Natural Treatment For Menopause – So You Won’t Need HRT!
Recently I’ve been delighted to see much more talk about menopause. It seems we really may be seeing the end of it being a taboo subject, which is fantastic. As we raise awareness, though, I’ve noticed the majority of talk around helping women cope centers on HRT. Since my early menopause at 41, I’ve spent a decade researching all the ways in which women can be helped to vibrantly transition through menopause. I’ve researched differences in menopause experiences across cultures and looked at reasons why in the West, especially the UK, we seem to suffer worst. I’ve learnt a lot! It’s important we have the full picture so we understand our options for natural treatment for menopause.
There are many diet, lifestyle and mindset changes we can proactively make that allow us to have a different experience of menopause and often a vastly improved one. I’m not anti-HRT, far from it. I was advised to take HRT after an early menopause at least until normal menopause age of 51. This was to protect my bones and heart from 10 years or less of estrogen than normal. You can read more about my early menopause experience here.
Back then the advice was to stay on HRT only until ‘normal’ menopause age if I was feeling OK then and I took this to heart. I have an inherent dislike of taking medication unless I absolutely have to. High blood pressure didn’t go away after pregnancy and I was advised to go on BP medication because of family history. But my father was obese and immobile for much of his life. I took my BP meds at first but subsequently tried lifestyle changes to keep my BP normal. I take a similar approach to menopause. Only time will tell if I’ve been successful in my efforts avoiding medication!
When it comes to HRT, I chose to come off it at the age of 51 and have managed any symptoms since entirely naturally. There is plenty of natural treatment for the menopause. In this article I’m going to tell you everything I know about that. Let’s start off with what I believe about menopause. (Jump down past this section if you want to get straight to the natural treatment for menopause.)
My Beliefs About Menopause
- I don’t believe it’s a medical condition and that our first instinct should be to medicate for it.
- I don’t believe menopause is something that needs fixing. It may be challenging and women may need help to manage symptoms. But it’s a natural stage in every biological woman’s life, if we’re lucky enough to live this long.
- I believe menopause can be something very wonderful and that is a narrative I’m keen to promote.
- Menopause is not something to be fought against any more than puberty or pregnancy. We’ve been dealing with our wombs all our lives. Menopause is not the time to start fighting them. We would do better to embrace menopause!
- There are lifestyle changes that can help the majority of women with their menopause experience and I want these to be given more airtime, rather than simply sticking Band-Aids on symptoms. I believe these changes should be tried first rather than automatically reaching for HRT when symptoms prove difficult.
- I think menopause symptoms are nature’s way of telling us how we live our lives may have to change if we want long term health. Of course it’s all about choice, but menopause gives us an opportunity to start listening more to our bodies and making positive changes.
- I also believe menopause can highlight and exacerbate existing physical or psychological issues rather than necessarily causing them. I think menopause often gets a bad rap and is easy to blame, rather than us recognizing and dealing with underlying issues. I like to see menopause as the canary in the coal mine.
- Being post menopause is great for most women, myself included. When I asked in my private community on Facebook for reassuring words about life post menopause, the overwhelming themes were of liberation, calm and a renewed sense of energy and purpose (not to mention the second creative peak we apparently reach in our 50s).
- I do NOT believe HRT is something women should be on forever nor that it’s good for a woman in her 80s to enjoy having ‘periods’ because she’s still on HRT (a prominent private gynaecologist is the source of those ideas). We’re meant to go through menopause and have a different hormonal profile afterwards.
- I believe the insidious combination of sexism and ageism also impacts women’s sense of well-being in general. I think menopause gets a bad rap and it’s not always to blame.
- I believe there’s a lot we can learn from studying how our environment and lifestyles have changed such that our experience of menopause seems to be worse now than it was in the past. This also applies to learning more about aspects of women’s lives in other cultures that enable them to suffer less than women in the West tend to.
So what are the main symptoms women struggle with most in menopause? Many women sail through without noticing anything more than the end of their periods. For others, symptoms often attributed to the menopause can include the following:
- Hot flushes (flashes)
- Irregular periods
- Trouble sleeping
- Aching joints, muscles and feet
- Restless legs
- Breast tenderness
- Weight gain
- Urinary incontinence
- Changes in skin and hair
- Irritability and forgetfulness
- Anxiety and feelings of insecurity
- Diminished sex drive
- Vaginal dryness
There are actually reported to be 34 symptoms in all that can be attributed to the hormonal changes of menopause! But these are the main ones.
