Ask Ayurveda

/
/
/
Seeking Ayurvedic Remedies for Perimenopause Symptoms
FREE!Ask Ayurvedic Doctors — 24/7
Connect with Ayurvedic doctors 24/7. Ask anything, get expert help today.
500 doctors ONLINE
#1 Ayurveda Platform
Ask question for free
00H : 08M : 15S
background image
Click Here
background image
Gynecology and Obstetrics
Question #44106
77 days ago
289

Seeking Ayurvedic Remedies for Perimenopause Symptoms - #44106

Client_4a1e53

I am having perimenopause symptoms like muscle pain, nerve pinching, mood swings and itching on legs. My cycle has reduced to 21 days from 28 days. I also have Merina inserted to take care of adenomyosis and endometriosis issues that i suffered with for a long time. Plus there is bloating and weight gain.Please suggest some ayurvedic remedy to help with theseconcerns

How long have you been experiencing these perimenopause symptoms?:

- More than 6 months

On a scale of 1-10, how severe are your mood swings?:

- 4-6 (moderate)

How would you describe your current diet?:

- Mostly healthy, with occasional indulgences
FREE
Question is closed

Doctor-recommended remedies for this condition

FREE! Ask an Ayurvedic Doctor — 24/7, 100% Anonymous
Get expert answers anytime, completely confidential. No sign-up needed.
background-image
background-image
background image
banner-image
banner-image

Doctors' responses

Perimenopause brings a variety of symptoms due to hormonal changes, and Ayurveda focuses on balancing the doshas, specifically Vata and Pitta, affected during this time. Begin by adjusting your diet to support Agni, your digestive fire, which is crucial for managing bloating and weight gain. Favor warm, cooked meals over raw foods. Include ghee, which is nourishing and helps pacify Vata. Foods like cooked moong dal, carrots, and squash are beneficial.

For muscle pain and nerve pinching, apply a warm sesame oil massage daily. Sesame oil is incredibly grounding and soothing for Vata imbalance. After massaging, consider taking a warm bath infused with ginger powder to relax the muscles. Incorporate yoga exercises like gentle twists and forward bends to release tension gradually.

Mood swings can be mitigated through Ashwagandha, a revered adaptogen in Ayurveda. Take Ashwagandha churna, half a teaspoon with warm water or milk, daily. It supports the nervous system and helps in stress management.

Considering the itching, sipping on herbs such as licorice root tea can be soothing. Go easy on spicy, oily foods which might aggravate itching. Also, applying aloe vera gel topically could bring some relief.

As your cycle has shortened, Shatavari may offer support; it is known for balancing female hormones. Take a tablespoon of Shatavari powder with warm milk, before bedtime. It’s essential to ensure the quality and source of herbs, especially when dealing with hormonal issues.

Bloating often ties into poor digestion. Add a pinch of Hing (asafoetida) in your cooking, it aids digestion and reduces gas. Drinking warm water with lemon first thing in the morning can stimulate digestion and help in detoxification.

Remember to maintain consistent sleep routines, as irregular sleep can exacerbate symptoms. If these symptoms persist, it’s wise to consult with a practitioner to tailor these guidelines further to your unique constitution and health conditions.

11915 answered questions
28% best answers
Your personalized treatment is ready
We've added the medicines recommended by your doctor.
Your personalized treatment is ready
We've added the medicines recommended by your doctor.

0 replies
Speech bubble
FREE! Ask an Ayurvedic doctor — 24/7,
100% Anonymous

600+ certified Ayurvedic experts. No sign-up.

About our doctors

Only qualified ayurvedic doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.


