When you reach your 40s, sudden and unexpected changes may affect your quality of life. You have great hair and skin, a thriving libido and a very deep sleep one day and the next you wake up soaked in sweat, you have breakouts as in your teenage years, and sex is the last thing that crosses your mind (1). While these symptoms may seem unrelated, they may signal that perimenopause (and later, menopause) is coming into your life. But what is menopause, exactly?
Menopause is the end of an era and a new beginning at the same time, and this journey can be difficult to endure. Hot flashes, unpredictable mood swings, acne breakouts, sleepless nights… The list of signs and symptoms can seem endless, and the worst part is that it seems there’s nothing to do about it.
But this is not exactly true: there are many things you can do to look and feel better. First, understanding exactly what you’re going through can help you get ready for certain symptoms and prevent pain and discomfort from happening. Second, you’ll discover many traditional and natural remedies that can help you navigate and understand the menopause journey a little bit better. Keep on reading and learn more about the different stages of menopause and what you can do to regain your health and well-being!
What Exactly Is Menopause? A Biological and Emotional Milestone
Menopause is a profound transition that marks both an end and a beginning. Biologically, menopause is defined as the point in time when you've gone twelve consecutive months without a menstrual period, signalling the natural end of your reproductive years. But the journey doesn’t start or stop there. It unfolds in three distinct phases: perimenopause, menopause, and postmenopause. We’ll discuss these stages a bit further down the article.
At the heart of this transition are hormonal changes—especially a significant drop in oestrogen and progesterone, the two key female sex hormones produced by the ovaries. These shifts also influence the levels of follicle-stimulating hormone (FSH) and luteinising hormone (LH), which rise dramatically as the body attempts to stimulate an unresponsive ovary. Oestrogen, in particular, plays a crucial role far beyond reproduction. It supports everything from cardiovascular and bone health to skin integrity and mood regulation. As oestrogen levels fall, it’s not just about ending periods—it’s about a whole-body recalibration that affects nearly every organ system.
So why does menopause happen at all? From a biological standpoint, menopause is a natural life phase, part of the reproductive lifecycle. It signals the end of fertility but also ushers in a time of potential emotional rebirth—an opportunity to focus inward, prioritise health, and embrace new chapters with renewed clarity and strength.

Understanding the Different Stages of Menopause
If you’re about to embark on the menopause journey, it’s important that you understand the phases you’re going through (for example, what age does menopause start?). This will help you identify your symptoms and look for solutions together with your doctor. Let’s go!
1. Early Menopause
Early or premature menopause occurs when women go through the menopause period before the typical age and become unable to get pregnant (2). This is usually associated with certain events and conditions, such as:
- Smoking;
- Having been through surgery to remove the ovaries and/or uterus;
- An autoimmune disease
- Having been through chemotherapy or radiation
It’s important to note that early menopause affects a very small percent of women (around 1% of women under the age of 40, to be exact (3).
2. Perimenopause
As stated above, around your 40s it’s possible that you start noticing certain changes in your mood, your hair, your libido and your periods. This is because your reproductive hormones are starting to dwindle, making your cycles become more erratic (4). For instance, your levels of estrogen decrease while the follicle-stimulating and luteinising hormones increase.
Perimenopause can be one of the most difficult phases to go through, mainly due to the number of signs and symptoms you can experience (5).
When will I experience perimenopause? Most women experience perimenopause in their 40s, though it may start before. In general, symptoms start between 4 and 8 years before you reach menopause (that is, a complete lack of menstrual periods), but it really depends on the woman. It can last for more or less years or months. The symptoms can vary wildly, but the most common first symptom of perimenopause is changes in your periods (6).
How is perimenopause diagnosed? Perimenopause is a transition phase, so there’s no specific test to diagnose it. Instead, your doctor will carry out an integral evaluation of your symptoms and medical history to help you determine whether you have reached perimenopause or not. For example, your health provider may want to check your hormone levels via an FSH test (7). This test measures the amount of follicle stimulating hormone in your body, as certain levels can signal you’re reaching menopause
What are the most common symptoms of perimenopause? Perimenopause can include a long list of symptoms (8), such as:
- Brittle nails and lifeless hair
- Irregular or missed periods
- Inexplicable fatigue
- Hot flashes
- Night sweats
- Bloating and other digestive issues
- Mood swings and irritability
- Vaginal dryness and low libido
- Problems sleeping
- Breakouts and other skin problems
How long does perimenopause last? On average, this transition phase lasts 4 years (9). But while many women experience it for just a few months, others can endure perimenopause for almost 10 years.
3. Menopause
You enter menopause when you’ve had a year without menstruating. During this time, your ovaries do not release any eggs and there’s a sharp decline in estrogen, which brings about a number of symptoms which resemble perimenopause (10).
When will I experience menopause? Most women enter menopause between the ages of 45 and 55, but it can vary.
How is menopause diagnosed? Your doctor will help you understand accurately whether you have reached menopause or not. The first sign is the absence of a menstrual period, but your healthcare provider may want to run tests (like blood or urine tests) to know more about your hormone levels (11).
What are the most common symptoms of menopause? Here’s the list of possible symptoms during menopause (12):
- Weight gain
- Night sweats
- Insomnia and fatigue
- Complete loss of libido
- Emotional sensitivity
- Digestive problems
- Brain fog
How long does menopause last? You’ll be considered to have reached menopause once you’ve been 12 months without your period (13). After that, you’ll enter post menopause, a period that will last until the end of your life.

