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Ayurveda and Menopause: An Introduction to Natural Balance

  • Writer: Deepa Yerram MD
    Deepa Yerram MD
  • Sep 11
  • 6 min read

At 48, I’m more aware than ever that my body is changing. Friends around me share similar stories—night sweats that arrive like surprise visitors, energy that sometimes dips without warning, moods that feel like waves instead of ripples. For many women, these years can feel disorienting.


But Ayurveda, the traditional healing system of India, offers a different perspective. Instead of framing menopause as a decline, Ayurveda calls it a natural transition—a time of renewal, wisdom, and the possibility of balance. Rather than fighting against our bodies, Ayurveda teaches us to realign with them.


In this article, the first of a seven-part series, we’ll explore how Ayurveda understands menopause, why diet and lifestyle matter so profoundly during this stage, and how ancient wisdom can guide us toward greater vitality.


Ayurveda and menopause

Menopause as “A Second Spring”


In modern medicine, menopause is defined by biology: the end of menstruation, usually between ages 45 and 55. It’s marked by declining estrogen and progesterone, leading to familiar symptoms like hot flashes, insomnia, mood swings, and weight changes.


Ayurveda, however, describes menopause through the lens of doshas—the three energies (Vata, Pitta, and Kapha) that govern body and mind. This is not a disease state but a natural passage into “a second spring,” a season of life that invites rest, renewal, and inner growth.


I find that image comforting. One friend of mine, who once dreaded menopause, began seeing it differently after learning this perspective. “Instead of thinking, ‘my body is breaking,’ I started thinking, ‘my body is transforming,’” she told me. That shift alone helped her approach the changes with less fear.


Ayurveda Basics: Understanding Doshas and Menopause


Each dosha has a unique influence on how menopause unfolds. Ayurveda teaches that symptoms reflect imbalances in these energies:


  • Vata (air and space) → Associated with dryness, anxiety, insomnia, irregular cycles, joint aches.

  • Pitta (fire and water) → Linked to hot flashes, irritability, anger, night sweats, skin rashes.

  • Kapha (earth and water) → Related to weight gain, fluid retention, sluggishness, low mood.


For example, if hot flashes dominate, Pitta is in excess. If sleep issues or anxiety are most pronounced, Vata imbalance may be leading. If weight gain or fatigue is the main challenge, Kapha is likely the driver.


This framework helps women individualize care. Instead of one-size-fits-all solutions, Ayurveda offers tailored approaches to bring the doshas back into balance.


Why Diet and Lifestyle Matter


In Ayurveda, food is not just fuel—it is medicine. What we eat influences digestion (agni), tissues, and hormones. The wrong foods (too spicy, too cold, too heavy) can worsen menopausal symptoms, while the right ones can soothe imbalance.


  • A Vata-pacifying diet emphasizes warm, moist, grounding foods (soups, stews, ghee).

  • A Pitta-balancing diet favors cooling, calming foods (cucumber, coconut, mint, fennel).

  • A Kapha-reducing diet highlights light, warming, stimulating foods (ginger, legumes, leafy greens).


Lifestyle is equally central. Practices like abhyanga (oil massage), yoga, pranayama (breathwork), and meditation not only calm the nervous system but also support hormonal balance and mitochondrial health, as modern research confirms.


Stories from Friends: Menopause in Real Life


A friend in her late 40s, who struggled with insomnia, found nightly self-massage with warm sesame oil to be transformative. “It was like telling my body: you’re safe, you can rest now,” she said. Another, prone to hot flashes, started sipping fennel tea in the evenings. Her symptoms didn’t vanish overnight, but the intensity lessened.


These small practices reflect Ayurveda’s gentle wisdom: healing isn’t always dramatic, but it builds steadily through rhythm, nourishment, and balance.


Oiling hair for menopausal hair loss

Modern Science Meets Ancient Wisdom


What strikes me most about Ayurveda is how it treats menopause not as something to be “fixed,” but as something to be nourished. Instead of focusing only on symptoms, it invites us to consider the whole woman—her body, her mind, her energy, even her sense of identity. Food becomes medicine, daily rhythm becomes therapy, and herbs become gentle allies in the journey.


Modern research is beginning to validate what Ayurveda has known for centuries: that natural therapies can influence hormones, stress pathways, and even the way our genes express themselves. Take ashwagandha, for example. This adaptogenic herb helps the body regulate cortisol, the stress hormone, and in doing so eases anxiety, irritability, and sleeplessness—symptoms many of us recognize all too well in midlife. Shatavari, called the “Queen of Herbs” for women, contains plant estrogens that can mimic the body’s own, helping to soften hot flashes, soothe night sweats, and restore moisture to dry tissues. Others, like licorice root and fenugreek, support both hormone balance and adrenal resilience, offering women a steadying hand through the ups and downs of perimenopause and menopause.


