Ayurveda & Menopause
for Wisewomen

What exactly is menopause?
Meno = menstruation    Pause = stops

So menopause literally means the stopping of menstruation.  This is a healthy & normal process of women which is impacted by a woman's particular constitution and if she has healthy lifestyle habits - eating well , resting plenty, exercise daily,  having a meaningful life, practicing meditation &/or other stress reduction techniques, avoiding alcohol & caffeinated beverages.

To deal with the shifting physiology of menopause one needs education, acceptance, & surrender.  Like menarche, menopause is an important milestone signalling significant hormonal changes in the woman that effect her entire being.

The process of menopause may begin several years before the actual ending of menstrual bleeding and continues through the end of life.  Susun Weed, author of Wise Woman Ways for the Menopausal Years, has divided the process into three phases:

Premenopausal years - the beginning varies considerably - the norm being aged 45 with a normal range of 35 to 55.  During these years menstrual periods may become noticeably different and other symptoms are only occasional.

Menopausal Climax years -  this includes the year or two before and a year or more after the last menstruation.  The average age is 51, however some women achieve menopause earlier by natural, surgical, or chemotheray/radiation means; symptoms are more common but not all women have them - osteoporosis, flashes, palpitiations, sleeplessness, emotional sensitivity.

Postmenopausal years - this begins symbolically on the fourteenth new moon after final menstruation, continuing for the rest of life; symptoms which may be helped are hot flashes, aching joints, heart disease, incontinence, vaginal changes & bone fragility.

Ayurveda & Menopause

As mentioned earlier, menopause is influenced by the constitution & balance of each individual.  By keeping in balance one may avoid unnecessary discomforts & complications of the menopausal years. 

Kapha menopausal tendencies: delayed menopause; chubby, heavy, lethargic, sleepy, very psychic, with out -of -body experiences; edema; emotionally -happy & unbothered, gets sense of maturity; water retention; fibrocystic preasts; excessive urination

Pitta menopausal tendencies:  earlier menopause; menopausal flooding;  hot flashes; emotionally  - sceptical, doubtful, cautious, watchful.  Jealous of mate.  Irritability, anger, judgemental, critical; emotional upset.Hives & rashes; sensitive nipples & tender breasts; insomnia (pitta time of night)

Vata menopausal tendencies:  earlier menopause; dryness of skin or vagina; mood swings; insomnia esp. beginning 2 am or later; emotionally - feels lonely, empty, insecure, fearful, anxious.  Feels useless to mate, that she is losing womanhood. constipation; distention of abdomen; pain; fatigue.

Self Treatments for Vata women & Vata Imbalances

Vata pacifying diet

Sesame oil massage

Gem elixir :  yellow sapphire, tourmaline, ruby

Herbs- haritaki: 1/2 tsp , 1 hr before bed on an empty stomach

Yogarj guggulu 200 mg twice daily

Dashmula herbal enema

Self Treatments for Pitta women & Pitta Imbalances

Pitta pacifying diet

Sunflower oil massage

Baking soda bath

Gem elixir : pearl, coral, rose, lotus

Herbs: shatavari 500 mg & guduchi 300 mg & brahmi 200 mg mixed - take 1/4  tsp twice daily before food

Amalaka or triphala churna 1 tsp  w/ water daily on empty stomach 1 hr before bed

Self Treatments for Kapha women & Kapha Imbalances

Kapha pacifying diet

Herbs:  bibhitaki, 1/2 tsp on empty stomach before bed

Punanarva 500 mg & chitrak 200 mg & kutka 100 mg - mix - take 1/4 tsp twice daily after food

Common Discomforts of Menopause

Discomforts of menopause need to be treated in regards to the doshas of the woman having the symptoms, as well as symptomatically, to avoid creating energetic imbalances which will manifest in other ways.  The wisewoman tradition recommends beginning with gentle treatments which may help such as diet, lifestyle, energetic interventions, and nutritional herbs & concentrated food supplements. Medicinal Herbs may be the next step used and if they fail to bring desired results then one may resort to treatments of drugs & surgeries.

Premenopausal:

-Menstrual irregularities                          -Menstrual flooding

-Fibroids                                                            -Spotting

-Menstrual cramps                                    -Cessation of menses

-Osteoporosis                                                 -Weight gain

-PMS symptoms :  water retention, sore breasts, digestive distresses, emotional uproar, sore all over

Menopausal climax symptoms:

-Hot flashes & other overheated conditions            -Chills

-Night Sweats  -Depression/ Anxiety/ Fear/ Extreme Nervousness

-Rage / Oversensitivity / Irritablility                -Sleep Disturbances

-Sexual changes                                          -Headaches/ Migraines

-Heart Palpitations                                -Preventing Breast Cancer

Postmenopausal symptoms:

-Vaginal/Bladder Changes
-High Cholesterol & risk of heart disease

-Aching joints

Sources & for more information: 
-Notes from lecture of Dr. Lad on Ayurvedic Gynecology

-Wise Woman Ways for the Menopausal Years by Susun Weed

-A Woman's Best Medicine - Health, Happiness, and Long Life Through Ayur-Veda by Nancy Lonsdorf, M.D., Veronica Butler, M.D., & Melanie Brown, Ph.D.