Learn about the best supplements that help manage perimenopause symptoms and promote hormonal balance naturally.
Perimenopause can bring about various uncomfortable symptoms like hot flashes, mood swings, and sleep disturbances. Fortunately, certain supplements can help manage these changes and support hormonal balance.
From herbal remedies to key vitamins and minerals, these supplements offer a natural approach to alleviating common perimenopause challenges. (1)
Key Takeaway
- Targeted Relief: Certain supplements like Black Cohosh and Red Clover help reduce hot flashes, mood swings, and other hormonal symptoms.
- Holistic Support: Supplements such as Omega-3s, Vitamin D, and Magnesium contribute to overall bone, heart, and skin health.
- Natural Alternatives: For those looking to avoid HRT, herbs like Ashwagandha and Maca Root provide safe, effective options for stress relief and energy boosts.
Top Supplements for Perimenopause Relief
Perimenopause can be a challenging period for many women, with fluctuating hormones causing a variety of uncomfortable symptoms. From hot flashes to mood swings, it often feels like your body is changing faster than you can keep up with. But there’s good news: supplements can play a significant role in alleviating these symptoms. Here are some of the most effective ones.
Black Cohosh: Hot Flash and Mood Stabilization
Black Cohosh is a popular herbal remedy known for managing hot flashes and stabilizing mood swings. It’s especially useful for women going through perimenopause, as it mimics estrogen’s effects on the body. Research suggests it can reduce the frequency and severity of hot flashes, improving quality of life during this phase.
While it’s generally safe, women should consult with a healthcare provider before starting, especially if they have a history of hormone-sensitive conditions.
Red Clover: Phytoestrogen Support for Hormonal Balance
Red Clover contains phytoestrogens, plant compounds that help balance estrogen levels in the body. This is particularly beneficial during perimenopause when estrogen production declines. Studies have shown that Red Clover may reduce the frequency of hot flashes and improve overall hormonal balance.
Like Black Cohosh, it’s important to use Red Clover under medical supervision to ensure it’s a good fit for your health needs.
Maca Root: Energy Boost and Libido Enhancement
Maca Root, a Peruvian herb, has been used for centuries to increase energy and libido. As hormone levels fluctuate during perimenopause, many women experience a decrease in sexual desire and energy. Maca Root may help by supporting the endocrine system and balancing hormones.
Though more research is needed, many women report feeling more energetic and sexually motivated after taking this supplement.
Probiotics: Gut Health and Hormonal Regulation
Gut health plays a pivotal role in overall well-being, and this is no different during perimenopause. Probiotics can help balance the gut microbiome, which in turn helps with hormone regulation. A healthy gut may support the liver in detoxifying excess hormones like estrogen, alleviating symptoms such as mood swings and bloating.
Adding probiotic-rich foods like yogurt or kefir, or taking a probiotic supplement, might make a noticeable difference.
B Vitamins: Energy, Mood Regulation, and Cognitive Function
B Vitamins, particularly B6 and B12, are essential for energy production, mood regulation, and cognitive function. During perimenopause, many women notice fatigue, brain fog, and mood fluctuations. Supplementing with B vitamins may help improve energy levels, sharpen focus, and stabilize mood.
Some research suggests that B6 can also help alleviate irritability and anxiety often experienced in perimenopause.
Omega-3 Fatty Acids: Cardiovascular Health and Inflammation Reduction
Omega-3 fatty acids, found in fish oil or algae supplements, are well-known for their anti-inflammatory properties. These healthy fats support heart health, which is especially important for women entering perimenopause and menopause, as the risk of cardiovascular disease rises.
Omega-3s can also help reduce inflammation, improving joint health and reducing discomfort that comes with this stage of life.
Turmeric/Curcumin: Anti-Inflammatory Benefits for Joints and Skin
Turmeric, and its active compound curcumin, is widely celebrated for its anti-inflammatory properties. This supplement can help relieve the joint pain and stiffness that often accompany perimenopause due to the drop in estrogen.
It also has potential benefits for the skin, helping to maintain its elasticity and reduce the appearance of fine lines and wrinkles. Including turmeric in your supplement routine may ease some of the physical discomforts of this transitional period.
Key Hormonal Balance Supplements

Balancing hormones is crucial during perimenopause. These supplements target hormonal fluctuations directly, providing relief from symptoms like hot flashes, night sweats, and emotional changes.
DIM (Diindolylmethane): Estrogen Metabolism and Hormonal Balance
DIM, a compound found in cruciferous vegetables like broccoli, helps regulate estrogen levels in the body by supporting the liver’s ability to metabolize estrogen more efficiently. This can help alleviate symptoms related to estrogen dominance, such as breast tenderness or bloating. (2)
While research is still ongoing, many women find DIM to be a useful tool in managing hormonal imbalances during perimenopause.
Ashwagandha: Stress Relief and Adrenal Support
Ashwagandha is an adaptogenic herb that has been used for centuries to help the body manage stress. During perimenopause, many women experience heightened stress levels due to fluctuating hormones.
