Soma Naturopathic

Naturopathic Care for Menopausal Women

Menopause marks the end of menstrual cycles, bringing hormonal shifts that affect multiple body systems. Naturopathic care provides comprehensive support for managing symptoms, optimizing bone and cardiovascular health, and embracing this life transition with vitality.

Common Health Concerns

  • Hot flashes and night sweats
  • Sleep disturbances
  • Mood changes and irritability
  • Vaginal dryness and sexual health
  • Weight management and metabolic changes
  • Bone density and osteoporosis prevention
  • Cardiovascular health
  • Cognitive function and memory
  • Energy and vitality

Relevant Modalities

Related Conditions

Frequently Asked Questions

Do I need hormone replacement therapy for menopause?

Not all women need HRT. Mild symptoms often respond well to natural approaches including black cohosh, phytoestrogens, lifestyle modifications, and nutrition optimization. However, HRT is highly effective for moderate to severe hot flashes, night sweats, or quality of life significantly affected by symptoms. HRT is most beneficial and lowest risk when started within 10 years of menopause in healthy women under 60. Many women benefit from combining low-dose HRT with naturopathic care for comprehensive symptom management and long-term health optimization.

Why do I keep gaining weight in menopause?

Declining estrogen affects metabolism, body composition, and fat distribution (shifting to abdominal area). Additionally, muscle mass naturally declines with age, reducing metabolic rate, while insulin sensitivity often worsens. Successful weight management in menopause requires preserving muscle through resistance training, optimizing protein intake, managing insulin sensitivity through low-glycemic nutrition, prioritizing sleep and stress management, and sometimes addressing thyroid function. Calorie restriction alone often fails because it further reduces muscle and metabolism.

How can I protect my bones after menopause?

Bone loss accelerates in the first 5-10 years after menopause due to estrogen decline. Protection includes adequate calcium (1200mg daily), vitamin D3 (maintaining blood levels 50-80 ng/mL), vitamin K2 (directs calcium to bones), magnesium, weight-bearing and resistance exercise (essential for bone stimulation), avoiding excessive alcohol and not smoking, and for some women, HRT or bisphosphonates if bone density is significantly low. DEXA scan establishes baseline. Early intervention is critical—rebuilding lost bone is much harder than preventing loss.

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Dr. Sanika Kshirsagar

Dr. Sanika Kshirsagar, ND

Doctorate of Naturopathic Medicine (ND)

Bastyr University, Kenmore, WA

Last reviewed:byDr. Sanika Bapat, ND