Understanding Menopause: What’s Happening in Your Body

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Menopausal woman exercising

Effective Ways to Reduce Symptoms of Menopause

Menopause is a natural stage of life, but its symptoms can feel anything but natural. From hot flashes and night sweats to mood swings and fatigue, these changes often leave women wondering how to regain a sense of balance. The good news is that while menopause symptoms can be disruptive, there are practical, evidence-based steps you can take to feel better and support your overall health during this transition.

Let’s explore effective ways to reduce menopause symptoms, focusing on the key physical and hormonal changes, and providing actionable tips for diet, exercise, stress management, and alternative therapies.

Understanding Menopause: What’s Happening in Your Body

Fluctuating estrogen levels in perimenopause with low hormone levels in menopause

Menopause isn’t just one moment in time — it’s a stage of life that includes three phases: perimenopause, menopause, and postmenopause. Each phase brings its own set of hormonal changes and physical adjustments.

  • Perimenopause is the transitional period leading up to menopause, marked by fluctuating estrogen and progesterone levels. This is when irregular periods, mood changes, and hot flashes often begin.
  • Menopause is confirmed when you’ve gone 12 consecutive months without a menstrual period. At this stage, your ovaries produce very little estrogen, and symptoms like vaginal dryness, sleep disturbances, and joint pain may appear.
  • Postmenopause follows menopause, and although some symptoms may ease, the lower estrogen levels can increase long-term health risks, such as osteoporosis and heart disease.

Recognizing these stages helps you better understand what’s happening in your body and prepares you to take steps to manage physical changes during menopause effectively.

1. Adjusting Your Diet to Support Hormonal Health

Beneficial foods to aid with hormone metabolism during perimenopause

Your menopause diet can be a game-changer when it comes to reducing symptoms. The foods you eat affect everything from your energy levels to the severity of hot flashes and night sweats.

  • Focus on fiber: High-fiber foods like fruits, vegetables, whole grains, and legumes can help regulate blood sugar, improve digestion, and support heart health.
  • Include healthy fats: Omega-3 fatty acids, found in walnuts, and flaxseeds, may reduce inflammation and help manage mood swings.
  • Limit added sugars: Too much sugar can spike your insulin levels and worsen fatigue or brain fog.
  • Phytoestrogens: These natural plant compounds, found in soy, flaxseeds, and chickpeas, can mimic estrogen in the body and may help ease hormonal changes.
  • Hydration matters: Drinking enough water is essential for managing hot flashes, improving skin elasticity, and supporting joint health. Aim for at least 8–10 glasses daily.
  • Mushrooms: These humble fungi contain compounds that help regulate estrogen levels by inhibiting an enzyme called aromatase, which converts androgens into estrogen. This can be especially helpful for women experiencing estrogen dominance, a common issue during perimenopause. Varieties like shiitake, portobello, and maitake are excellent additions to your meals.
  • Broccoli: Part of the cruciferous vegetable family, broccoli is rich in glucosinolates, which the body converts into indole-3-carbinol (I3C) and diindolylmethane (DIM). These compounds support the liver’s ability to process and eliminate excess estrogen, promoting a healthier hormonal balance. Broccoli also provides fiber, which supports gut health — a crucial component of hormone regulation.
  • Brussels Sprouts: Like broccoli, Brussels sprouts are a cruciferous vegetable rich in glucosinolates. They also contain high levels of antioxidants and vitamin C, which combat oxidative stress — a factor that can worsen menopause symptoms. Incorporating these small but mighty veggies into your meals can support your body’s ability to metabolize estrogen effectively.
  • Flaxseeds: Rich in lignans, these tiny seeds have a balancing effect on estrogen levels. They’re also high in fiber and omega-3 fatty acids.
  • Cauliflower and Kale: Other cruciferous vegetables with similar benefits to broccoli and Brussels sprouts.
  • Turmeric: This golden spice has anti-inflammatory properties and supports liver function, aiding in hormone detoxification.
  • Berries: Packed with antioxidants, berries reduce oxidative stress and support overall hormonal health.
  • Garlic and Onions: Contain sulfur compounds that enhance liver detoxification processes.
  • Green Tea: Rich in catechins, green tea supports healthy estrogen metabolism and provides a gentle energy boost without caffeine jitters.
  • Fermented Foods: Probiotic-rich options like sauerkraut, kimchi, and yogurt support gut health, which is directly tied to hormone balance.

