Perimenopause is the preliminary stage of menopause, the period of time before the final menstrual cycle. Perimenopause can be considered as the first stage of the menopausal phase in a woman’s life and is the time before and after the final menstrual period. There are some herbs that help as natural remedies during this stage.

Perimenopause medically begins when the first symptoms of menopause are noticed and ends one year after the last menstrual bleeding, or the time when menopause is reached.

The term “peri-menopause” is not used often. Women who experience symptoms are generally referred to as being “menopausal” or “going through menopause.”

Why Perimenopause Happens?

As a woman ages, there comes a point where the production of the female hormones that drive the menstrual cycle begins to decline. This process means that eventually, the ovaries will not release more eggs each month; it’s nature’s way of saying that, at this age, a woman is less likely to have a healthy baby and that her reproductive life should end.

This process typically begins in the mid-1940s, and as hormones drop, an imbalance between estrogen and progesterone can occur.

Menstrual periods become irregular, heavier, or more uncomfortable. Other physical and psychological symptoms may be experienced; some women may describe them as similar to premenstrual syndrome (PMS).

What are the symptoms of perimenopause?

A wide variety of symptoms can be experienced during perimenopause. They are generally the same as the symptoms present during the other stages of menopause.

However, some symptoms are found more frequently during perimenopause. These include:

  • Irregular, painful, or heavier periods.
  • Breast pain.
  • Irritability or anxiety.
  • Low mood or depression.
  • Insomnia.

At the beginning of perimenopause, these symptoms can get worse in the week or so before each menstrual period and feel like PMS.

Perimenopausal women can also experience hot flashes and night sweats, regardless of whether or not they are still menstruating.


Additionally, perimenopause can also lead to muscle pain and joint pain. These are generally limited to the upper body and are described as neck pain or shoulder pain, but they can be in any joint as well throughout the body.

Herbs that help in perimenopause

As perimenopause is a normal stage that a woman has to go through in life, many prefer to treat the symptoms experienced with natural medications. A number of herbs can be of great help as natural remedies.

Agnus castus – Chasteberry

This is the herb of choice if symptoms begin after ovulation and disappear once menstrual bleeding begins, just as you would expect with premenstrual syndrome (PMS). It can be very helpful if you have multiple symptoms and can also help with painful periods and breast tenderness.


The root of the valerian plant is used medicinally and the extracts can help you better cope with stress or anxiety; or help you sleep better

Avena sativa

This is the plant that we commonly known as oats. However, instead of the seed or fruit, it is the leaves and stems of the oat plant that are used medicinally. Helps relieve mild stress and anxiety.

Grass of San Juan

This has a long tradition of use to help lift the mood of those who are prone to mood swings or feel a bit depressed and sad.


Sage extracts are now known to have the specific ability to relieve hot flashes and sweats. It can be used in all stages of menopause.


This herb is known for its ability to help with bruising, but it also has pain-relieving properties. It is helpful if you suffer from neck and shoulder pain, muscle aches, and joint stiffness.

Devil’s claw for perimenopausal pain

This plant grows only in the Kalahari and has a long tradition of use in treating joint pain and back pain.

What about my doctor’s medications?

In general, doctors will be reluctant to use prescription drugs for perimenopause. However, if symptoms are severe and begin to interfere with quality of life, several classes of medications may be suggested.

Hormonal treatments include the low-dose oral contraceptive to treat symptoms similar to PMS, or HRT (hormone replacement therapy). Additionally, antidepressants or sedatives may be necessary for those suffering from depression, anxiety, or insomnia.


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