Abstract:
This article shares the insights of homeopathic role in helping women going through the changes of menopause lies in individualisation. By addressing each woman’s unique symptoms, homeopathy helps ease irregular menses, hot flushes, mood swings, and other complaints, making this natural transition smoother and more balanced.
Introduction
Perimenopause and menopause are not merely biological milestones but transformative phases in a woman’s journey.
Menopause is permanent cessation of the menstrual cycle in a female, where she experiences 12 consecutive months without a menstrual period, marking the end of her reproductive years. Perimenopause is the transitional period leading up to menopause.
It generally begins between ages 40 and 44.
The hormonal shifts during this time—especially declining estrogen and progesterone levels—affect multiple organ systems and manifest as varied symptoms.
For many women, this stage presents both physical discomfort and psychological stress, underscoring the need for a holistic, individualized approach to care.
Perimenopause and menopause mark significant physiological transitions in a woman’s life, often accompanied by hormonal, physical, and emotional changes. This phase can bring both challenges and opportunities for overall health and well-being. Understanding the signs and symptoms, along with individualized homeopathic therapeutics, plays a vital role in easing this natural process and empowering women to embrace this turning point with resilience.
Sign and Symptoms:
- Irregular or missed periods.
- Hot flashes (vasomotor symptoms), night sweats.
- Sleep disturbances
- Genitourinary effects: vaginal dryness, reduced libido, painful intercourse, urinary incontinence,
Frequent UTIs—also known as Genitourinary Syndrome of Menopause (GSM) or atrophic vaginitis
- Musculoskeletal and skin changes: joint aches, muscle pain, skin and hair thinning or dryness
- Cognitive and emotional impacts: Mood shifts, mental irritability, memory lapses, brain fog, mood swings, anxiety, depression,
- Metabolic: Slowed metabolism, weight gain (especially visceral fat around the abdomen).
- Long term effects: Increased risk of osteoporosis and cardiovascular disease due to oestrogen decline.
- Fatigue and lack of concentration.
- Joint and muscle pain.
- Thinning of hair and skin changes.
Homeopathic Remedies:
1. Lachesis Mutans
Clinical symptoms of Menopause
Lachesis is a valuable remedy at the climax, esp. in the woman who has exhausted herself by frequent pregnancies and hard work. In this worn-out condition, there occurs a sudden cessation of menses. Suppression or non-appearance of discharges always makes the Lachesis patient worse. Hot flushes. Hot perspiration.
Hot flushing with desire to loosen the clothing; in the chest, neck and waist region. Hot flushes, on waking or falling to sleep.
Vicarious menses. Epistaxis.
Mental State and Personality
Great loquacity; much rapid talking, wants to talk all the time.” One word leads to another story.
Unwarranted jealousy and suspicion. She imagines that her friends, husband and children are trying to damage her; they are going to put her in an insane asylum.
Therapeutics
Self-consciousness, envy, hatred, revenge and cruelty. Impulsive.
Insanity: thinks that she is in the hands of a stronger power, under superhuman control Sometimes it takes the form of voices in which she is commanded to steal, to murder, and to confess things, which she never did. Religious insanity.
Physical Generals and Particulars
It is especially suitable for people of dark complexion and bilious temperament, for ailments associated with menopause, and it is better adapted to thin and emaciated than to fat.
Persons of a melancholy temperament, with dark eyes, and a disposition to low spirits and indolence. Women of choleric temperament, with freckles and red hair. Climacteric ailments: haemorrhoids, haemorrhages, hot flushes and hot perspiration; burning vertex headaches, especially at or after the menopause.
Extreme sensitiveness of the affected parts to touch, especially to light pressure, which sensitiveness is out of proportion to the severity of the disease.”
Symptoms come during sleep and wake the patient in agony and fright.
The left side is principally affected. Disease begins on the left side & goes to the right.
Wants to open the window even in the coldest weather.
Suffocation in a warm room.
Agg: after sleep, constriction, pressure, heat of sun, contact, spring.
Menses: black blood: > by flow. Desire to go in open air and run about before menses.