Related questions

Doctors online

Dr. Narendrakumar V Mishra
I am a Consulting Ayurvedic Physician practicing since 1990—feels strange saying “over three decades” sometimes, but yeah, that’s the journey. I’ve spent these years working closely with chronic conditions that don’t always have clear answers in quick fixes. My main work has been around skin disorders, hair fall, scalp issues, and long-standing lifestyle stuff like diabetes, arthritis, and stress that kinda lingers under everything else. When someone walks into my clinic, I don’t jump to treat the problem on the surface. I start by understanding their prakriti and vikriti—what they’re made of, and what’s currently out of sync. That lets me build treatment plans that actually fit their system—not just push a medicine and hope it works. I use a mix of classical formulations, panchakarma if needed, dietary corrections, and slow, practical lifestyle changes. No overnight miracle talk. Just steady support. Hair fall and skin issues often feel cosmetic from outside—but internally? It’s about digestion, stress, liver, hormones... I’ve seen patients try 10+ things before landing in front of me. And sometimes they just need someone to *listen* before throwing herbs at the problem. That’s something I never skip. With arthritis and diabetes too, I take the same root-cause path. I give Ayurvedic medicines, but also work with dinacharya, ahar rules, and ways to reduce the load modern life puts on the body. We discuss sleep, food timing, mental state, all of it. I’ve also worked a lot with people dealing with high stress—career burnout, anxiety patterns, overthinking—and my approach there includes Ayurvedic counseling, herbal mind support, breathing routines... depends what suits them. My foundation is built on classical samhitas, clinical observation, and actual time with patients—not theories alone. My goal has always been simple: to help people feel well—not just for a few weeks, but in a way that actually lasts. Healing that feels like them, not just protocol. That’s what I keep aiming for.
5
1915 reviews
Dr. Snehal Vidhate
I am Dr. Snehal Vidhate, born n brought up in Maharashtra—and honestly, for as long as I remember I’ve felt this pull towards Ayurveda. Not the fancy version ppl throw around, but the deep, real kind that actually helps ppl. I did my BAMS from YMT Ayurvedic Medical College in Kharghar. That’s where I got my basics strong—like really studied the shastras, understood prakriti, doshas, the whole deal. Not just crammed theory but started to see how it shows up in real lives. After finishing BAMS, I got into this one-year certificate course at Rashtriya Ayurveda Vidyapeeth, Delhi—honestly a turning point. I was super lucky to learn Kerala Ayurveda from my Guru, Prof. Dr. G.G. Gangadharan. He’s got this way of seeing things... simple but deep. That time with him taught me more than any textbook ever could. It kinda reshaped how I look at health, healing n how precise Ayurveda can be when you respect its roots. Right now I’m doing my MD in Panchakarma from SDM Ayurveda College, Bangalore. This place is like a hub for serious Ayurveda work. The Panchakarma training here? Super intense. We go deep into detoxification & rasayana therapy—not just theory again, but hands-on. I’m learning to blend classical techniques with today’s clinical demands.. like how to make Vamana or Basti actually doable in modern patient setups. My current practice is really about merging tradition with logic. Whether it’s chronic skin issues, gut problems, stress burnout or hormone stuff—my goal is to get to the root, not just hush the symptoms. I use Panchakarma when needed, but also a lot of ahara-vihara tweaks, medhya herbs, sometimes just slowing ppl down a bit helps. I really believe Ayurveda’s power is in its simplicity when done right. I don’t try to fix ppl—I work *with* them. And honestly, every patient teaches me something back.
5
583 reviews
Dr. S. Susitha Lekshmi
I am honestly trying to sum up my 10+ years in Ayurveda, and sometimes I feel like the words don’t fully catch what those years really meant. I worked across different setups, a mix of opd days, longer case followups and those moments where I had to rethink a treatment plan because the patient wasn’t responding the way I first expectd. Those things shaped me more than any textbook page honestly. I focus a lot on understanding how a person’s routine n habits shape their health, and I use classical Ayurvedic principles to guide most decisions… though there are days when I go back and recheck the basics again to make sure I am doing it right. My work in these years has made me comfortable handling a wide range of cases, from common digestive trbls to joint issues and skin concerns, and sometimes the more slow-moving lifestyle disorders where patience becomes a kind of treatment too. I try to keep my consultasions more like a conversation