What is This Change?
Shoshana Weinberg
November 4, 2024
What is Perimenopause?
Perimenopause is a transitional phase lasting three to ten years before menopause, marked by hormonal fluctuations and changing cycles. During this time, women often experience physical and emotional changes as their bodies adjust.
Shifting Perspectives
As women enter their later years, many reevaluate their roles and aspirations. This period can be an opportunity for self-discovery and purpose, often leading to a desire to serve the world in new, meaningful ways.
Elemental Balance
In Ayurveda, individuals with dominant earth and water elements may navigate perimenopause more smoothly. Each constitution—vata (ether and air), pitta (fire and water), and kapha (earth and water)—responds differently to hormonal changes:
Imbalance of Pitta elements may experience hot flashes and irritability.
Imbalance of Vata elements often feel unstable, dry, and may alternate between feeling hot and cold.
Imbalance of Kapah elements typically have a steadier transition but may face weight gain or fatigue.
Practices for Balance
Creating a daily routine can help calm the elements, while incorporating grounding earth and water elements through diet and lifestyle can promote overall balance. Recommended practices include:
- Using natural oils for skin hydration.
- Eating warm, moist foods like stews and root vegetables.
- Utilizing herbs to ease symptoms.
Herbal Allies for Transition
Several herbs are renowned for their supportive roles during perimenopause:
Shatavari (Asparagus racemosus) acts as a natural herbal estrogen modulator in Ayurveda and is supported by modern pharmacological studies indicating phytoestrogenic properties. While it does not contain human estrogen, it contains compounds called steroidal saponins (specifically Shatavarins I–IV) and isoflavones that mimic estrogen and bind to receptor sites, making it a "Queen of Herbs" for female hormonal balance.
In traditional Ayurvedic medicine, Shatavari is revered as a Rasayana (rejuvenating tonic) specifically for the female reproductive system.
Literally translated: The name means "one who possesses 100 husbands," symbolizing its role in enhancing fertility, libido, and vitality.
Energetics: It is described as Sweet (Madhura), Bitter (Tikta), and Cooling (Sheeta).
Traditional Actions:
Uterine Tonic: Nourishes the uterus and supports fertility.
Galactagogue: Traditionally used to increase breast milk production.
Menopause Support: Helps with symptoms like hot flashes and night sweats.
Soothing/Cooling: Used to treat inflammation and excess Pitta (heat) in the body.
Shatavari is mentioned in many of the foundational, ancient Indian Sanskrit texts (approx. 150 BCE–600 CE), known as the Brihat Trayi (Great Trio of Ayurveda).
There is also a modern scientific context that is important it is known as
Estrogen-mimicking: Studies show that shatavari-derived compounds bind to estradiol (E2) receptors.
Progesterone-enhancing: It has also been shown to support healthy progesterone levels.
Adaptogenic: It acts as a tonic to help the body manage stress.
Important Considerations
Quality: Because of its high demand, the plant is now considered endangered in its natural habitat due to overharvesting. Therefore you can grow at home, either in a garden patch or in pots, and doing so helps relieve pressure on its endangered wild population. It is a hardy, perennial climber that thrives in tropical and subtropical climates and is adaptable to various soil types, particularly sandy loam.
Caution: Because it acts as a phytoestrogen, it should be used with
Contraindications: It is generally not recommended for those with high Kapha (congestion).
Vitex (Chaste Tree): Prolactin Inhibition: Vitex diterpenes interact with dopamine D2 receptors in the anterior pituitary, reducing the release of prolactin. Elevated prolactin (hyperprolactinemia) can suppress ovulation and cause irregular periods. Progesterone Increase: By controlling prolactin, Vitex supports the normalization of luteal phase defects, leading to increased progesterone production. Hormonal Balance (LH/FSH): It helps regulate the balance between follicle-stimulating hormone (FSH) and luteinizing hormone (LH), promoting ovulation.
Integrating nutrient-dense foods is crucial:
Stinging Nettle, (Urtica dioica), Packed with vitamins and minerals, it supports overall health and combats fatigue.
Embracing the Transition
While perimenopause can present challenges, it is a natural part of life. By embracing holistic practices and working with herbal allies, women can navigate this transition with greater ease and empowerment. Seek guidance from healthcare practitioners familiar with both conventional and holistic approaches to ensure personalized care during this transformative phase.
