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Ayurveda is a 5000+ year-old healing paradigm that arose in India as a sister science to yoga. In Ayurveda, menopause is regarded as a period of transition from the more productive phase of life to the wisdom/spiritual phase of life. Ayurveda views menopause not as a disease state like it is so often viewed in the Western world, rather as a natural transition.
The common symptoms we see more commonly in the Western world associated with menopause are characteristic of disturbed Vata, as well as a decrease and shift in the tissues of the body. Disturbed Vata is a particular problem in our modern, fast-paced society. Menopause also represents a transition into the Vata season of life.
In Ayurveda, Vata is a dosha, or force in the body, that represents the elements of air and ether. This lends to it the qualities of coldness, dryness, lightness, and mobility. But balanced vata is also expansive, which lends one to a more spiritual existence, and a potential for expansion of consciousness. In the mind, disturbed Vata can manifest as worry, anxiety, and insomnia. Vata can get aggravated during the transition through menopause.
In Ayurveda, we approach symptoms of perimenopause and menopause through practices that balance and ground Vata dosha, as well as through building healthy tissue. Below is a list of 5 natural ways to ease this transition:
One of the most grounding things we can do on a daily basis is have some kind of daily routine. This, in turn, balances Vata. “Dina” means “day” and "acharya” means “conduct” or “routine.” The practice involves structuring your day around specific activities aligned with the body’s natural rhythms and the cycles of nature. Aspects of dinacharya involve the following:
Even if one can’t accomplish all of these items (it’s a tall order for some of us), keeping a regular sleep/wake schedule and eating at regular mealtimes (with enough protein at meals) can be extremely nourishing and grounding to the system. It helps maintain the HPA-axis and cortisol levels.
“Dhatu" is the Ayurvedic word for “tissue.” As estrogen levels decline, so do all of our tissues, as they are no longer preparing us to carry a fetus. One of the main tissues that declines is the “rasa dhatu.” Rasa represents our fluids. As a result, we have drier skin and mucosal tissues, including the vaginal tissue. We can use our diet and appropriate liquids to build this tissue. This is where demulcent (moisture-bringing) herbs also come into play. Herbs such as shatavari, licorice, and marshmallow root can be used to make a tea to build rasa and reduce hot flashes. Broths and coconut water are additional ways to bring more water into the body in a nourishing way.
In addition, the vata dosha is balanced by moist, cooked, and unctuous foods. Don’t leave healthy fats out of the diet!
By exercising daily, and exercising in different ways, we create the steady demand for the healthy formation of the dhatus/tissues. To generate more healthy tissue, we need to create the demand for it! In our reproductive years, we can rely on estrogen to do this for us. We can literally “rest on our estrogen.” Estrogen maintains our fluids, muscles, and bones to prepare us to carry a fetus. As we get into perimenopause and estrogen decreases, there are shifts in all of these tissues. This is why having an exercise routine prior to menopause and through menopause is so helpful in minimizing symptoms. Even if you don’t already have an exercise routine it’s never too late to start - and starting one now will build your tissues, reduce symptoms, and add longevity. This doesn’t need to be extensive - even 20 minutes of weight-training a few days a week can be enough.
Abhyanga is the term used to describe Ayurvedic massage and means “anointing the body with oil.” In abhyanga a warmed oil, usually sesame oil, is used to massage the body and left on for 10-15 minutes. It is then rinsed off in the shower. Here I am referring to abhyanga as SELF-massage. This is a practice we do for ourselves!
Abhyanga helps ground Vata. It also protects rasa by preventing it from evaporating.
Additional benefits of abhyanga include pacification to the nervous system, increased lymphatic flow, improved circulation, and softer, suppler skin. Improved sleep is often reported along with increased mental alertness, well-being, mood stability and tolerance to daily stressors.
Here is a link for how to perform Abhyanga:
There are certain botanicals long-used for the specific support of the female system. These botanicals have a “prabhav” or purpose specifically for tonifying, or building, the female reproductive system.
1. Shatavari
Shatavari is one of the most well-known Ayurvedic herbs. It’s in the asparagus family and the roots are used. It is a female reproductive “rasayana” (tonic), often translated as “she who has 100 husbands.” It is helpful in various reproductive issues, is an adaptogen, a demulcent, and also helps with the menopause transition.
2. Ashwagandha
Ashwagandha is a more well-known Ayurvedic herb, traditionally used to balance Vata and for its nourishing and grounding qualities. It’s also an adaptogen. It lowers cortisol levels, stabilizes mood swings, and helps hormonal regulation. It has a calming effect on the nervous system. It can also enhance energy and stamina.
3. Vitex (Chasteberry)
Vitex (Chasteberry) reduces perimenopausal symptoms by increasing the secretion of leutenizing hormone, and increases the secretion of progesterone, and mildly, estrogen. Also, chasteberry is not “chaste.” Women can become more fertile while taking chasteberry, probably due to its regulatory effect on hormones.
I wish to add that there are other modern-world reasons why some women may suffer perimenopausal symptoms more than others (that were assuredly not present in our existence 5000 years ago). For instance, women with elevated estrogen levels due to xenoestrogens in the diet/environment, or difficulty detoxifying estrogen in the liver. This is why I take a balanced approach to working with women during this phase of life and often perform functional hormone testing so that we have all of the possibilities on the table and more options to discuss. However, if one were to follow the above recommendations, regardless of hormonal dominance, the transition will undoubtedly smooth out.
If you are interested in knowing more and/or are interested in discussing hormonal and/or non-hormonal options to ease your transition into menopause or to support you while in menopause, please book a free consultation call and work with me!
For a brief overview of Ayurveda and how it relates to women I highly recommend Ayurveda for Women by Dr. Robert E. Svoboda.
Copyright © 2024 Pamela Gordon MD - All Rights Reserved.
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