Premenopause refers to the transition period leading up to menopause, and is more properly known as perimenopause. Menopause is the cessation of female fertility and menstruation. According to MayoClinic.com, women may start to notice symptoms of perimenopause in their 40s and some as early as their 30s by experiencing irregular periods and symptoms such as fatigue, vaginal dryness, mood swings and hot flashes. If you have not menstruated for 12 consecutive months, perimenopause is complete and menopause has occurred. Certain herbs may be effective in relieving some of the symptoms associated with perimenopause. Speak with your medical provider before using herbs to treat this or any condition.
Flaxseed
Although flaxseed is primarily used as a laxative, it may help prevent or reduce the frequency of hot flashes, vaginal dryness and mood swings associated with perimenopause. According to the University of Maryland Medical Center, when compared to hormone replacement therapy in menopausal women, 40 g of flaxseed was shown to be equally effective as hormone replacement therapy in treating mild menopausal symptoms such as vaginal dryness, mood swings and hot flashes. Some studies, however, have shown no benefits for these symptoms using flaxseed oil. Adding 40 g of crushed flaxseed to bread daily can help improve mild menopausal symptoms, according to MedLinePlus.
Black Cohosh
Black cohosh is a member of the buttercup family and native to North America. The extract of black cohosh, when used as an alternative treatment, is considered a safe way to treat hot flashes and other menopausal symptoms; however, this herb should be avoided if you have liver disorders, according to MayoClinic.com. In addition, MayoClinic.com states that study results for this and other herbs are mixed therefore it is strongly recommended that you speak with your doctor first. This herb's function in treating perimenopausal symptoms is not wholly understood, but it is believed that it contains estrogen-like substances. This herb is available as capsules, tablets, extracts and tinctures. Black cohosh tincture may be added to tea in doses of 2 to 4 ml up to three times per day, according to the University of Maryland Medical Center.
Dong Quai
Dong quai has been used in Japan, China and Korea for many years as a tonic, spice and medication. It is commonly used to treat reproductive problems in women such as painful menstruation, menopausal symptoms and premenstrual syndrome, according to the University of Maryland Medical Center. Studies have shown this herb to have an effect on estrogen, but the nature of the effect is not completely understood. The University of Maryland Medical Center warns that there is not enough safety information available on this herb, and therefore there is no recommended dosage. The dried herb may be soaked in wine before consumption, or you can take 40 to 80 drops of tincture, a spirits-based extract, up to three times per day.



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