Making these changes doesn’t mean perfection — it’s about consistency. Start by adding more nutrient-rich options to your plate and notice how your body responds.

2. The Role of Exercise in Managing Symptoms

Strength training is key during perimenopause

Exercise during menopause isn’t just about staying fit — it’s a powerful tool for reducing symptoms and protecting long-term health.

  • Strength training helps preserve bone density, build muscle, and reduce the risk of osteoporosis, which becomes more common after menopause.
  • Cardiovascular exercise, such as walking, swimming, or cycling, improves heart health, boosts mood, and can help with weight management.
  • Yoga for menopause relief is particularly helpful for calming the nervous system, reducing stress, and improving flexibility.

If you’re not sure where to start, begin with just 15 minutes a day of movement. Over time, you can build up to 30–45 minutes, 4–5 times a week, combining different types of activities to address various needs.

3. Supporting Your Body with Vitamins and Supplements

Supplements during perimenopause and menopause

While it’s always best to get nutrients from food, certain vitamins and supplements can be especially helpful during menopause.

  • Vitamin D and calcium: These nutrients work together to protect bone health and reduce the risk of fractures.
  • Magnesium: Known as the “calming mineral,” magnesium can ease muscle tension, improve sleep, and reduce anxiety.
  • B vitamins: These support energy production and may help with brain fog or fatigue.
  • Collagen supplements: As collagen production decreases with age, adding a supplement can support skin elasticity and joint health.

Before starting any new supplement, consult a healthcare provider to ensure it’s appropriate for your specific needs.

4. Mind-Body Practices for Stress Management

Journaling can be beneficial during perimenopause

Menopause symptoms are often amplified by stress. Incorporating mind-body practices into your routine can ease both physical and emotional challenges.

  • Meditation and deep breathing can lower cortisol levels, which helps manage anxiety and improve focus.
  • Yoga combines movement with mindfulness, offering relief for stiff joints, mood swings, and sleep disturbances.
  • Journaling is a simple way to process emotions, set intentions, and reflect on what’s working for you.

Even a few minutes of intentional self-care each day can have a noticeable impact on how you feel.

5. Exploring Alternative Treatment Options

For some women, alternative treatments offer an additional layer of support.

  • Acupuncture: This ancient practice may reduce hot flashes and improve sleep quality.
  • Herbal remedies: Supplements like black cohosh, red clover, and evening primrose oil are commonly used for symptom relief.
  • Hormone therapy: While not “alternative,” FDA-approved hormone therapy can effectively address severe symptoms and is worth discussing with your healthcare provider.

When exploring alternative treatments, it’s crucial to choose reputable sources and work with professionals who understand your health history.

The Importance of Staying Hydrated

It may seem simple, but staying hydrated is one of the most effective ways to manage menopause symptoms. Dehydration can worsen hot flashes, fatigue, and skin dryness. To make hydration easier, keep a water bottle nearby, and consider adding a splash of lemon or cucumber for flavor.

Final Thoughts

Menopause may bring its share of challenges, but it also offers an opportunity to prioritize your well-being in new and meaningful ways. By making thoughtful adjustments to your diet, staying active, exploring supportive therapies, and caring for your mental health, you can reduce symptoms and feel more in control.

Remember, there’s no “perfect” way to approach menopause — what matters is finding what works for you. Be patient with yourself, seek support when needed, and celebrate the strength and wisdom that comes with this stage of life. You’ve got this.

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Sarah Bonza MD, MPH, FAAFP, DipABLM
Sarah Bonza MD, MPH, FAAFP, DipABLM

Written by Sarah Bonza MD, MPH, FAAFP, DipABLM

Dr. Sarah Bonza, physician & founder of Bonza Health, specializes in perimenopause and menopause care for women, empowering them to reclaim vitality.

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