Ashwagandha works by supporting the adrenal glands, which produce cortisol, the body’s primary stress hormone. By helping to regulate cortisol, Ashwagandha can provide relief from anxiety, improve sleep quality, and support overall well-being.
Melatonin: Sleep Quality Improvement and Night Sweats Management
Melatonin, a hormone that regulates the sleep-wake cycle, can be extremely helpful for women experiencing disrupted sleep during perimenopause. Night sweats and hot flashes often occur during sleep, making it difficult to rest.
Melatonin supplements can improve sleep quality by promoting a natural sleep rhythm and may even help reduce the frequency of night sweats. For women struggling with insomnia during perimenopause, this supplement is worth considering.
Passionflower/L-Theanine: Anxiety Relief and Sleep Support
Both Passionflower and L-Theanine are natural supplements that help with anxiety relief and promote better sleep. Passionflower has been shown to calm the nervous system, reducing stress and helping with the transition into a restful sleep.
Similarly, L-Theanine, an amino acid found in green tea, promotes relaxation without causing drowsiness. Together, these supplements are a great option for women seeking a natural way to manage anxiety and improve sleep quality.
Rhodiola Rosea: Adaptogen for Fatigue Reduction and Stress Management
Rhodiola Rosea is an adaptogenic herb known for its ability to combat fatigue and reduce stress. It helps the body adapt to stress and increases energy levels.
During perimenopause, when fatigue can become overwhelming, Rhodiola can provide a much-needed energy boost. It also improves mood, reduces anxiety, and enhances cognitive function, making it an excellent all-around supplement for women experiencing perimenopause.
Bone Health & Cardiovascular Support
As estrogen levels decrease during perimenopause, the risk of osteoporosis and heart disease increases. These supplements can help protect bone and cardiovascular health during this time.
Calcium + Vitamin D: Bone Density Support and Osteoporosis Prevention
Calcium and Vitamin D are crucial for maintaining bone health, particularly during perimenopause when bone density starts to decline. Calcium is essential for building and maintaining strong bones, while Vitamin D helps the body absorb calcium.
Together, these nutrients work synergistically to prevent osteoporosis and reduce the risk of fractures. Women going through perimenopause should consider incorporating these into their daily supplement regimen.
Magnesium: Bone Health, Sleep, and Muscle Relaxation
Magnesium is another mineral that supports bone health, muscle function, and sleep. It also has a calming effect on the nervous system, helping with anxiety and stress.
Many women find that magnesium helps reduce cramps, alleviate tension, and improve overall sleep quality. It can be especially helpful during perimenopause when sleep disturbances are common.
Zinc: Immune Function and Skin Health
Zinc is essential for immune function, wound healing, and skin health. As women age, zinc levels can decrease, leading to issues like weakened immune systems or skin changes.
Supplementing with zinc can help prevent these problems and support overall health during perimenopause. It also plays a role in balancing hormones, making it an essential supplement for this stage of life.
Omega-3s: Heart Health and Reducing Inflammation
Omega-3 fatty acids are well-known for their ability to reduce inflammation and support heart health. During perimenopause, women are at increased risk of cardiovascular disease due to the decline in estrogen levels.
Omega-3s help protect the heart by reducing inflammation and improving circulation. This supplement is a must for women looking to keep their cardiovascular system healthy as they navigate perimenopause.
Personalized Supplement Plans
When it comes to perimenopause, there’s no one-size-fits-all approach. Tailoring your supplement plan to your specific symptoms can provide the most benefit.
Tailoring Supplement Choices Based on Symptoms
Women experience perimenopause in unique ways. Some may suffer more from hot flashes, while others may struggle with mood swings or fatigue.
Identifying which symptoms are most bothersome can help determine which supplements to focus on. For example, if hot flashes are the primary issue, Black Cohosh and Red Clover might be the most beneficial. If energy levels are a concern, Maca Root and Rhodiola Rosea could help.
Dosage Recommendations for Safe and Effective Use
It’s essential to follow proper dosage recommendations when using supplements. Too much of any supplement can have negative effects.
For instance, high doses of Vitamin D can cause calcium buildup, while excessive use of B vitamins can lead to nausea. Always check with a healthcare provider before starting any new supplement regimen to ensure you’re using the correct dosages for your needs.
Combining Supplements with Lifestyle Factors
Supplements can only do so much on their own. To achieve the best results, they should be combined with healthy lifestyle changes like a balanced diet and regular exercise.
A nutritious diet rich in whole foods can enhance the effectiveness of supplements, while physical activity can help manage weight and improve overall well-being.
Herbal Remedies & Alternatives to HRT
For women who are not interested in Hormone Replacement Therapy (HRT), herbal remedies provide a natural alternative.
Evening Primrose Oil: Hormonal Balance and Skin Health
Evening Primrose Oil is rich in gamma-linolenic acid (GLA), a fatty acid that supports hormonal balance and skin health.
It’s often used to alleviate symptoms of perimenopause, including hot flashes and mood swings. Many women find that it helps regulate hormones and reduces inflammation in the body.