4. Post Menopause
Once you’ve been in menopause for over a year, you may be considered to have reached post menopause. This is a time when symptoms start to ease, as your body starts adjusting to the lack of estrogen. As a result, hot flashes, mood swings, and irritability, among other symptoms, start to subside in frequency and intensity (14). The main consequences of post menopause are an increased risk of suffering from osteoporosis and heart disease due to the lack of estrogen.
Common Symptoms of Menopause
Every woman’s experience of menopause is unique—but for many of us, it can feel like our bodies are suddenly speaking a language we no longer understand. These changes, often unexpected and sometimes unsettling, are driven by hormonal fluctuations that impact nearly every system in the body. By understanding these symptoms, we can begin to meet them with compassion, and importantly, with solutions rooted in both nature and science.
Hot Flushes and Night Sweats
Perhaps the most iconic of menopause symptoms, hot flushes come on quickly—like a sudden internal heatwave that can rise from your chest to your face, leaving you flushed, sweaty, and uncomfortable. They can last from seconds to minutes and are often followed by chills. Night sweats are their nocturnal cousins, interrupting sleep and leaving you drenched and exhausted. These episodes are triggered by the hypothalamus, the brain’s thermostat, which becomes hypersensitive as oestrogen levels decline.
Sleep Disturbances
Falling asleep—and staying asleep—can become a nightly challenge. Whether it’s due to hormonal shifts, night sweats, or heightened anxiety, sleep disturbances are among the most frustrating symptoms women face. Oestrogen and progesterone both play roles in sleep regulation, and as these hormones decline, the sleep-wake cycle can be disrupted, leading to fatigue, irritability, and reduced resilience during the day.

Mood Swings
Emotional turbulence is common during perimenopause and menopause. Fluctuations in oestrogen, which interacts with neurotransmitters like serotonin and dopamine, can affect your mood regulation. This can result in irritability, anxiety, low mood, or even episodes of depression. For many women, it can feel like premenstrual syndrome amplified—and without the predictability of a cycle.
Vaginal Dryness
As oestrogen levels fall, vaginal tissues can become thinner, less elastic, and less lubricated. This vaginal dryness can lead to discomfort during intercourse, itching, or even recurrent urinary issues. For many, it’s not just a physical issue but an emotional one—impacting intimacy and self-esteem. The good news? There are gentle, hormone-free treatments and natural lubricants that can help restore comfort and confidence.
Weight Gain and Metabolic Changes
A slowing metabolism, combined with hormonal changes, often leads to weight gain, particularly around the abdomen. This isn't about a lack of willpower—it’s a biological shift. Oestrogen plays a role in regulating fat distribution and insulin sensitivity, so its decline can lead to increased fat storage and challenges with weight management. Supporting your metabolism with the right foods, movement, and targeted supplements becomes essential at this stage.