than a prescription-giving moment. I’ve seen how patients open up when they realise I’m looking for the root cause, not just the symptom. Diet correction, daily routine fixes, small mind-body adjustments—these things are simple but they shift a lot when done properly, and I’ve watched that happen dozens of times. I also keep learning, even now, sometimes going through old notes or attending quick sessions to refresh things I might have overlooked. And somewhere in these years, I think I developed a steady kind of confidence—not loud, just practical—that comes from seeing what works again and again. I’m still refining my approach, still figuring better ways to guide people, but my aim stayed same through all these years: offer care that feels real, personal, rooted in Ayurveda and still adaptable to the way people live today.
5
2 reviews
Dr. Nayan Wale
I am working in medical field for total 7 years, out of which around 4 years was in hospital setup and 3 years in clinic practice. Hospital work gave me strong base, long duty hours, different type of cases, emergencies sometimes, and learning under pressure. Clinic work is different, slower but deeper, where I sit with patients, listen more, explain things again n again, and follow them over time. In hospital I handled day to day OPD cases, routine management, and also assisted seniors when things got complicated. That phase shaped my clinical thinking a lot, even now I sometimes catch myself thinking like hospital mode when a case looks serious. Clinic practice on the other hand taught me patience. Patients come with chronic issues, expectations, doubts, sometimes fear, and I had to adjust my approach accordingly. I focus on practical treatment planning, not just diagnosis on paper. Some days I feel I should have more time with each patient, but I try to balance it. My experience across hospital and clinic helps me understand both acute care and long term disease management. I still keep learning everyday, reading, observing patterns, correcting myself when needed, because medicine never stays same for long, and neither should the doctor.
5
10 reviews
Dr. Sara Garg
I am someone who believes Ayurveda isn’t just some old system — it’s alive, and actually still works when you use it the way it's meant to be used. My practice mostly revolves around proper Ayurvedic diagnosis (rogi & roga pariksha types), Panchakarma therapies, and ya also a lot of work with herbal medicine — not just prescribing but sometimes preparing stuff myself when needed. I really like that hands-on part actually, like knowing where the herbs came from and how they're processed... changes everything. One of the things I pay a lot of attention to is how a person's lifestyle is playing into their condition. Food, sleep, bowel habits, even small emotional patterns that people don't even realize are affecting their digestion or immunity — I look at all of it before jumping to treatment. Dietary therapy isn’t just telling people to eat less fried food lol. It’s more about timing, combinations, seasonal influence, and what suits their prakriti. That kind of detail takes time, and sometimes patients don’t get why it matters at first.. but slowly it clicks. Panchakarma — I do it when I feel it's needed. Doesn’t suit everyone all the time, but in the right case, it really clears the stuck layers. But again, it's not magic — people need to prep properly and follow instructions. That's where strong communication matters. I make it a point to explain everything without dumping too much Sanskrit unless they’re curious. I also try to keep things simple, like I don’t want patients feeling intimidated or overwhelmed with 10 things at once. We go step by step — sometimes slow, sometimes quick depending on the case. There’s no “one protocol fits all” in Ayurveda and frankly I get bored doing same thing again and again. Whether it’s a fever that won’t go or long-term fatigue or gut mess — I usually go deep into what's behind it. Surface-level fixes don’t last. I rather take the time than rush into wrong herbs. It’s more work, ya, but makes a diff in long run.
5
728 reviews
Dr. Maitri Bhavesh Kumar Acharya
I am Dr. Maitri, currently in my 2nd year of MD in Dravyaguna, and yeah, I run my own Ayurvedic clinic in Ranoli where I’ve been seeing patients for 2 years now. Honestly, what pulled me into this path deeper is how powerful herbs really are—when used right. Not just randomly mixing churnas but actually understanding their rasa, virya, vipaka etc. That’s kinda my zone, where textbook knowledge meets day-to-day case handling. My practice revolves around helping people with PCOD, acne, dandruff, back pain, stiffness in knees or joints that never seem to go away. And I don’t jump to giving a long list of medicines straight away—first I spend time figuring out their prakriti, their habits, food cycle, what triggers what… basically all the small