Ayurvedic medicine for peri-menopausal and menopausal syndrome – a review

Menopause is defined as a cessation of menstrual periods over a year. Perimenopause is a transitional period until the menstrual cycle ends. Studies show that about 57% women experience the major symptoms of menopausal syndrome. Most of these women experience various vasomotor (hot flashes, night sweats); psychological (irritability, anxiety) and psychosomatic (osteoporosis, vaginal dryness, reduced libido, insomnia, fatigue) symptoms. Conventional treatments such as hormone replacement therapy may not be suitable to all women. Therefore, many women seek Complementary and Alternative Medicine (CAM). In a prospective cohort study that followed a group of over 3000 women for six year period reported use of some form of CAM by 80% of the participants. Ayurveda, the Indian system of medicine, adopts a holistic approach in managing this condition. It employs herbal therapies, diet and lifestyle changes to overcome the symptoms. In certain cases, detoxification therapies may be advised as well. In this presentation we will explain the scientific basis of how Ayurvedic herbs and formulas as well as other therapies help reduce menopausal symptoms, improve QOL, decrease risk of complications, and overall make this transitional period smooth and pleasant for women. Specifically, we will discuss a comprehensive review of clinical trials related to menopause on the following herbs: Ashwagandha, (Withania somnifera ),Shatavari (Asparagus racemosus), Brahmi (Bacopa monieri), Jatamansi (Nardostachys jatamansi), Amalaki (Emblica officinalis), Ashoka (Saraca indica), Kumari (Aloe vera), Chandana (Santalum album), Hirabol (Myrrh), Shankhapushpi (Convolvulus pluricata), Yashtimadhu (Glycerrhiza glabra - Licorice)and Guggul (Commiphora mukul).