Bursting pain in the head. Congestive pains, especially on the left side, with a feeling as if all the blood in the body must be in the head. Burning vertex, Headache, esp. at the climacteric period < in the morning.
Distention of abdomen, touch of clothes.
Key words: never well since menopause; loquacity; jealous and suspicious; hot flushes; hot patient; left-sided complaints; pains relieved by flow, always better during menses.
2. Sepia Officinalis
Clinical symptoms of Menopause
Erythism. Climacteric flushes ascend from the pelvis with the least motion with flushes of heat, with anxiety, and with an oppressed feeling ending in perspiration; throbbing all over the body, particularly in the epigastrium, in the hepatic and in the uterine region and in the small.
Menopausal Syndrome
Sexual desire: decreased. Thinking of it causes nausea and irritability.
Dyspareunia from dryness of the vagina and bleeding.
Headache in terrible shocks during menses, with scanty flow. Stinging pain from within outward and upward, mostly on the left or in the forehead, with nausea and vomiting; worse indoors and when lying on the painful side.
Mental state and personality
Quarrelsome and caustic disposition.
Sadness and dejection, with tears too
Indifference to everything (to all surroundings), even to relations. Repugnance to customary business.
Anguish and in quietude, sometimes with flushes of heat, generally in the evening (when walking in open air), and sometimes in bed. “
Great uneasiness about her health, and about her domestic affairs.”
Discouraged, often to such an extent as to be disgusted with life.”
Weakness of memory.
Physical generals and particulars
Adapted to persons of dark hair and rigid fiber with venous stasis, ptosis, moth spots, drooping eyelids. H/O repeated pregnancies.
Hands hot and feet cold, or as soon as the feet become hot, the hands become cold. This is an excellent indication for Sepia.’
Sensitive to cold air, “chills so easily”; lack of vital heat, especially in chronic diseases.
General relaxation, weak, faint, drooping eyelids. Feeling of relaxation and bearing-down in the abdomen.
Longing for vinegar, acids, and pickles. Worse after milk, especially when boiled.
Sensation of dragging down in the pelvis and fullness in pelvic organs. Prolapse with oppression of breathing. Sensation as if uterus is clutched by hand, with backache. Pain in the uterus shooting upward. Retroverted uterus.
Pressure down into the anus, as of a ball.
Leucorrhoea: yellowish, greenish, or milky, excoriating.
Involuntary urination during the first part of sleep, or < from coughing, laughing and sneezing.
Therapeutics
Constant urge for urination.
Milky urine. Burning with a grayish deposit difficult to wash off.
Urine is offensive. Can’t endure having it in the room.
Sinking feeling in epigastrium. Feeling of goneness in the stomach, not relieved by eating
Nausea at the smell or sight of food. Nausea is worse lying on the side.
Acid dyspepsia with bloated abdomen, sour eructation.
Constipation; large, hard stools; feeling of a ball in the rectum; cannot strain; with great tenesmus and pains shooting upward.”
Bleeding at stool and fullness of rectum.
Backache <walking, sitting, > by exercise, hard pressure.”
Key words: indifferent; prolapse of uterus; sudden prostration; faintness and sinking; reduced sexual desire; lack of vital heat.
3. Graphites
Clinical symptoms of Menopause
Flushes of heat with numbness felt in the whole head.
Circulation is affected, causing irregular distribution of blood, producing rushes of blood, esp. to the head; flushing and pallor of the skin and the mucous membranes during menses.
Menses: late, irregular, scanty, pale, mixed with small clots and of short duration.”
Mental state and personality
Restless on attempting close mental work and dread of mental work.”
Compelled to move about due to anxiety, solitude and fear.
Mental depression is extreme. <by music (causes depression).
Great sadness and thoughts about death and salvation
Changeable moods.
She can recall all events of youth, but recent events are forgotten.
Aversion to coition.
Physical generals and particulars
Persons who have a tendency to put on unhealthy fat or those who begin to emaciate. The patient is usually fat, relaxed, chilly and costive. Supersensitive to cold.