stuff that gets missed. Then comes the plan—herbs (single or compound), some diet reshuffling, and always some lifestyle nudges. Sometimes they’re tiny, like sleep timing. Sometimes big like proper seasonal detox. Being into Dravyaguna helps me get into the depth of herbs more confidently. I don’t just look at the symptom—I think okay what guna will counter this? Should the drug be snigdha, ushna, tikta? Is there a reverse vipaka that’ll hurt the agni? I ask these questions before writing any combo. That’s made a huge diff in outcomes. Like I had this case of chronic urticaria that would flare up every week, and just tweaking the herbs based on sheetala vs ushna nature... helped calm the system in 3 weeks flat. Not magic, just logic. I also work with women who are struggling with hormonal swings, mood, delayed periods or even unexplained breakouts. When hormones go haywire, the skin shows, digestion slows, and mind gets foggy too. I keep my approach full-circle—cleansing, balancing, rejuvenating. No quick fixes, I tell them early on. What I’m hoping to do more of now is make Ayurveda feel practical. Not overwhelming. Just simple tools—ahara, vihara, aushadha—used consistently, with some trust in the body’s own healing. I’m still learning, still refining, but honestly, seeing people feel in control of their health again—that’s what keeps me rooted to this.
5
747 reviews
Dr. Batu
I am an Ayurvedic doctor trying to bring the old wisdom of chikitsa into daily life, even if sometime I feel I am still learning new things every single day.. I work mostly with the classical principles, the ones I studied again n agin during my training, and I try to see how they fit with each patient’s prakriti and the tiny details of their health story. I am often thinking how Ayurveda doesn’t rush anything, it asks for understanding of the roga and even the rogi in a deeper way, and I keep that in mind when someone walks in and tell me their concerns. Some cases are simple, some not really, but I do my best to look at the ahara, vihara, dosha pattern and even the habits they don’t notice at first. Sometimes I get a bit caught up in analysing too many factors at once, or typing notes too fas and mixing commas,, but at the core I focus on using authentic Ayurvedic approaches—herbal formulations, routine correction, panchkarma suggestions where needed—and I try to guide people gently without overwhelming them. I am also aware that many patients come with doubts or half-heard ideas about Ayurveda, and I try to clear those without sounding too “doctorly,” just explaining what makes sense for their body. I want them to feel they can trust the process, even if progress take time or feel slow on some days. I am still growing in this field, and every person who comes to me reminds me why I chose Ayurveda in the first place: clarity, balance, and healing that respects the person as a whole. There are moments where I wish I had more hours in a day to study more granthas or revise a chapter I skipped, but I stay committed to giving care that is genuine, thoughtful and rooted in traditional practice—even if the journey gets a bit messy here n there !!
0 reviews
Dr. Ravi Chandra Rushi
I am working right now as a Consultant Ayurvedic Ano-Rectal Surgeon at Bhrigu Maharishi Ayurvedic Hospital in Nalgonda—and yeah, that name’s quite something, but what really keeps me here is the kind of cases we get. My main focus is managing ano-rectal disorders like piles (Arsha), fistula-in-ano (Bhagandara), fissure-in-ano (Parikartika), pilonidal sinus, and rectal polyps. These are often more complex than they look at first, and they get misdiagnosed or overtreated in a lotta places. That’s where our classical tools come in—Ksharasutra therapy, Agnikarma, and a few other para-surgical techniques we follow from the Samhitas...they’ve been lifesavers honestly. My work here pushes me to keep refining surgical precision while also sticking to the Ayurvedic core. I do rely on modern diagnostics when needed, but I won’t replace the value of a well-done Nadi Pariksha or assessing dosha-vikruti in depth. Most of my patients come with pain, fear, and usually after a couple of rounds of either incomplete surgeries or just being fed painkillers n antibiotics. And I totally get that frustration. That’s why I combine surgery with a whole support plan—Ayurvedic meds, diet changes, lifestyle tweaks that actually match their prakriti. Not generic stuff off a handout. Over time, I’ve seen that when people follow the whole protocol, not just the procedure part, the recurrence drops a lot. I’m quite particular about follow-up and wound care too, ‘cause we’re dealing with delicate areas here and ignoring post-op can ruin outcomes. Oh and yeah—I care a lot about educating folks too. I talk to patients in OPD, sometimes give community talks, just to tell people they do have safer options than cutting everything out under GA! I still study Shalya Tantra like it’s a living document. I try to stay updated with whatever credible advancements are happening in Ayurvedic surgery, but I filter what’s fluff and what’s actually useful. At the end of the day, my aim is to offer respectful, outcome-based care that lets patients walk out without shame or fear. That’s really what keeps me grounded in this field.
