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It's important for each woman to work with her healthcare provider to develop a personalized approach to managing perimenopause and maintaining optimal health.


  1. Hormonal Fluctuations: Perimenopause is characterized by irregularities in hormonal levels, particularly a decline in estrogen production. This natural transition usually begins in the late 30s or early 40s.

  2. Ovulatory Changes: As women approach menopause, ovulation becomes irregular, leading to changes in menstrual cycles.

  3. Age: Advancing age is the primary factor in the onset of perimenopause. The ovaries gradually reduce their production of estrogen and progesterone.

  4. Genetic Factors: Family history can influence the timing and severity of perimenopausal symptoms.


  1. Irregular Menstrual Cycles: Changes in the length and flow of menstrual periods, including skipped periods or heavier bleeding, are common.

  2. Hot Flashes and Night Sweats: Sudden, intense waves of heat accompanied by sweating, often occurring at night, are classic perimenopausal symptoms.

  3. Vaginal Changes: Dryness, itching, and discomfort during intercourse may occur due to reduced vaginal lubrication.

  4. Mood Swings and Irritability: Fluctuating hormone levels can lead to mood changes, including irritability, anxiety, and mood swings.

  5. Sleep Disturbances: Insomnia, difficulty falling asleep, or waking frequently during the night are common during perimenopause.

  6. Changes in Libido: Some women may experience a decrease in sexual desire or changes in sexual satisfaction.

  7. Urinary Changes: Increased frequency of urination or urinary incontinence, and discomfort  in lower abdomen may be experienced. 

  8. Weight Gain: Changes in metabolism can lead to weight gain, particularly around the abdomen.

Impact on Women's Health:

  1. Bone Health: Reduced estrogen levels can lead to a decrease in bone density, increasing the risk of osteoporosis and fractures.

  2. Heart Health: Estrogen plays a protective role in heart health. The decrease in estrogen levels during perimenopause may increase the risk of heart disease.

  3. Mental and Emotional Well-being: Hormonal fluctuations can impact mood and emotional well-being. Some women may experience symptoms of depression or anxiety.

  4. Sexual Health: Changes in hormone levels can affect libido, vaginal health, and sexual satisfaction. Open communication with a partner and healthcare provider is crucial.

  5. Metabolic Changes: Perimenopause can lead to changes in metabolism, potentially affecting weight and cholesterol levels.

  6. Cognitive Function: Some studies suggest a link between hormonal changes during perimenopause and cognitive function. More research is needed in this area.

  7. Continued Health Monitoring: Regular check-ups, screenings, and bone density tests are important for maintaining overall health and well-being during perimenopause.


Perimenopause and Ayurveda:

At Dyumna Women's Clinic, we pride ourselves on our personalized approach to healthcare. Each patient's journey begins with a comprehensive examination of their medical history, coupled with a thorough review of medical reports. This in-depth analysis forms the foundation for tailoring treatments to address individual needs and provide the corrective measures required. Our team comprises experts from diverse scientific backgrounds, united by a common motto: "We are patient-centric." This guiding principle ensures that every aspect of our care is focused on you, placing your well-being and unique health requirements at the forefront of our treatment strategies.

It's important to note that Ayurvedic treatments should be pursued under the guidance of a qualified practitioner.  

  1. Balancing Doshas: Ayurveda views perimenopause as a period of increased Vata dosha, which can lead to symptoms like anxiety, insomnia, and dryness. Personalised treatments aim to restore doshic equilibrium, particularly focusing on calming Vata. Balancing the health and eco-system of your entire body, is the main priority for us at Dyumna.

  2. Internal medicines: At Dyumna, our commitment is to the essence of treatment. We diligently prescribe the precise internal medicines tailored exclusively for you, ensuring optimal and effective results. Ayurvedic medicines which includes herbs like Shatavari, Ashoka, Brahmi, and Guduchi are renowned for their adaptogenic and hormone-regulating properties. These herbs help support the endocrine system and alleviate perimenopausal symptoms.

  3. Dietary Adjustments: At Dyumna, we place your 'Gut Health' at the forefront of our focus, customizing it to align precisely with your body's unique requirements. Ayurveda empowers us with dietary wisdom that not only harmonizes hormones but also nurtures reproductive health and overall metabolism. This involves embracing foods that not only nourish but also balance essential hormones. In Ayurveda, the concept of 'Gut Health' holds paramount importance, guiding us to prescribe foods tailored to each individual's specific digestive needs.

  1. Panchakarma Therapies: Panchakarma, vatshamak procedures are beneficial here like regular matrabasti, abhyang, yonipichu, and a series of detoxification treatments, can help eliminate accumulated toxins and rejuvenate the body. This is particularly beneficial during the perimenopausal phase.

  2. Yoga and Pranayama: Specific yoga asanas (postures) and pranayama (breath control techniques) are tailored to support hormonal balance, reduce stress, and enhance overall well-being during perimenopause.Yogasana and Pranayam also help to balance Vat dosha.

  3. Meditation and Mindfulness: Ayurveda recognizes the importance of mental and emotional well-being. Practices like meditation, mindfulness, and deep breathing exercises can help reduce stress and support emotional stability.

  4. Abhyanga (Ayurvedic Massage): Abhyanga involves massaging warm herbal oils onto the body. This practice helps improve blood circulation, reduce muscle tension, and promote relaxation during perimenopause.This reduces dryness in the body.

  5. Lifestyle and Routine: Following a balanced daily routine (Dinacharya) that aligns with natural circadian rhythms is crucial for hormonal balance. Consistent sleep patterns and self-care rituals support overall well-being.

  6. Stress Management: Ayurveda specialised therapies like Shirodhara, Shiropichu, Nasya also are helpful. Pratimarsh nasya is important to maintain emotional and hormonal balance. Ayurveda recognizes the impact of stress on hormonal health. Techniques like meditation, deep breathing exercises, and spending time in nature can help calm the nervous system.

  7. Maintaining Bone Health: Ayurveda emphasizes the importance of calcium-rich foods like sesame seeds, almonds, and leafy greens to support bone health during and after perimenopause.

  8. Consultation with an Ayurvedic Practitioner: Seeking guidance from a qualified Ayurvedic practitioner ensures a personalized approach to managing perimenopause, taking into account an individual's constitution, imbalances, and specific symptoms.

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