start having early dinner(before 0630PM) with raw vegetable salad and soup(as metabolism slows down, it is better to have light dinner).
I hope your lipid profile is normal.
Take care.
Kind regards.
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Don't worry,
Along with these include Meditation and pranayam in your daily routine...
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Hi avoid spicy masala foods, pickles,junk foods
Add more fruits cooling to body.
Do pranayama, sethubandhasana pavamuktasana ushtarasana suryanamaskara.
Guluchyadi kashayam 15ml twice daily before food diluted with 45ml Luke warm water
Saribadyasava 30 ml twice daily after food
Woman fourt plus powder 1-2 tsp with milk
Pancharavindachoornam1-2 tsp with milk at night
Stay hydrated
Do full body workouts
Thankyou
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You can start on
Strirasayana vati -one tablet twice daily after food with warm water
Shatavari churna-teaspoon with warm milk at night
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Hello sen ,
You're 43 and entering the perimenopausal phase, which is a natural transition but can cause significant hormonal shifts irregular periods, weight gain, mood changes, fatigue, and changes in metabolism. Despite your healthy lifestyle with yoga and home-cooked food, these changes occur due to gradual depletion of estrogen and ojas (vital essence), along with Vata and Pitta aggravation.
In Ayurveda, this stage is called “Rajo-nivritti avastha”, and it needs gentle balancing, nourishment, and hormonal rhythm restoration — not suppression.
Internal medication (8 weeks minimum):
Sukumaram Kashayam – 15 ml with 45 ml warm water before food, twice daily
Ashokarishta – 20 ml + 20 ml water after meals twice daily (to regulate periods and tone uterus)
Shatavari Gulam – 1 tsp with warm milk at bedtime (improves estrogenic support, calms system)
Ashwagandha Churna – ½ tsp with milk in the morning (for strength, mood, and metabolism)
Punarnavadi Mandooram – 1 tablet twice daily if fatigue or water retention is present
2. External Therapies :
Abhyanga – Full body massage 3–4 times/week with Ksheerabala Taila or Dhanwantaram Taila
Nasyam – Anu Tailam 2 drops in each nostril every morning (after tongue cleaning and oil pulling)
Basti – Monthly Matra Basti (medicated oil enema) if constipation, dryness, or Vata symptoms are strong
Cow ghee, warm soups, cooked greens, beetroot, sesame seeds
Cooked moong dal, red rice, barley
Turmeric, jeera, methi, and coriander in meals
Dates, figs, raisins (soaked overnight)
Herbal tea: Shatavari + Licorice + Dry ginger
Cold foods, carbonated drinks, excess raw food
Excessive sour/spicy foods (disturbs Pitta)
White sugar, maida, bakery foods
Late meals and irregular timings
Alcohol frequency should be minimal during this phase
Practice Bhramari and Nadi Shodhana pranayama every morning
Yoga poses like Paschimottanasana, Supta Baddha Konasana, Viparita Karani are ideal
Maintain strict sleep hygiene asleep by 10:30 PM
Stay emotionally connected and reduce screen exposure after sunset
Tests (If Not Done):
Serum FSH & LH
Estradiol
TSH
Vitamin D3
HbA1c (to monitor metabolism)
You don’t need to fear menopause. It is a second spring when supported well. With Ayurvedic rhythm, nourishment, and a little structure your hormones can settle smoothly, your weight can rebalance, and your energy can be restored.
If you have any doubts, you can contact me.
Take care,
Regards, Dr. Karthika
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Simple Remedies
1. Take 4gm of powders of Ashwagandha, Asparagous recemosus(shatavari) Tinospora cordifolia(giloy) , fenugreek, Saraca indica.
2. Take triphala, Asparagus recemosus, Saraca indica and Tribulus terrestris.
pishti-100mg
Diet and Lifestyle
ment, Rasayana,
Pathya: Nutritious food, milk and ghee, carrot, wheat grass juice, soya protein, meat soup, fish, cod liver oil, seafood, green vegetables-methi,spinach, green onions, exercise, weight bearing exercise especially walking and climbing stairs.
Apathya: Kashaya, Amla, Lavana rasa, abhishyandi, Vidahi Ahara.
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In pre menopause follow guidelines and management:-
Divya nari kanti tab=2-2 tab before meal twice daily
DASHMOOLARIST=3-3 tsp twice daily after meal with same amount of water
Do yoga=konsana/TITLIASNA/vazrasana/kapalbhati/anulom vilom bhramri Pranayam...
AVOID sour/fermented/packed food
You can cured eaisly
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HELLO SEN,
Perimenopause is the natural transition phase before menopause, usually starting in your 40s. It can last several years, and during this time your hormone levels (especially estrogen and progesterone) start fluctuating , causing physical and emotional symptoms.