So what can you do to manage the transition naturally if you don’t want to reach for a drug to manage it? Ultimately however natural and ‘safe’ HRT may be shown to be, it’s still a drug. It’s still manufactured from its natural source. It still comes in sachet, patch or pill format which means the ‘natural’ element of it is highly processed. HRT is touted as the cure-all for the whole range of menopause symptoms because it restores the same hormonal balance you had before perimenopause hit. But we’re designed to go through menopause and live the latter part of our lives without estrogen. That can be an empowering change, not in any way diminishing. So for me it makes sense to find other ways to get our hormones in balance long term, rather than necessarily extending the pre-menopause hormonal profile we’re not actually supposed to have post menopause. I prefer natural treatment for menopause.
How To Balance Hormones Naturally
Let’s start with how to achieve better hormonal balance naturally and then I’ll also give some ideas on what you can do for specific symptoms.
- First, now is the perfect time to make your diet healthier and include lots of fresh vegetables. Cut out processed food as much as you can. It’s also a great idea to increase your consumption of natural phytoestrogens which are thought to help replace the estrogen lost by the body during perimenopause. This may help explain why women from cultures that eat foodstuffs with a higher level of natural phytoestrogens, experience fewer menopause symptoms, such as Japan and China. I gave up dairy milk and replaced it with organic soya, and have not had any dairy milk for over a decade. (Except of course when I’m at my mum’s and she doesn’t have an alternative, I’ll have a splash in my decaf tea!) I still eat cheese and other dairy products but not as much as before.) As well as soya milk, I also consume soya products such as tofu and miso – I try to keep these as unrefined as possible – highly refined soya products are not good for you. I also have ground flax-seeds on my cereal (soaked ones are particularly effective – soak overnight then drink them and the water the next day) and I’m addicted to hummus. All of these are good sources of natural phytoestrogens and I’m convinced they’ve helped me transition more easily through menopause and off HRT. I recently found out sprouted greens such as cress, mustard, alfalfa and broccoli sprouts etc. are all good sources of plant hormones. According to the book Grow Your Own HRT, you can even grow your own red clover which is the key ingredient in many ‘natural’ menopause supplements. Sprouted mung beans as bean sprouts and sesame seeds are also good sources of phytoestrogens and interestingly are also important in the Chinese diet. Dried apricots are another good source – but make sure these are organic otherwise you run the risk of any additives or pesticides also having a detrimental impact on your hormonal balance.
- It’s expensive, but eat organic if you can for all food types. Pesticides used in agriculture are known to impact our hormones negatively as well as generally not being very good for you. Certain fruit and vegetables have higher proportions of pesticide residues on them than others. So some you don’t need to worry about so much if they’re not organic and others you may want to avoid unless organic. I’m still grappling with this but have printed out the lists of the worst offenders for reference. You can get these lists for the UK at Pesticide Action Network or in the US at the EWG.
- Consider also what toxins are in your home environment and whether you can cut back on those. Household cleaning products are full of chemicals, some of which are thought to interfere with hormones. Personal products like deodorant, moisturizers, shampoos etc. often come laden with potentially suspect ingredients (there’s still controversy about parabens) – can you identify everything in the ingredients list of your favorite product? I’ve followed advice over the years to try to cut back on these both for myself and the environment. I now use less toxic cleaning and laundry products when I can and try to keep cosmetics as natural as possible. I use organic coconut oil to clean my face and take off makeup, and make my own facial oil to moisturize. I buy organic sunscreen when it’s available. Plain old vinegar makes an excellent household cleaner. All this helps to keep any hormone influencing toxins as limited as I feasibly can.
- Try to lower your stress or improve how you deal with it. Hormone fluctuations are exacerbated by stress. Reduce levels of stress in your life, maybe adopt a meditation practice or do some restorative yoga. Both of these will help you lower stress levels overall and potentially reduce menopause symptoms, especially the anxiety that seems to affect many of us around this time.
- Get a handle on your weight, if you think it’s an issue. If you’re significantly overweight in midlife, that will cause problems down the line. And women who are overweight are known to have more of an issue with hot flushes in particular. Yes, you can take a supplement or try other things here that will help. But if you are, hand on heart, overweight and suffering badly with menopause symptoms, consider trying to do something about it rather than just accepting it as a natural aspect of getting older. It’s not.
- Up your exercise. As we age we need more exercise not less and many women swear by exercise to help them manage menopause symptoms. I know regular yoga and running certainly help me. Running is also excellent for building and maintaining bone density. Any weight-bearing exercise helps to maintain strong bones. Also actually lifting weights helps to maintain our muscle mass which naturally decreases as we age, slowing our metabolism which then leads to weight-gain. Midlife muffin top? Not necessarily menopause. Lift weights and do lots of cardio exercise!