Cognitive Changes and “Brain Fog”
Many women report feeling mentally slower or more forgetful—a phenomenon commonly referred to as “brain fog.” You might struggle to concentrate, misplace your keys, or forget words mid-sentence. These changes are linked to the drop in oestrogen, which plays a neuroprotective role in the brain. While unsettling, these symptoms are usually temporary and can often be improved with proper nutrition, stress management, and sleep support.
Why Menopause Feels So Uncomfortable: The Full-Body Impact
It’s easy to view menopause as a “hormone issue”—but the truth is, its effects ripple through nearly every system in your body. What makes it particularly uncomfortable for many women is how deeply interconnected these systems are. When hormones shift, everything from your gut to your brain, your mood to your immune response, is affected. And that’s before we even touch on the social and emotional toll.
The Nervous System, Immune System, and Gut-Brain Axis
Oestrogen isn’t just a reproductive hormone—it influences the central nervous system, modulates immune responses, and supports the delicate balance of the gut-brain axis. As levels fall during menopause, this can lead to increased inflammation, hypersensitivity to stress, and disruptions in communication between your gut and brain. That’s why you may feel more anxious, experience digestive issues, or notice heightened emotional responses to things that once felt manageable.
Oestrogen also supports serotonin and dopamine—two key neurotransmitters involved in regulating mood, motivation, and cognitive function. When these are thrown off balance, it’s no wonder brain fog, low mood, and panic attacks can become more common during this stage of life.

The Emotional Toll of Being Dismissed
Beyond the physical symptoms, many women report feeling emotionally drained—not just by what’s happening inside, but by how they’re treated on the outside. There’s still a persistent lack of understanding about menopause, even among healthcare professionals. This can lead to misdiagnosis, underdiagnosis, or worse—being told it’s “all in your head.”
Being misunderstood, dismissed, or not taken seriously can amplify feelings of isolation. Imagine struggling with daily hot flushes, anxiety, or memory lapses, only to be told you’re overreacting. It’s no surprise that many women carry an emotional weight that goes far beyond the biological symptoms.
When Awareness Lags Behind Experience
One of the greatest challenges we face is the lack of awareness and education around menopause. Too many of us enter this transition without knowing what to expect. The symptoms arrive suddenly and are often misattributed to ageing, stress, or other unrelated issues. This leads to delayed care, unnecessary suffering, and missed opportunities for support.
But knowledge is power. By taking a more holistic view of menopause—understanding how it affects not just hormones but your entire ecosystem—you can begin to find strategies that truly work. And most importantly, you’ll begin to feel seen, heard, and empowered in a process that is entirely natural and deeply personal.
Heart, Bones & Beyond: Long-Term Health Risks Post-Menopause
While the immediate symptoms of menopause often take centre stage, it’s the long-term health implications that deserve just as much attention. Once we reach postmenopause—the stage after a full year without a period—the hormonal shifts that began during perimenopause can have lasting effects on key areas of health, from our hearts and bones to our skin, metabolism, and beyond.
Cardiovascular Disease: The Silent Risk
One of the most significant risks we face post-menopause is cardiovascular disease. Oestrogen helps protect our hearts by keeping blood vessels flexible, supporting healthy cholesterol levels, and modulating blood pressure. As this hormone declines, the risk of atherosclerosis, hypertension, and stroke increases. Changes in fat distribution—particularly around the abdomen—and increased inflammation also play a role, compounding the risk.
But this isn’t a cause for panic. It’s a call to be proactive. Eating a heart-healthy diet rich in omega-3s, fibre, and antioxidants, engaging in regular physical activity, and supporting circulation with science-backed supplements like chelated magnesium glycinate can help maintain cardiovascular resilience.
Osteoporosis: The Hidden Threat to Mobility
Post-menopausal women are at high risk of osteoporosis, a condition where bones become brittle and fragile due to the drop in oestrogen. This hormone plays a key role in maintaining bone density, and when its levels fall, bone resorption outpaces formation. The result? Increased risk of fractures, particularly in the hips, spine, and wrists.
Strength training, adequate intake of calcium and vitamin D, and bone-supportive herbs like red clover or maca root can help. Inspiriko’s formulations incorporate such traditional remedies with modern efficacy to help you preserve strength and mobility for years to come.