COMMON SYMPTOMS
-irregular or missed periods- like yours every 4-5 months
-weight gain-especially around the abdomen
- hot flashes and night sweats
- mood swings, anxiety, irritability
-sleep problems
- vaginal dryness
- fatigue, low energy
- brain fog, poor memory
Ayurveda explains this phase as a Vata-Pitta imbalance, mainly affecting the Rasa(plasma) and Artava(reproductive) dhatus (tissues). Aging increases vata dosha, which causes irregularity, dryness, and instability. Hormonal fluctuations increase pitta, leading to hot flashes, irritability, and emotional issues
DOSHA INVOLVEMENT
-VATA-> irregular cycles, anxiety, dryness, sleep issues
-PITTA-> hot flashes, anger, irritability
-KAPHA-> weight gain, sluggishness
TREATMENT GOAL
-balance vata and pitta doshas
-stabilise hormones naturally
-nourish reproductive tissues(artava dhatu)
- improves digestion and detoxify gently
-promote restful sleep and mental calm
-support weight management naturally
INTERNAL MEDICATIONS
1) RAJA PRAVARTINI VATI= 1 tab twice daily after meals with warm water for 2 months
=supports menstrual regularity and balances hormones
2) ASHOKARISHTA= 2 tsp with equal water twice daily after meals for 3-6 months
=balances estrogen, strengthens uterus and reduces bleeding issues
3) SHATAVARI KALPA= 1 tsp with warm milk at bedtime for 3 months
=nourishes reproductive tissues, boosts estrogen naturally
4) SUKUMARAM KASHAYAM= 15ml with warm water twice daily before meals for 3 months
=Balances Vata, relieves bloating, constipation, and hormonal discomfort
5) CHANDRAPRABHA VATI= 2 tabs twice daily after meals for 2 months
= improves urinary and reproductive health, boosts energy
DIET TO BE FOLLOWED
-warm, cooked foods- soups, stew,khichdi
- whole grains= brown rice, quinoa, barley, millets
-healthy fats= ghee, sesame oil, flaxseed oil
-protein sources= mung dal, moog sprouts, tofu, soaked almonds
-veggies= carrots, beets , pumpkin, ash gourd, spinach(cooked)
-spices= cumin, coriander, fennel ,turmeric- helps inflammation
-herbal teas= CCF tea(cumin-coriander-fennel), shatavari tea
AVOID STRICTLY
-raw or cold foods
-excess caffeine, alcohol, sugar
-fried, spicy, sour, fermented foods
-overeating or skipping meals
WHY DIET= because it pacifies vata and pitta, improves digestion, reduce inflammation, and supports hormonal balance
YOGA(gentle but concisely follow)
-supta baddha konasana= hormone balancer
-Setu Bandhasana= stimulates ovaries, relieves back pain
-Viparita karani= relieves fatigue, improves blood flow
-balasana= relaxes nervous system
-Bhujangasana= strengthens spine, improves digestion
Do yoga 4-5 times/week. Avoid overheating or overly strenuous postures
PRANAYAM FOR HORMONE BALANCE
-nadi sodhana= calms mind, balances hormones
-bhramari= reduces anxiety, improves sleep
-sheetali= helpful for hot flashes
5-10 minutes daily is enough. always practice on an empty stomach
STRESS AND MENTAL MANAEGEMENT
stress worsens hormone imbalances
-journaling thoughts every morning or night
-listening to calming music(raag Yaman, soft flute)
-Aromatherapy= use lavender ,sandalwood oil
-say affirmations= :"MY BODY IS STRONG. MY HORMONES ARE BALANCING"
HOME REMEDIES
1) FLAX SEED POWDER
-1 tsp daily with warm water or in smoothies
=contain phytoestrogen (natural oestrogen-like compounds)
2) ALOE VERA JUICE
-10 ml daily in morning
=cleanses uterus, regulates hormones
3) FENUGREEK SEEDS
-soak 1 tsp overnight, eat in morning
=improves digestion, balances hormones, reduces weight
4) SESAME SEEDS
-rich in calcium and natural estrogen, roast and eat 1 tsp daily
WHAT TO EXPECT AND HOW TO STAY POSITIVE
-perimenopausal is a natural transition, not a disease.It's your body preparing for a new phase of balance
-Many women thrive during and after this phase once their routine supports hormone health
-Be gentle with yourself. some days will feel off-that's normal
-Ayurveda treats root cause, not just symtoms
BE PATIENT- HEALING TAKES 3-6 MONTHS
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
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