- Try acupuncture. Acupuncture is great for restoring balance to the body so it makes sense that it can help us during menopause when we are out of balance. I tried it for a nasty facial scar but also for general balance and I felt amazing afterwards.
Hot Flushes/Flashes and Night Sweats
The most common of menopause symptoms is hot flushes/flashes and their night-time equivalent night sweats. What natural treatment is there specifically for these?
- First, think of them as power surges! If you think of them like that, rather than seeing them as a problem or something shameful, they become less of an issue. They’re great when it’s chilly! This may sound simplistic and naïve, especially if you’re coping with being drenched in sweat, but it’s worth a go. Mindset can be very powerful. A BBC documentary on menopause found that when women used CBT techniques to lessen feelings of shame around hot flushes, their hot flushes became fewer and less intense.
- Keep a diary of when you have hot flushes and the triggers for them. Is stress bringing them on? Caffeine? Sugar? Alcohol? Chilli? All these are known to exacerbate hot flushes. If you know the triggers, you can tackle the symptoms. Keep an eye on your weight too. If you’re significantly overweight you’re likely to suffer worse from hot flushes.
- Try avoiding or reducing caffeine. For many women caffeine brings on a hot flush. Personally I haven’t had any caffeine since I went through early menopause at 41 which is over a decade ago. I was advised by Dr Marilyn Glenville to give up caffeine and I haven’t missed it in years. I love not being dependent on caffeine to get myself going in the morning or after lunch.
- Cut back on sugar especially refined. I was also advised by Dr Glenville to give up sugar or at least reduce my consumption of it. Refined sugar products, in particular, are known to cause hot flushes. I try not to overdo it on the sugar front but I do love my chocolate. The mini hot flush I occasionally get after I’ve had some chocolate is worth it. It’s just my little power surge!
- If you find alcohol a trigger for hot flushes, consider reducing your intake of that also. Unfortunately it’s many of the things we love that contribute to our power surges. But you may consider it a price worth paying. That’s up to you. But better to be informed so you can make that decision. Again, remember it may be your body telling you what you’ve done in the past, may not be what you need for long term future health. Bummer!
- Learn to regulate your temperature with ease. Wear layers and if you’re a fan of polo necks and sweaters, consider alternatives. I’ve given up wearing polo necks because I don’t want to run the risk of being caught having a hot flush and then being unable to do anything about it! Instead I’ve become a committed wearer of scarves and I regulate my temperature by just taking them on and off. Similarly, although they may not be the most sophisticated item of clothing, I’m a big fan of the humble cardigan. I can wear a cardigan, jacket, or zip-up fleece either open or closed. Unfortunately the same cannot be said for a sweater. So I think about the environment in which I’ll be wearing a sweater and whether I’d be comfortable taking it off! Avoid synthetic fibers and carry a pocket foldout fan especially in summer. I’m also usually to be found with a hair band on my wrist. I have long hair and my hair band helps regulate my temperature. I actually really feel the cold and can’t imagine ever having my hair cut short now. I would just be too chilly! But being able to put it up in summer (or if flushing) is fab. Drink plenty of water and check whether spicy food brings on a flush. If so, consider avoiding that curry or decide it’s a price worth paying!
- Spirulina and maca powders, added to smoothies for example, may also help reduce hot flushes.
- Finally, consider these natural remedies too:
- Black cohosh
- Sage – as a supplement of just as a tea
- Evening primrose
- Camomile tea
- Dong Quai – a Chinese herb
- Foods rich in vitamin E like sweet potatoes, hazelnuts, almonds and avocados are thought to be able to help, particularly to decrease night sweats.
1. Try all or any of the above to get your hormones balanced better.
2. Try a regular meditation practice with some mindfulness. This really helps ground me and bring me back to the moment. Remember your thoughts are just your thoughts. Just because you think something doesn’t make it true. Good apps to try are Headspace, Buddify and Insight Timer which is free.
3. Exercise and being outdoors are great for anxiety. Go for a walk in the park (or a forest if you can find one) and take some calming deep breaths.
4. Take big belly breaths. Many of us breath very shallowly in our upper chest. This doesn’t help at all when we’re feeling anxious. So slow things down and breath deep down into your belly. Do it 10 times and assess whether you feel less anxious.
5. Remember that menopause doesn’t make you any less of who you are. You are still the fabulous woman you’ve always been. You know the same stuff and can do the same things. Believe in yourself and your power.
