Menopause
Perimenopause is the transition before periods stop, and menopause is the point 12 months after the last period. Hot flushes, night sweats and poor sleep are common in this stage. Ayurveda calls it Rajonivritti, meaning the natural cessation of menstruation.
Our care is complementary to your gynaecologist’s care. Do not stop prescribed medicines or hormone therapy because you start Ayurvedic care.
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- Hot flushes and night sweats that wake you
- Poor sleep (see sleep restoration)
- Irritability, anxiety or low mood
- Joint aches, stiffness or vaginal dryness
- Bone thinning, often silent until a bone density scan
How We Help
Dr. Hemlata Soni, our Chief Ayurvedic Consultant with a focus on women’s health, guides your care.
- A consultation covering symptoms, periods, sleep, mood, joints, bone history and current medicines.
- A prakriti assessment and vikriti assessment (your current state of imbalance), then a personal plan, with herbs only where suitable, plus diet and lifestyle guidance.
- Review at a follow-up consultation.
Precautions & When to See a Doctor
- See a doctor promptly for any bleeding or spotting after menopause, however light. Before menopause, see a gynaecologist for heavy, frequent or irregular bleeding (see irregular periods).
- Get emergency care for chest pain, breathlessness, one-sided weakness or slurred speech.
- See a doctor promptly for a new breast lump, nipple discharge or skin change.
- See a doctor if low mood, anxiety or poor sleep keeps affecting your daily life.
- Ask your doctor about blood pressure, cholesterol and a bone density scan, as heart and bone risks change after menopause.
- Do not stop prescribed medicines or hormone therapy without your gynaecologist.
- Herbs can interact with blood thinners, diabetes, blood pressure medicines and hormone therapy, so tell us everything you take. Do not start herbs without advice if you are pregnant, breastfeeding, have liver disease, or have had breast, uterine or other hormone-sensitive cancer.
- If you are in crisis or thinking of harming yourself, call Tele-MANAS 14416 (free, 24×7) or 112 now.
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How Ayurveda Understands It
Ayurveda describes this stage as Vata in transition, the principle of movement, breath and nerves. This is a traditional view, not tested in the studies cited here. One study from the tribal belt of Eastern Maharashtra in central India found early or premature menopause largely in women of Vata prakriti, or natural constitution [1]. This observation from one population does not show that Vata causes early menopause.
What the Evidence Shows
Most of the studies below test shatavari, a root used in Ayurveda (*Asparagus racemosus*).
- A randomised, double-blind, placebo-controlled study in perimenopausal women concluded that shatavari root extract may be effective and safe for perimenopausal symptoms [2].
- A multicentre, double-blind randomised trial found shatavari reduced hot flushes, night sweats, insomnia and anxiety more than placebo, with no significant adverse events in the shatavari group, and its authors call for longer, larger studies [3].
- A randomised, double-blind, three-arm, placebo-controlled trial found shatavari root extract safe and effective, with mild side effects reported by four participants across all three arms, including placebo, and described its combination with ashwagandha (an Ayurvedic herb) as promising, and its authors call for longer studies [4].
- An older (2002) review found black cohosh and phytoestrogen-rich foods (plant compounds that act weakly like oestrogen) promising for menopausal symptoms, but said clinical trials do not support other herbs or complementary therapies, and that long-term safety data on individual isoflavones (a type of phytoestrogen) or isoflavone concentrates are not available [5].
- A meta-analysis found that mind-body exercise positively influenced bone mineral density, sleep quality, anxiety, depression and fatigue in peri- and postmenopausal women [6].
The evidence is promising but limited, and results apply to the specific products studied. None of the studies reviewed here tests Ayurvedic care for menopausal joint pain or heart protection.
Prepared by the AyurSoul Healthcare team from the published research listed below. Medical review by Dr. Hemlata Soni, BAMS is in progress. This page is for education and does not replace individual medical advice. Medical disclaimer.
Frequently Asked Questions
Can Ayurveda end menopause symptoms?
We cannot promise that. Menopause is a natural stage. Our care offers assessment and complementary support, and results vary from person to person.
Can shatavari replace hormone therapy?
No. Hormone therapy decisions belong to your gynaecologist. The shatavari trials cited here compared it with placebo.
Will Ayurvedic care protect my bones?
Not proven. The studies reviewed here do not show that Ayurvedic herbs protect bones. One meta-analysis found that mind-body exercise positively influenced bone mineral density. Ask your doctor about a bone density scan, as bone thinning often has no symptoms.
Clinical Research
6 studies: 1 systematic review / meta-analysis, 4 randomised trials, 1 narrative article.
Show the 6 studies
Numbers in the text refer to this list. Each study is labelled by type: systematic reviews and randomised trials are stronger evidence than pilot studies or single case reports.
- Tawalare K, Wakde S, Tawalare KA, et al.. Estimation of prakriti (body constitution) in women of Eastern Maharashtra tribal belt of central India featuring early and premature menopause. Journal of family medicine and primary care, 2024. Perspective / narrative article PubMed
- Mahajan S, Avad P, Langade J. Efficacy and Safety of Shatavari (Asparagus racemosus) Root Extract for Perimenopause: Randomized, Double-Blind, Placebo-Controlled Study. International journal of women's health, 2025. Randomised controlled trial PubMed
- Gudise VS, Dasari MP, Kuricheti SSK. Efficacy and Safety of Shatavari Root Extract for the Management of Menopausal Symptoms: A Double-Blind, Multicenter, Randomized Controlled Trial. Cureus, 2024. Randomised controlled trial PubMed
- Ademola J, Ajgaonkar A, Debnath T, et al.. Efficacy and safety of Shatavari root extract (Asparagus racemosus) for menopausal symptoms: a randomized, double-blind, three-arm, placebo-controlled study. Frontiers in reproductive health, 2025. Randomised controlled trial PubMed
- Kronenberg F, Fugh-Berman A. Complementary and alternative medicine for menopausal symptoms: a review of randomized, controlled trials. Annals of internal medicine, 2002. Randomised controlled trial PubMed
- Xu H, Liu J, Li P, et al.. Effects of mind-body exercise on perimenopausal and postmenopausal women: a systematic review and meta-analysis. Menopause (New York, N.Y.), 2024. Systematic review / meta-analysis PubMed