Ayurveda also recognizes that weight management becomes more challenging during midlife. Instead of prescribing strict calorie-cutting, it focuses on supporting digestion, metabolism, and detoxification. Blends like Triphala keep the bowels regular and the gut healthy, while guggul stokes sluggish metabolism. Everyday spices such as ginger and cinnamon aren’t just for flavor—they warm the digestive fire, support fat metabolism, and help stabilize blood sugar. These simple additions to meals can create meaningful shifts in energy and weight over time.


And then there’s hair health, something many of my friends bring up with a sigh. Thinning hair, dryness, and even shedding can be distressing. Ayurveda offers herbs like amla, rich in vitamin C, which strengthens hair follicles and nourishes the scalp. Bhringraj oil, often massaged into the scalp, is known as the “king of hair” for its ability to stimulate regrowth. Brahmi, meanwhile, reduces stress-related hair loss, while sage helps restore strength when hair changes are tied to hormonal shifts. These remedies, coupled with practices like scalp massage, are more than cosmetic; they’re part of Ayurveda’s holistic view that what grows on the outside reflects what’s being nurtured within.


Of course, Ayurveda never stops with a single herb or treatment. It emphasizes living in alignment: eating warm, nourishing foods; reducing processed food, caffeine, and sugar; moving the body with yoga, walking, or swimming; quieting the mind with meditation and breathwork; and establishing routines that give the body a steady rhythm. Even something as simple as self-massage with warm oil can calm the nervous system, soothe dryness, and send a message to the body that it is safe, supported, and loved.


What’s important to remember, though, is that Ayurveda is deeply personal. The right herbs or practices for one woman may not be right for another. Consulting a qualified Ayurvedic practitioner helps tailor care to your unique dosha, constitution, and symptoms.


In this series, we’ll take time to explore these elements—diet and nutrition, herbal support, daily routines, and lifestyle practices—in more depth. For now, it’s enough to know that Ayurveda and modern science are beginning to harmonize around a shared truth: that menopause is not an ending, but a shift. And with the right support, it can become a time of renewal, vitality, and deeper connection to self.


A Gentle Roadmap for the Transition


So what does Ayurveda recommend for women navigating menopause? Here are foundational practices to begin with:


  1. Eat with your dosha in mind. Choose foods that balance your most prominent symptoms.

  2. Keep digestion strong. Favor warm, cooked meals over raw or cold foods; use spices like cumin, coriander, and fennel.

  3. Practice daily rituals (Dinacharya). Wake with the sun, scrape the tongue, drink warm water, and end the day with calming practices.

  4. Move mindfully. Gentle yoga, walking, or swimming—avoiding extremes that exhaust.

  5. Breathe and rest. Pranayama like nadi shodhana or sheetali (cooling breath) can calm hot flashes and anxiety.

  6. Soothe with oils. Abhyanga with sesame or coconut oil reduces dryness and calms Vata and Pitta.

  7. Seek community. Ayurveda values connection; share stories with friends, join women’s circles, or find supportive practitioners.


Looking Ahead in This Series


This article is just the beginning. Over the coming weeks, we’ll explore:


  1. The Ayurvedic menopause diet in detail.

  2. Key herbs for balance.

  3. Daily routines (Dinacharya) for midlife.

  4. Therapies for hot flashes and mood swings.

  5. Panchakarma detox and renewal.

  6. Integrating Ayurveda with modern care.


Together, we’ll build a toolkit rooted in Ayurveda, supported by science, and grounded in lived experience.


Closing: A Different Lens on Menopause


When I reflect on menopause through Ayurveda’s lens, I no longer see it as an ending. Instead, I see an opening—an invitation to align more deeply with my body. Ayurveda doesn’t promise to erase every symptom, but it offers something perhaps more valuable: a framework of compassion, wisdom, and balance.


So the next time a hot flash rises or sleep feels elusive, consider this: your body is not betraying you. It is guiding you toward a new rhythm. Ayurveda invites us to listen, adjust, and thrive in this new season—our second spring.


References


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  6. Newton KM, Reed SD, Guthrie KA, et al. Efficacy of yoga for vasomotor symptoms: A randomized controlled trial. Menopause. 2014;21(4):339-346. doi:10.1097/GME.0b013e31829e4baa

  7. Cramer H, Lauche R, Langhorst J, Dobos G. Effectiveness of yoga for menopausal symptoms: a systematic review and meta-analysis of randomized controlled trials. Evid Based Complement Alternat Med. 2012;2012:863905. doi:10.1155/2012/863905

  8. Lopresti AL, Smith SJ, Malvi H, Kodgule R. An investigation into the stress-relieving and pharmacological actions of ashwagandha: A randomized controlled trial. Medicine (Baltimore). 2019;98(37):e17186. doi:10.1097/MD.0000000000017186

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