Midwife Matters

Pregnancy preparations, women's health, and care options

Remedies for the Symptoms of Perimenopause

Here are some herbal remedies to deal with the most common symptoms associated with peri-menopause:

Hot Flashes:

  • Black Cohosh 1/2 tsp tincture or 2 caps,  3 times per day
  • Don Quai or alfalfa 1/2 tsp tincture or 2 caps, 3 times per day
  • Vitamin E 400-800 mg daily
  • Vitamin B complex (look for brand with B3 in niacinamide form as niacin form may aggravate flashes)
  • Motherwort 1/2 tsp tincture or 2 caps, 3 times per day


  • Melatonin 103mg at bedtime
  • Tincture of catnip, 2 drops under tongue.  If not sleeping in 5 minutes, repeat Hops 0.5mg at bedtime
  • Valerian 1/2- 1tsp or 1-2 caps at bedtime
  • Camomile tea
  • GABA 1-2 caps at bedtime.

Restless legs and foot cramps:

  • Magnesium 500-1000mg at bedti
  • Calcium 500 mg at bedtime
  • Vitamin E 200-600 IU daily

Heavy Bleeding:

  • Vitex Agnus caps 1-4 per day
  • Evening Primrose oil 3 gram divided with meals.
  • Foods rich in beta-carotene (peppers, carrots, vegetables dark in color)
  • Vitamin B6 25-50 mg daily
  • Iron supplement
  • B-complex
  • Calcium up to 1000mg daily
  • AVOID black cohosh

Heart Palpitations:

  • Motherwort 1/2 tsp tincture or 2 caps, 3 times per day

Memory loss/fuzzy thinking:

  • Gingko Biloba 120 mg/day in divided doses, well-suited for long-term use (Do not take any blood thinning medications with Gingko)
  • Food sources: liver, yeast, wheat germ, egg yolk, granular lecithin

Mood Swings:

  • Magnesium 250 mg 3 timers per day from the 15th day of menstrual cycle to the first day of menstruation
  • B- Complex
  • Wild oats or skullcap 1/2 tsp tincture 3-4 times per day
  • St. Johns Wort 300 mg 3 times per day
  • Natural progesterone cream 1/4-1/2 tsp at morning and night, days 8-31 of mensrual cycle applied to any soft tissue

Vaginal Dryness:

  • Limit coffee, alcohol, and white sugar
  • Vitamin E, 100-600 IU daily
  • Increase Omega-3 fatty acids (fish oils)
  • Lubricants: Lubrin, Replens, Viamor, Acidophilus caps

Yeast/Bacterial Infections:

  • Plain yogurt 8 oz daily. May be used vaginally to treat.
  • B-Complex vitamins.
  • AVOID sugars.
  • Cranberry juice (PLAIN cranberry NOT cranberry cocktail)
  • Zinc, Vitamns A and B
  • Acidophilus caps, orally or vaginally

Fluid Retention:

  • Asparagus, corn, grapes, cucumber, watermelon
  • Coffee, tea (use sparingly as they may cause breast engorgement/lumps and tenderness)
  • Vitamin B6 150mg daily

Breast Tenderness:

  • Vitamin B6 100mg daily while tenderness lasts, then 50mg daily
  • Magnesium 250mg daily
  • B-Complex

« Ages 50 and up

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