5
1891 reviews
Dr. Vrushali Vaidya
I am currently in my 2nd year of postgrad residency in Prasuti Tantra evam Stree Roga (M.S. in Obstetrics & Gynaecology) at a reputed ayurveda institute in Pune. Right now, my whole day pretty much revolves around clinicals, OPD rounds, IPD work, deliveries, and understanding how Ayurved looks at women's health—not just disease by disease but as a full, connected system. It’s intense but also kind of amazing how much we can do with the right combination of classical knowledge n present-day tools. My focus is on menstrual disorders, infertility, PCOD, antenatal/postnatal care and basically all things that come under hormonal balance n reproductive care. Whether it’s irregular periods or low back pain in 9th month, I try to see the root, not just the label. I’m also involved in Panchakarma protocols—mainly tailored for stree roga—and yeah, sometimes even simple procedures like yoni pichu or basti when done right can make a big shift. That’s something I’ve seen in real time. I work closely with seniors on both clinical diagnosis and designing personalized treatment plans—always thinking about prakriti, vikriti, and also the woman’s mental n emotional space. No one’s just a “PCOD patient” to me—each one has her own story, her own rhythm, and I respect that. I like combining shodhan therapy, aahar advice, rasayana, and sometimes just small daily tweaks. Yoga and breathing practices also play a big part in how I support my patients. Doesn’t matter if they’re 16 or 46—every stage brings its own set of changes, n we need to adapt with care. I also learn to correlate modern diagnostics when needed—blood reports, scans—bcz integration matters. My aim isn’t to pick between Ayurved or modern—it’s to choose what helps her the most in that moment. My goal is to create a space where women feel heard, guided and supported—whether they’re trying to conceive, dealing with pain or just wanting to feel more in sync with their own body again.
0 reviews
Dr. Anjali Sehrawat
I am Dr. Anjali Sehrawat. Graduated BAMS from National College of Ayurveda & Hospital, Barwala (Hisar) in 2023—and right now I'm doing my residency, learning a lot everyday under senior clinicians who’ve been in the field way longer than me. It’s kind of intense but also really grounding. Like, it makes you pause before assuming anything about a patient. During my UG and clinical rotations, I got good hands-on exposure... not just in diagnosing through Ayurvedic nidan but also understanding where and when Allopathic tools (like lab reports or acute interventions) help fill the gap. I really believe that if you *actually* want to heal someone, you gotta see the whole picture—Ayurveda gives you that depth, but you also need to know when modern input is useful, right? I’m more interested in chronic & lifestyle disorders—stuff like metabolic imbalances, stress-linked issues, digestive problems that linger and slowly pull energy down. I don’t rush into giving churnas or kashayams just bcz the texts say so... I try to see what fits the patient’s prakriti, daily habits, emotional pattern etc. It’s not textbook-perfect every time, but that’s where the real skill grows I guess. I do a lot of thinking abt cause vs symptom—sometimes it's not the problem you see that actually needs solving first. What I care about most is making sure the treatment is safe, ethical, practical, and honest. No overpromising, no pushing meds that don’t fit. And I’m always reading or discussing sth—old Samhitas or recent journals, depends what the case demands. My goal really is to build a practice where people feel seen & understood, not just “managed.” That's where healing actually begins, right?
5
540 reviews
Dr. Gursimran Jeet Singh
I am Dr. Gursimran Jeet Singh, born and raised in Punjab where culture and traditions almost naturally guided me toward Ayurveda. From very early days I felt more drawn to natural ways of healing, and this curiosity finally led me to pursue Bachelor of Ayurvedic Medicine and Surgery (BAMS) at Shri Dhanwantry Ayurvedic College, Chandigarh—an institution known for shaping strong Ayurvedic physicians. During those years I learned not only the classical texts and treatment methods, but also how to look at health through a very practical, human lense. For the past five years I worked in clinical practice, where patients come with wide range of concerns—from chronic digestion troubles to autoimmune illness—and I try to integrate both Ayurveda and modern medical knowledge to give