Chaste Tree Berry (Vitex): Hormonal Regulation and Menstrual Cycle Support
Chaste Tree Berry is another herbal remedy that can help balance hormones during perimenopause.
It works by supporting the pituitary gland, which helps regulate the production of estrogen and progesterone. It’s commonly used to ease menstrual irregularities and alleviate perimenopausal symptoms like mood swings and irritability.
Dong Quai: Traditional Chinese Medicine for Hormonal Support
Dong Quai, a staple in Traditional Chinese Medicine, is often referred to as the “female ginseng.”
It’s believed to support hormonal balance by stimulating the production of estrogen. It has been used for centuries to treat symptoms of menopause and perimenopause, including hot flashes and vaginal dryness.
Conclusion
Supplements can offer a valuable tool in managing perimenopausal symptoms. From balancing hormones to supporting bone and heart health, the right combination of supplements can make a world of difference.
However, it’s crucial to consult with a healthcare professional before starting any new supplement regimen. By personalising your approach and combining supplements with a healthy lifestyle, perimenopause can be a much smoother transition.
For expert support in choosing the right perimenopause supplements, book a consultation with Modern Menopause today.
FAQ
What are the best perimenopause supplements for hormonal balance?
During perimenopause, supplements like Black Cohosh, Red Clover, and Maca Root can help support hormonal balance, easing symptoms like hot flashes and mood swings. B vitamins and Omega-3 fatty acids also play a role in boosting mood and energy levels. These supplements, combined with lifestyle changes such as diet and exercise, can help manage hormonal fluctuations effectively.
How do probiotics and Omega-3 fatty acids help during perimenopause?
Probiotics and Omega-3 fatty acids are essential for gut health and reducing inflammation, which can help balance hormones during perimenopause. Probiotics support hormone regulation, while Omega-3s promote cardiovascular health and joint comfort. These supplements also contribute to overall well-being, helping manage symptoms like fatigue and mood swings.
Can turmeric and DIM (Diindolylmethane) help with hot flashes and mood stabilization?
Turmeric, with its anti-inflammatory properties, and DIM, which aids in estrogen metabolism, can alleviate perimenopausal symptoms like hot flashes. By supporting hormonal balance and reducing inflammation, these supplements may help stabilize mood and manage other symptoms associated with hormonal fluctuations.
What role does Ashwagandha play in managing stress and fatigue during perimenopause?
Ashwagandha is an adaptogen that helps reduce stress by balancing cortisol levels. This can be especially helpful during perimenopause when hormonal changes can lead to increased stress and fatigue. Along with boosting energy levels, Ashwagandha supports emotional well-being, offering a natural approach to managing perimenopausal symptoms.
How can Melatonin and magnesium improve sleep quality during perimenopause?
Melatonin and magnesium are both effective for improving sleep quality during perimenopause. Melatonin helps regulate the sleep-wake cycle, easing night sweats and insomnia. Magnesium calms the nervous system and relaxes muscles, helping reduce sleep disturbances and promoting better rest.
Why is zinc important for skin health and immune system support during perimenopause?
Zinc is crucial for supporting skin health and immune function during perimenopause. As estrogen levels decline, zinc helps maintain skin elasticity and reduces the risk of immune system vulnerabilities. It also contributes to overall well-being, promoting both skin and immune health during this transition.
What are the benefits of incorporating Rhodiola rosea and N-Acetyl-Cysteine (NAC) into a perimenopause supplement routine?
Rhodiola rosea and NAC are helpful for managing stress and reducing fatigue. Rhodiola enhances mood and energy, while NAC supports detoxification and overall wellness. Together, they help balance hormones and address the physical and emotional challenges women face during perimenopause.
How can Evening Primrose Oil and Saw Palmetto support hormonal health and skin during perimenopause?
Evening Primrose Oil supports hormonal balance and skin health, alleviating symptoms like hot flashes and skin dryness. Saw Palmetto is often used to address hormonal fluctuations, especially for women with estrogen-related concerns. These natural supplements help regulate hormones and improve skin hydration during perimenopause.
What role do B vitamins and Vitamin D play in bone health support during perimenopause?
B vitamins and Vitamin D are essential for maintaining bone health during perimenopause. Vitamin D aids in calcium absorption, which is vital for maintaining bone density, while B vitamins help combat fatigue and support energy levels. Together, they play a key role in preserving bone health during this stage of life.
How can herbal remedies for menopause like Ginseng and Valerian Root help with energy and sleep?
Ginseng and Valerian Root are well-known herbal remedies for boosting energy and improving sleep during perimenopause. Ginseng helps reduce fatigue and enhances mental clarity, while Valerian Root promotes relaxation and better sleep quality. Together, they offer a natural solution to manage common perimenopausal symptoms, helping women feel more balanced and rested.
References
- https://thebms.org.uk/wp-content/uploads/2023/06/19-BMS-TfC-Menopause-Nutrition-and-Weight-Gain-JUNE2023-A.pdf
- https://www.cancer.gov/publications/dictionaries/cancer-drug/def/diindolylmethane
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