Metabolic Syndrome & Insulin Resistance
After menopause, changes in body composition and hormonal balance can lead to metabolic syndrome—a cluster of conditions that includes insulin resistance, elevated blood pressure, abnormal cholesterol levels, and increased abdominal fat. These factors not only affect your day-to-day energy but also raise the risk of type 2 diabetes and heart disease.
Maintaining stable blood sugar levels through a low-glycaemic diet, incorporating regular exercise, and managing stress are key to keeping metabolism on track. Ingredients like magnesium, zinc, and vitamin B6, found in our Smarter Magnesium Complex, support hormonal balance and energy metabolism at a foundational level.
Skin, Hair & Collagen Loss: Ageing from the Inside Out
Oestrogen is a major player in keeping our skin plump, our hair thick, and our nails strong. As levels fall, we experience a loss of collagen and elastin, leading to dryness, wrinkles, thinning hair, and brittle nails. This is more than cosmetic—it can affect how we feel in our own skin.
Supplementing with clinically researched marine collagen, such as Naticol® found in our 5-in-1 Marine Collagen Powder, can help restore what’s lost, supporting not only appearance but the underlying structure of skin, hair, joints, and bones.
What Are the Treatment Options for Menopause Symptoms?
Menopause is not a disease, so there’s no available medicine or “treatment”. However, there are a number of options available to help you manage your symptoms, like mood swings or hot flashes, and recover your old self. Let’s explore some of these treatment options below.
Hormone Replacement Therapy
Hormone Replacement Therapy (HRT) is many times used to relieve many signs and symptoms of menopause. As its name indicates, this treatment replaces hormones that have been depleted (like estrogen) to do away with symptoms like reduced sex drive or mood swings. However, HRT can have side effects like bloating, leg cramping, or vaginal bleeding in addition to increasing your chances of suffering from breast cancer (15).
Medications to Manage Symptoms
During the perimenopause phase, birth control pills can sometimes be recommended by your doctor to help you manage symptoms like cramping or irregular periods. And if you’re experiencing severe hot flashes, some professionals may recommend certain antidepressants to deal with those signs (16). Don’t start treatment unless indicated by a professional.

Natural Treatments
You’ve probably heard that you should exercise regularly and this is particularly important during the menopause journey. Don’t worry, you don’t have to suddenly become an athlete, but doing yoga, pilates or even walking for an hour each day will reduce the chances of suffering from osteoporosis, osteoarthritis, weight gain, and other conditions associated with menopause (17).
Vaginal Creams
Vaginal dryness is one of the main symptoms of perimenopause. In addition to being deeply uncomfortable, it can affect your libido and sexual life. Luckily, vaginal creams and moisturizers can rehydrate your vagina and give you back comfort and well-being. There are different vaginal moisturizers you can try out, such as:
- Creams and gels you can apply directly into your vagina.
- Suppositories in the form of capsules you also place inside your vagina.
- Natural oils that can come in the form of capsules or pills.
Natural Herbs
Plants and herbs can be your best allies when dealing with menopause symptoms. But be careful with side effects. They may be natural, but this doesn’t mean you can take them without any caution or supervision. Here are some of the most beneficial herbs to deal with perimenopause and menopause symptoms. Consult with your doctor before taking them to make sure they are the right choice for you.
- Natural Phytoestrogens are substances present in foods that mimic the effects of estrogen in your body and can help you get through menopause (18). Red clover, for example, contains isoflavones (19), and if consumed regularly, they can ease hot flashes and night sweats while improving skin health. Soy is another food with phytoestrogens that can help you with menopause symptoms (20), though you should beware of possible allergies. If you want to increase your intake of isoflavones, red clover is usually the safest choice.
- Ashwagandha Root Extract has been used for over 3,000 years as a medicinal agent due to its relaxing properties. It is helpful when reducing cortisol levels, which in turn reduces stress and anxiety caused by perimenopause. Plus, research proves it has direct links to estrogen levels, helping menopausal women manage their symptoms (21).
- Maca Root Extract is useful to treat night sweats, low libido and hot flashes. This study, for example, (22) studied the effects of 500 mg of maca root twice a day on 20 women’s progesterone and estrogen levels. By the end of the study, those who got maca instead of a placebo had well-regulated hormone levels and reported fewer hot flashes and general discomfort. As you can see, it can be your best ally if you’re dealing with menopause symptoms.
- American Ginseng has sedative effects in addition to boosting immunity and helping you fight inflammation and stress in perimenopause. This study administered ginseng to postmenopausal women, discovering their oxidative stress was much lower than in the case of women who received a placebo (23).
- Black Cohosh. Recent studies have explored the effects of black cohosh when it comes to hormone regulation. A 12-week controlled trial gave 40 mg of black cohosh to women with hormonal imbalances while the other group received a traditional drug, discovering that both groups were able to balance their hormones in the same way by the end of the study (24).
- Turmeric Extract is a natural ingredient that has been used to make food tastier but it can also help with certain symptoms of menopause, like hot flashes and anxiety attacks (25).
- Pine Bark Extract: last but not least, pine bark extract has been proven to help with painful periods, mood swings, and general pain during the menopause phase (26).