Suited to women inclined to obesity, who suffer from habitual constipation, with a history of delayed menstruation.
What Pulsatilla is during puberty, Graphites is during menopause.
Before menses: pain in the epigastrium, itching of the vulva, and excoriating leucorrhoea
During menses: cough, coryza, hoarseness; morning sickness-like symptoms, edema; copious sweat; headache; lassitude; marked excoriation between the thighs
Aversion to coition.
Enlarged, hard, and tender ovaries
Constrictive pain in the stomach. Recurrent gastralgia. Flatulence.
Stomach pain is temporarily relieved by eating, hot drinks especially milk and lying down.
Aversion to meat. Sweets nauseate.
Constipation; large, difficult, knotty stools united by mucus threads.
Key words: fat; relaxed; chilly and constipated; h/o delayed menses; sadness; mental depression < music; aversion to sweets.
4. Sulphur
Clinical symptoms of Menopause
Flushes of heat to the face and head at the climacteric period. The flushes begin somewhere in the heart region, in the chest, and feel as if a glow of heat is rising to the face. The face is red, hot and flushed; finally the heat ends in sweat. Sometimes the patient will describe a feeling as if hot steam were inside the body and gradually rising up, and then she breaks down in a sweat. Sometimes you see a woman having little shiverings followed by flashes of heat and red spots on her face, and she wants doors and windows open.
Irregularity in the menstrual flow, suppressed from the slightest disturbances. Prolonged uterine haemorrhages.
Periodical sick headache: congestive with nausea and vomiting. Once a week or every two weeks. < Sunday morning. < Stooping; > in a warm room; < light; after eating, jarring. <motion,
5. Conium Maculatum
Clinical symptoms of Menopause
Indicated in widows who have been suddenly deprived of sexual relations.”
Dwindling of the mammary glands as well as enlargement and induration.
It will also be indicated in fibroids of the uterus and even cancer of the cervix.
Mental state and personality
Timid, averse to society, and afraid of being alone. No inclination for business. Memory is weak.
Weakness of the intellectual faculties and memory. Ready forgetfulness; excessive difficulty of recollecting things.
Excitement causes mental depression.
Physical generals and particulars
Especially for diseases of old maids with rigid muscular fiber, persons with light hair who are easily excited and strong persons of sedentary habits.
Great physical and mental debility.
Debility of old people; cancerous and scrofulous persons with enlarged glands
Sweats day & night, as soon as one sleeps or even when closing the eyes
Suppressed menses. Painful menstruation; throbbing, tearing, burning pains in the uterus, in the ovaries, and in the pelvis.
Breast sore & painful before & during menses. <Least Jar & motion.
Menses: feeble, suppressed, too late, short, scanty with a rash of small red pimples over the body, which ceases with flow; stopped by taking cold, putting hands in cold water.
Leucorrhoea 10 days before menses.
Key words: widows; suppressed sexual desire; tumours of the breast or the uterus.
6. Glonoinum
Clinical symptoms of Menopause
At climax, flushes of heat, pressure of head, nausea, loss of senses, vertigo, swelling of feet
Flushes of heat on the face with trembling of hands, and the hands and feet become cold. She breaks out in sweat. A tendency to sudden and violent irregularities of circulation.
Surging of blood to head and heart. Sensation as if all the blood in the body is rushed towards the heart.
The throbbing is synchronous with every impulse of the heart.
Mental state and personality
She is forgetful.
infusion, she loses her way when she is near home.
well-known streets seem strange, forgets which side of the street he lives on.
Physical generals and particulars
Nervous temperament; plethoric, sensitive women.
Bad effects of mental excitement, fright, fear, mechanical injuries
Head troubles from working under gas light, heat of stove or walking in the sun.
Headache in place of menses
Headache occurring after profuse uterine haemorrhage.
Therapeutics
Sensation as if the skull were being expanded and contracted with bursting pain and throbbing, which is synchronous with the beat of the heart. The fingers and toes jar, motion and pulse. > Vomiting, open air, cold.
Menses delayed with violent congestion of the head, headaches in place of menses.
Key words: congestive symptoms