them the most complete care I can. Sometimes western diagnostics help me to understand the stage of disease, while Ayurveda helps me design treatment that address root cause. This bridging approach is not always easy, but I believe it’s necessary for today’s health challanges. Currently I am also pursuing higher studies in Panchakarma therapy. Panchakarma is an area I feel very strongly about—it is not just detox, it is a whole system of cleansing, rejuvenation, rebalancing, and I want to deepen my expertise here. In practice, I combine Panchakarma with lifestyle guidance, diet planning, herbal remedies, yoga and mindfulness practices depending on what a patient actually needs at that moment. No two cases are same, and Ayurveda reminds me daily that healing must be personal. My approach is always focused on root-cause management rather than temporary relief. Diet, herbs, therapeutic oils, meditation routines, and simple daily habits—they all work together when chosen rightly. Sometimes results come slow, sometimes faster, but I try to keep care sustainable and compassionate. Helping someone regain energy, sleep better, or reduce pain, that is the real achievement in my journey. And I continue learning, because Ayurveda is deep, it doesn’t finish with one degree or one training, it grow with every patient and every experiance.My specialties lie in treating a range of chronic and lifestyle-related conditions using Ayurveda’s time-tested principles, tailored to each individual’s unique constitution (Prakriti). I have significant expertise in managing digestive disorders, such as irritable bowel syndrome (IBS), acid reflux, constipation, diabetes, obesity and inflammatory bowel diseases. I also specialize in addressing stress-related and mental health conditions, including anxiety, depression, insomnia, and burnout, which are increasingly common in today’s fast-paced world. By integrating therapies like Shirodhara (oil pouring on the forehead) to calm the nervous system, Abhyanga (herbal oil massages) to balance Vata dosha, and adaptogenic herbs like Ashwagandha and Brahmi, I help patients achieve mental clarity and emotional resilience. In the field of musculoskeletal and joint health, I excel in treating conditions like arthritis (rheumatoid and osteoarthritis), back pain, sciatica, and sports injuries. Using therapies such as Kati Basti (localized oil retention on the lower back) and potent anti-inflammatory herbs like Guggulu and Shallaki, I focus on reducing inflammation, improving joint mobility, and strengthening tissues. My treatments have helped many patients, particularly those seeking non-invasive alternatives, regain mobility and reduce pain through a blend of internal medications and external therapies. Skin disorders are another key area of my practice, where I address conditions like eczema, psoriasis, acne, and pigmentation issues holistically. By focusing on blood purification and balancing Pitta dosha and detoxifying Panchakarma techniques like Raktamokshana (bloodletting). My approach targets dietary and lifestyle triggers, offering sustainable results for clients who previously relied on temporary solutions like topical steroids. My dual expertise in Ayurveda and modern medicine allows me to create integrative treatment plans that are both effective and safe. I am deeply committed to patient education, empowering individuals to embrace Ayurvedic principles for sustainable health. Through this online platform, I am excited to offer virtual consultations, making the profound benefits of Ayurveda accessible to all. Whether you seek relief from a specific condition or aim to enhance overall vitality, I look forward to guiding you on your journey to balance and well-being with compassion and expertise.
5
373 reviews

Latest reviews

Ellie
47 minutes ago
Thanks for the advice! I really appreciate you breaking it down so clearly. I'll give these tips a go and check back in a couple weeks.
Thanks for the advice! I really appreciate you breaking it down so clearly. I'll give these tips a go and check back in a couple weeks.
Paul
47 minutes ago
Thank you, this is so helpful! Appreciate the clear list of remedies and lifestyle advice. Feels more manageable now.
Thank you, this is so helpful! Appreciate the clear list of remedies and lifestyle advice. Feels more manageable now.
Rachael
47 minutes ago
Thanks for the great advice! Appreciated the clear plan for handling GERD with a Ayurvedic touch. Feeling hopeful this will help!
Thanks for the great advice! Appreciated the clear plan for handling GERD with a Ayurvedic touch. Feeling hopeful this will help!
Summer
47 minutes ago
Really appreciate the detailed advice! Your suggestions make it much easier to understand what to eat and avoid. Thanks for the help!
Really appreciate the detailed advice! Your suggestions make it much easier to understand what to eat and avoid. Thanks for the help!