Improve Your Diet
Improving your diet to avoid trigger foods is also crucial to managing your menopause symptoms. Make sure to consult with your doctor to diagnose your problem and look for suitable treatment. In the meantime, here are some general tips to boost your diet and overall feel better:
What to eat
- Increase your intake of fresh, organic fruits and vegetables.
- Don’t forget to include lean protein to prevent muscle loss, which is very common during menopause (27).
- Incorporate foods with calcium to prevent osteoporosis (28).
- Eat more dietary fiber and fermented foods like tempeh and sauerkraut to improve your digestive health (29)
- Eat more phytoestrogens, like soybeans, flaxseeds, grapes and berries (30).
- Increase the amount of Omega 3 you eat, as it can help with general inflammation and joint pain that usually appears during menopause (31).
What not to eat
- Avoid highly processed meals, fried foods, sodas and enriched flours.
- Try to consume organic dairy products, with a reduced amount of growth hormones and antibiotics.
- Similarly, avoid non-organic meat and soy-derived products that may contain GMOs.
- Reduce your intake of alcohol
- Try to reduce the number of additives you consume, like sweeteners, dyes and preservatives in general (32) to prevent insulin resistance.

Other Important Nutrients
- Vitamin D3 is essential for hormones to “communicate” with each other, thus making it crucial to avoid imbalances and abnormal fluctuations, such as the ones that occur during perimenopause (33). A great number of people are deficient in vitamin D, particularly during the winter months.
- B12 vitamin helps in the production of 3 hormones, namely melatonin (which helps us fall asleep), serotonin (our happiness hormone) and dopamine (which also controls feelings of enjoyment). It can be great to reduce your mood swings (34).
- Magnesium is particularly important for the metabolization of estrogen and is essential to prevent osteoporosis during post menopause (35).
- B6 vitamin is also crucial for the regulation of hormonal activity, especially of progesterone and estrogen (36).
- Last but not least, folic acid may help with certain perimenopause symptoms. For instance, several studies indicate it can reduce the number and the intensity of hot flashes (37).
Final Takeaway
Menopause is a natural part of life—but that doesn’t mean you should simply endure it. As we've explored, this journey affects your whole body—from your heart and bones to your mood, memory, skin, and sleep. But knowledge is power, and the more you understand what’s happening inside you, the better equipped you are to take charge of it.
Here’s what we now know:
-
Hormonal changes drive a cascade of symptoms—hot flushes, brain fog, anxiety, and more—but they’re manageable.
-
Menopause affects your nervous system, immune health, gut balance, and emotional wellbeing in deeply interconnected ways.
-
Postmenopause brings new health considerations, including cardiovascular risk, bone density loss, and metabolic shifts—all of which can be supported with the right lifestyle and supplement choices.
And perhaps most importantly: you’re not alone. Millions of women are walking this path, and there’s a growing wealth of science-backed, natural solutions that can help you feel strong, focused, and in control again.
We’ve designed our entire product range with you in mind—combining the wisdom of traditional herbal medicine with cutting-edge scientific research. From hormonal balance to gut health and collagen support, each supplement is crafted to meet the unique needs of women in their 40s and beyond. Explore our shop to find your next go-to formula, whether you’re looking to reclaim your energy, manage symptoms naturally, or simply feel more like yourself again.
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