Sleeplessness can be an issue in the menopause years but remember it will get better once the hormonal fluctuations stop. If it continues after menopause then you need to seek help because it has become a habit. Start by trying everything above to get your hormones more in balance. If restless legs are keeping you awake, try taking a magnesium supplement. Practice good sleep hygiene: make it dark and quiet where you sleep, no screens an hour before bed, a soothing routine to get you ready for bed (think bathtime for babies – we need routine too), if you’re lying awake, try using it as an opportunity to meditate or listen to a sleep meditation on your phone – try Insight Timer. Try not to get up but stay resting in bed. If thoughts are keeping you awake, set yourself some boundaries about what you allow your mind to think about when it’s sleep time. You can choose to ignore your thoughts.
I’ve also recently been told about EFT (Emotional Freedom Technique) tapping to help with insomnia. Doing it regularly before you go to sleep can really help apparently (and this is from a woman who went through surgical menopause). Here is the recommended free Tapping Solution app and there are free meditations on it as well as paid. (You may think it’s just a placebo effect but if it works, so what!)
Lack Of Libido And Vaginal Dryness
I’ve put these together as I think they’re very linked. If one isn’t working so well, the other probably won’t either!
1. Don’t assume it’s menopause! You might just be bored/resentful or generally unhappy!
2. Start investing in your relationship if you’ve let it slide. John Gottman’s 7 Principles For Making Marriage Work is brilliant for reconnecting with a distant partner. Do the exercises in the book and see if anything changes.
3. Take sex back to pleasure. We have a whole workshop in our Members Club on this (and on intimacy) and it’s so important. Take the pressure off. Sex doesn’t have to always be PIV (penis in vagina). Outercourse can be a lot of fun! Take turns to give non-sexual pleasure to each other. Make it about giving and see what happens. Try the 3 Minute Game.
4. Invest in a good lubricant. My current favorite is Pjur silicon lubricant. I used to insist on organic and liked Yes products and even coconut oil which can be great. But because Pjur stays on the skin and isn’t absorbed, it’s great and lasts!
5. Invest in sex toys. If getting going is an issue, a small but powerful egg (or bullet) vibrator may get your bits responding if they’re not performing as you want them to. Similarly they can help us have fabulous orgasms. They’re fun with or without a partner. Not particularly natural? Well it’s not drugs huh!
6. Have fun and practice with yourself. Self-play is particularly important. It keeps blood flowing to the vulval area and keeps us able to respond sexually. There is some truth to use it or lose it. But that applies to the whole area rather than necessarily specifically penetration, which is not worth pursuing if it causes pain. So keep up your personal pleasure even if you don’t have a partner.
7. Sea buckthorn tablets taken as a supplement can be very helpful for maintaining the health of our vaginal tissue.
8. Moisturize your vagina as you would your face. Coconut oil can be very good for this.
9. Not what I’d consider a natural solution but vaginal estrogen pessaries can be very helpful to get you over a painful hump and restore confidence and pleasure. I’ve used them in the past and probably will again when I get round to going back to the doctors. Clearly I don’t currently feel the need though as I haven’t yet! But even when using them I limit how often I do.
Lastly a brief word about incontinence. One in three women will suffer from stress incontinence – when we laugh, cough or sneeze – or bounce around on a trampoline, for example. Often this starts after childbirth. And it can start or get worse in menopause as estrogen levels drop, affecting the tissue in our vulval area. But incontinence is common NOT normal. So go and see your doctor, get a referral to a pelvic physiotherapist and get treatment. 84% of women with stress incontinence are cured after just 6 sessions. And it all comes down to pelvic floor exercises. So don’t suffer. Get help. Do the exercises religiously. And get better. Your orgasms will improve too! Double whammy! I recorded a fabulous podcast episode with the amazing pelvic physio and stand up comedian Elaine Miller which you can listen to here.
So that just about covers most things natural when it comes to menopause. There is so much to try. A word of caution though. Don’t assume any one of these is going to fix everything. Often it is a package of things that will do the trick. For me it is soy, ground flaxseeds daily, no dairy milk, no caffeine, trying to limit sugar, alcohol and processed foods, running, yoga, meditation, a great lubricant and my friends. Having good friends you can fall back on makes all the difference! It helps to remember none of us is alone! Women all go through menopause – if we’re lucky enough to live this long!
In my Magnificent Midlife Members Club we cover many of the topics that can help us vibrantly navigate midlife and menopause. For example, we have in-depth workshops/interviews on mindfulness, optimal energy, menopause, pleasure, intimacy, incontinence, movement for life, nutrition, sleep and weight loss in midlife, among many other topics. We have a pretty wonderful and supportive community too. Find out more by clicking the image below. Good luck!